Whats your age?
Its a bit too slow for avnrt, but thats always a possibility, especially if you're young.
Could be atrial fibrillation with a rapid ventricular response, or atrial flutter with a lower ratio of conduction.
Also could just be pvcs with atach.
In short.. It could be well.. Anything. Sorry cant be more specific!
In any case routine ekgs are literally useless at diagnosing tachycardias.
What you need is to consult your primary doctor about it and request a cardiology referral.
The cardiologist will then order a holter monitor or an event monitor depending how frequently you have the issue.
If something shows up that needs to be taken care of then hell probably refer you to an electrophysiologist.. A heart rhythm specialist for an invasive ep study.
This invasive study, which involves us placing some diagnostic catheters inside your heart is really the only way to truly tell with 100% confidence what is going on.
As stated though to get to that point you first have to go through the usual channels where the evaluation of your pcm and the testing conducted by the cardiologist gives us an idea that something is up that warrants referral.
I had written you a very long and detailed explanation.. Before my phone died and deleted all of it... I may redo it if i feel up to it later. For now ill summarize.
How manageable/treatable is it...
Well it IS manageable and treatable.
But that management and treatment is so complicated entire books,have been written about it. The procedure we're using now, pulmonary vein isolation, is actually fairly new.. And our last effort the MAZE procedure was a relative disaster.
Afib ablation is twice as dangerous as any other ablation performed for another arrhythmia and is only 70% effective, compared to 90%+ success rate seen in patients with other problems.
If the ablation fails twice the next course of action involves device implants, septal occluders, av nodal ablation with permanent pacemaker implantation
Even in an emergency we cant touch the thing without a preprocedural transesophageal echocardiogram. Whats more its often so stubborn that we need a mix of potent antiarrhythmics and electrical shock to break it.
Anything we do for it interventionally requires full anesthesia support and intubation.
Even cardiothoracic surgery is on the table for some patients.
Lifetime anticoagulation is a given as well.
Outpatient therapy involves selecting medicines with alot of contraindications, and constant follow up and adjustments and like the interventional procedures comes with mixed success at best.
The arrhythmia is associated with stroke, heart failure, hemodynamic instability and av nodal failure. So it had to be addressed.
But yeah, its dangerous and stubborn as can be.
Fortunately the field of cardiology is up to the challenge and they can and will get it under control. We know what we need to do and very few patients actually die from afib associated complications.
However if it turns out to be afib, ill be completely straightforward.. The rhythm is technically and logistically difficult, expensive and labor intensive to bring under control. The journey forward would be long.
Glad you could get the tests and get a conclusive answer.. You were symptomatic while on monitor at all?