just had tachycardia. over 225

[messedreng]

So yesterday i was drilling some holes to get a tv mounted, and when bending down to grab the mount, I think I first felt a sves extrasystole and then my heartbeat just escalated. After going to the balcony for some air, I asked my friend to use my pulse watch while I strapped on the chest strap. I told him not to say out loud what my bpm was since I'd probably just freak out. He saw it was 225 and didn't tell me but started to call for an ambulance. They arrived and Itvwas still going. They wanted me to come do an ecg I'n the ambulance. As soon as I layed down, I could feel my heart beat slow down. They checked and it all looked good. They told me to visit my doc the next day and I did a follow up ecg which showed 85bmp and all good.

So now what? Should I demand more test? Or could this be a one time thing? Aside from the racing heart, I felt no other symptoms aside from fear and of course a thumping in my chest.
I do suffer from anxiety but never has it pushed my heart this much. And I have sves which I'm pretty much used to by now. And actually finaly have accepted. But this was scary. I'd rather have sves the rest of my life than have tachycardia one more time. So yeah. 29. M. Anxiety. Sves. And now a episode of tachycardia. What should i do? Hope its over or demand tests?

[tom_h]

The fact that you had a possible episode of SVT makes you most likely prone to another.  Like Michelle said in her post, should you have another, don't panic.  There are methods that can be employed to convert the episode. The act of bending over, along with other body positions can be triggers for SVT episodes.

[messedreng]

I honestly have a hard time letting it go. Someone told me that without the episode recorded, no one can no if its benign or not. Scares the hell outta me. And my doc seams to just brush it off....

[tom_h]

I had literally thousands of episodes over a span of 54 years; a lifetime of SVT.  I realized early on that when the first hundred or so didn't kill me, the next one probably wouldn't either.  But they are stressful; every one of them.  This attitude towards the problem was one of the factors in never getting it fixed until my cardiologist highly recommended that due to my age, I should really do something about it.

[MichelleP_3811]

If it started and stopped in what felt like one beat is very well is an svt that may be treatable by ablation.  I had one called avnrt that ran at rates in the 200s.  It felt manic crazy fast and it was hard to breath.  I felt like I would pass out but I never did.  It is possible that you have had it for some time now.  I clearly remember having episodes as a child but thought I was just over heating and it was something all people did when they pushed too hard.  The episodes did not become more frequent until I got much older.  so it is possible some of your anxiety and/or panic attacks could actually be an svt episode.  Usually they are triggered by an sve so that can indicate that it is svt as opposed to simple anxiety.  Unfortunately unless they catch it start or stop you likely will be given a good bill of health and even told its just anxiety.  If it happens at least once a month you can try and get a 30 day monitor to catch it and then have it corrected but it is better if it is more active or the EP may have trouble initiating it and it has to be active for the EP to know where to ablate.  They got mine going on the first try but I have head of others who went in whose ablations failed because the EP could not get the arrhythmia going.  So if you are not active enough to catch it or fix it at this time just try to research vasovagal maneuvers.  Holding your breath and bearing down like straining to go to the bathroom or drinking a very cold glass of water may help break up the tachycardia and get it to revert to normal. You may also want to jump up and down and see if that helps.  I had an episode that was going on for 3 hours and I decide to go to the er but hit a bump in the car ride and it stopped.  Sounds like something similar may have happened to you so the idea is the sooner you can get it to stop the less stress it will have on your heart.  But a sudden increase seems more likely to be an svt than anxiety alone.  It is possible you are simply dehydrated but the rate was pretty high.  You are young which means your heart may be capable of naturally going that high but keep an eye on things and if it continues to happen then consider seeing a cardiologist to get it captured on monitor and evaluated.  In any event, aside from it being afib, most issues in the atria are not anything that is an imminent danger to your life so try to not stress about it if you can.  Stress may actually make the situation worse and bring on more episodes.  Take care.  

[messedreng]

Thanks alot for the response. What i took from it is that for Now i should try and keep my mind off it, and in case it happens again and more often, then get it checked again. But yeah thanks a lot. M.

[MichelleP_3811]

Yes, don't overly stress.  Get a game plan about how to get it to stop if it does flare up again and see  your doctor if it continues or gets more persistent.  If you do have an episode that you can't stop in a reasonable amount of time you should head to the er.  Other than that it is one of those that you can try and catch it so you know what you are dealing with but correcting it may be something you wait to do until you are active enough for it to be more likely a successful correction.  Take care.