Tachycardia and palps....please help!!

[meg_02]

Hello,

I'm a 34 year old female.  In 1995 I had an ablation for SVT with AV node reentry.  I was told that it was successful and the continued palps (skipped beats) I felt would become unnoticed in time.  I continue to have the palps, only more often as the years pass.  My skipped beats are constant and cause me frequent dizziness as well as loss of breath (when skipped beats are back to back).  I recently had a loop monitor and was told once again, that my skipped beats are nothing to worry about.  

I have been suffering with low BP for a long while now.  My systolic resides in the 70's and 80's.  My distolic can range from 33 to the upper 50's.  I'm constantly dizzy, feeling faint, confused and tired; having blurred vision.  I've managed to keep from completely fainting when I feel I am about to.
A week ago, I failed a tilt table test, only after I took the nitro tablet.  My heart rate skyrocketed in seconds, while my BP plummeted.  The Doc put me on Clonidine, suspecting POTS Syndrome, but took me off it a couple days later due to lower BP readings and a pulse in the upper 40's and low 50's.  He is going to start me on a Beta Blocker, and I am worried it will have the same effect as the Clonidine.

I also suffer from exercise induced tachycardia.  When I start to exercise, in a matter of a couple minutes, my heart rate jumps to over 200.  I then feel chest tightness and pain; pain in the left side of my neck, shoulder and arm; numbness and tingling in my left hand and fingers; and dizzyness.  My Doc is concerned with this, but says he currently doesn't have answers.

I do not know if the tachycardia is causing my low BP, or if the skipped beats are too frequent, causing the tachycardia and low BP.  My main concern is, what could be causing my low BP??  I've had nothing show up in my blood work and am generally healthy otherwise.  

After a 1999 Echocardiogram, the initial report was read as small ASD and small perimembranous VSD.  After a meeting with another cardiologist, MY cardiologist decided against the ASD (although he said his partner still believed he saw a small ASD).  He stated there may be a very small, perimembranous ventricular septal defect, although he wasn't positive.  Could any of this be the cause of my low BP, tachycardia, or skipped beats?

I very much welcome any help anyone can give me!!  Thanks!

[ireneo]

Have you tried to google "hypotension?" I did that once because my systolic occasionally drops into the upper 90's and I feel tired and weird. But mine only lasts a few hours. I remember there were a couple of causes mentioned but it didn't stick with me. Try this website or another reputable site like medline or mayo clinic.

[luvpetsny]

I hope this is helpful to you.  Recently I was diagnosed with PVCs but the physicians don't think I require any medical interventions at this point after several diagnostic testing.  I started doing gentle yoga and continue my walking regimen in addition to maintaining a healthy diet.  The problem I believe is the intense fear and frustration associated with the symptoms...; although I still get these sensations I try to do deep breathing and it has helped me tremendously.  You're fairly young and you will be well!  

luvpetsny

[Ihatepalps2]

I think you should repost your question to one of the doctors--under the Ask A Doctor forum...