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Avatar universal

PSVT and wanting to get pregnant

I'm 24, and have had tachycardia issues in the form of 'attacks' a couple of times a year.  These involve very rapid heart rate, sweating, naseau, palps, you name it, and can *Sometimes* be stopped by Valsalva, vomitting, etc.  
I've currently been seeing my primary dr and the best electrophysilogist cardiologist in my area.  My somewhat official diagnosis is PSVT due to misfiring.  The suggestion is to undergo the ablation procedure, however I am not interested in doing so right now (I don't feel its gotten to the point yet where I need this done).  
Throughout all of this, my husband and I want to get pregnant in the next few months or so.  My cardiologist has said that it's a gamble.  The palps could get worse, or they could completely go away during pregnancy.  He's assured me he believes they are relatively benign as I have never passed out.  I would very much like to get pregnant however the potential for tachycardia attacks during pregnancy scares me, as does any complications I could maybe face during third trimester or labor.  I am anticipating starting a mellow excercise routine to try and get my heart rate down a little before conceiving, and I'm going to start a prenatal vitamin, and am considering additional magnesium?  
Does anyone have ANY tips for me regarding the PSVT, pregnancy, what I can try now and during pregnancy, what should I do?!
I am not currently on beta blockers, however I do carry Atenolol with me in case of an attack.  I've not yet had to take it, so I'm not sure how well it may or may not work during tachycardia attacks.  
Help ease my mind!  Suggestions needed!
3 Responses
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61536 tn?1340698163
Hi.  I was diagnosed with PSVT at 17.  I had my first pregnancy at 24 and my second at 26.  I had absolutely no complications related to the PSVT episodes.  I did get more frequent PACs around the 6th month of pregnancy both times, but they eased up by about 7-7 1/2 months.  I only had one episode of PSVT during my second pregnancy, and it lasted a mere four seconds or so.  I had none during the first.  During labor and delivery I had absolutely NO palpitations whatsoever.

I never opted for treatment for mine, I just see my doctor one every 1-2 years and he checks things to be sure all is well and it usually is.  If it gets worse, I'll pursue different options.  I refused to let this stop me from having children and the life I wanted though.

I wish you lots of luck!  Based on my own experience I think you'll do great.
Helpful - 0
Avatar universal
I seem to have every weird heart spasm that everyone experiences...my heart got all weird up to 3 months being pregnant then it evened out to absolutely no palps the rest of the pregnancy...i think cause the hormones got all steady and my blood volume increase...and everything in my body was balanced...but after the baby that is when the palps got bad again...a month later i was experiencing palps due to my hormones being all crazy cause they were trying to adjust to the fact i wasn`t pregnant anymore...i`m 8 months postpardum...and palps have been on and off again...but i experience probably at least one every day...
the episodes i got my heart would speed up for a minute...but when i was pregnant they cease to exist...all my heart problems ceased to exist...
i wish i was pregnant all the time...that was the only time i was symptoms-free!
Helpful - 0
187666 tn?1331173345
Each person should be given the OK by their own doctor since each case/cause of PSVT is a little different. I too have PSVT, PACs and PVCs yet I've had 3 children. For me I was having PSVT almost daily before my pregnancies (HR was about 180). I don't remember if it got worse during prenancy or not so it must have stayed the same for me. Didn't have any trouble during labor and delivery. My OB/GYN wasn't thrilled to see me get pregnant the 3rd time because of my heart but it worked out just fine. All my kids are grown and doing well now so it was worth it for me.

As for ablations: about 7years ago I was told they could fix my arrhythmias with an ablation. I ended up having 3 because my heart is so tempermental. Still have some arrhy's but they're much improved and I'd say it was worth it to go through the procedures. Since you only have a couple episodes a year you might want to wait but don't be afraid of an ablation. It's not bad at all.
Helpful - 0

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