Hi,
I am a 39 year old female, normal weight, non-smoker, non-drinker. History of MVP, SVT, "Cold" Thyroid Nodule-normal thyroid functions, low BP. I have been on beta-blockers for over 20 years. I had an aablation on 4/19/06 for AVNRT. Within 4 weeks SVT was back worse than ever. On 6/22/06 I had a second ablation. The morning after ablation I had tachycardia (up to 150's) and SOB as soon as I took a few steps. I was taken off the beta blocker for the ablation and told I didn't need it anymore - my heart would reset itself. I was discharged and was literally unable to do much of anything from tachy. and SOB. After 4 wks.I was put back in the hosp., started back on Inderal and told it was Inappropriate Sinus Tach. The Inderal did help the tachy., but I still get SOB with min. exertion and started having skipped beats immed. after tachy. subsided. Monitor showed mostly PJCs, some PACs and occ. PVCs. I am very aware of these and have them as much as several times a minute. So after 3 months still having SOB, ectopic beats constantly and fatigue. Cardiac cath. on 8/29/06 normal except MVP/mild regurg.,VQ scan neg.,CXR neg.PFT's normal,cbc,lytes normal. 1) Are constant ectopic beats normal this long after ablation (only had occ. pre-ablation)? 2)What else could be causing SOB? 3)What other tests maybe helpful?- should I be checked for microvascular dis., endothelial dysfunction, autonomic d/o?? Would appreciate your response . Thank you.
RLL