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Recurrent SVT

Firstly, thank you for providing this service and your expertise.

I am a 31 year old male, with recurrent SVT. I have had 3 RF Ablations in 4 years yet I have had 2 episodes since my last surgery. I have only had 10 episodes, and aside from the first 2, I've always gone to the ER. Also, aside from my first ER visit where Adenosine worked, Electro-cardiovertion 150 J, was needed.

I've had a Echo, and the first Ablation I had they went in through my neck (Angiogram?), but I've had very little feed back as to what my "condition/problem" is, aside from Recurrent SVT or A-typical SVT.

I also have severe anxiety, but am using medication for it, and handle it quite well. However I'm aware of its impact on my Hearts rhythm, and overall health. I have been unable to work or exercise for the past 2 yrs yet I do odd jobs.

My first episode happened 6 years ago, at which time I quit smoking cigarettes yet I still smoke Marijuana daily. Since my last episode I have had nearly constant (10-30 times a minute) PVC or PAC's (heart flutter) when I am stressed or physically active. I also have 2 abscessed wisdom teeth that due to my anxiety and finances have been unable to get surgery for yet.

My question, is "recurrent SVT" a form of heart disease, or a probable symptom of something else like CAD? I know that is difficult to answer with the info I've given, but I'm not sure if I should pursue a diagnosis or further testing from my EP or if Recurrent SVT is basically considered a benign nuisance.

& are my risks of Myocardial Infarction greater, less or unknown by my EP study?
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Avatar universal
Just another question.. how long apart where your ablations? Just curious because the full effects of ablation are not realized until about 6 months after surgery because the tissue around the ablated area is so inflammed.. and dont be sorry for wanting clarity from your doctors.. thats what they make 6 figures for ;)
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Avatar universal
PlayDoh,

Thanks for the post.

There are a lot of causes of SVT, so I'm not sure what is the exact cause of yours. What I'm assuming, is that it is the type that is caused by a slight abnormality in the electrical system of the heart that results in a fast heart beat. In young patients, generally SVT is an entity separate from CAD. I would imagine the likelihood of CAD in you to be very small. An EP study only looks at the wiring of the heart so there is no prediction of MI risk from it.

Your overall risk for a heart attack in the near future is most likely small. However, these risk accrue over many years, so your behaviors and lifestyle now will have impact in 20 years. Thus smoking (yes even pot) will contribute to this risk as does your diet and activity level. You really need to try to find some constructive ways of dealing with your anxiety as you are setting yourself up for future problems if you don't get with it. I say this not to try to minimize your anxiety as it is clear that it is playing a great role in your problems, but to encourage you to try to seek help in dealing with it.

good luck
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