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Nsvt with MVP

I have mild/moderate MVP with trace regurgitation.  Struggle with lots of anxiety, stress and also panic attacks.  I think I have a constant excess of adrenaline in my system.

Recently had 30 monitor which showed st, ist, pvcs, pacs and at least one run of nsvt (5 beats).      
Saw an ep who is scheduling a tilt table test (may have POTS) and an ep study.  How are these tests?  I'm really on edge about this whole thing and don't know how concerned I should be.  EP doc said not to worry about dropping dead from vtach or anything.

Advice appreciated.

Resting
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1347434 tn?1282591778
Yes, a non-sedated EP study gives them the best chance of triggering them.  Like I said, I have 3 different kinds that I get and only one of them has been captured.  He's guessing the other two are probably an SVT and an A-fib because I guess there are a limited number of arrhythmias people can actually have LOL.  

Lisa,

I'm very anxious.  Were you sedated during your EP?  The thing that I'm worried about more than anything is them making my heart jump around.  I hate the feeling and it's making me sick just thinking about it.  

It freaks me out that they thought yours were monomorphic but found out otherwise.  I'm praying that that is not the case with mine!
Helpful - 0
Avatar universal
I just got a call from my cardiologist wanting to know if I had seen the EP (he's just opening his own office and is a bit disorganized right now).  He said the rest of the monitoring report shows my heart is all over the place:  fast, slow, etc.  
That's not really surprising to hear because my anxiety level gets crazy sometimes.

I saw that you are not having sedation with your study.  Does that make it easier for them to really see what is going on?  I'm afraid that my heart would be beating too fast due to anxiety if I didn't have the sedation.  Does that matter?

Do you have big fluctuations in your heart rate and blood pressure?  

Resting
Helpful - 0
967168 tn?1477584489
arrrggg I see they added d o t c o m to list of no no's....skipping heart . c o m or d o t c o m
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967168 tn?1477584489
ok nm I figured my problem out; I was think SVT and sustained VT lol completely different things =)  I go away for a few months and forget everything I've learned

btw skipping hearts ******* is a great site and has a ton of info on the front page; Jeff did a great job with easy to read and understand information
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967168 tn?1477584489
bypeep hopefully it's monomorphic; make sure you are prepared for anything though; they didn't know mine were polymorphic until the dr triggered them near my RVOT - luckily, I had taken some extra clothes and my own stuff since I had to stay in the hospital 4 extra days :P

ok I'm having a brain fog; NSVT? I associate that with non sustained VT is that what you have? oh why won't my brain work sometimes :P isn't there something else NSVT stands for?
Helpful - 0
1347434 tn?1282591778
Resting,

Keep in touch too.  I'm interested to hear what you find out, compare notes etc.  My cardio and EP both felt that mine was monomorphic (though I have a few different looking PVC's coming up as couplets and singles) and probably originating in the RVOT.  They also mentioned one other possibility but I can't remember it now because I was having a major anxiety attack when I saw the strip and he confirmed my fears.

I'll probably be having my EP study done first so I'll give you details if you want.  I'll also tell you what the EP recommends for treatment and prognosis.  There's another girl on skipping hearts ******* that has been diagnosed with NSVT and she's very good to talk to.

I'm just really anxious in general, ugh.  As I'm sure you are too.  Will look forward to hearing from you once your EP study is done!

Helpful - 0
Avatar universal
Lisa, thank you for the information!  Heart related stuff can be so scary.

bypeep, I'd love to know how things go for you.  Hope it all goes well and you get answers.

resting  
Helpful - 0
967168 tn?1477584489
good luck also bypeep; hopefully they find some answers for you
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1347434 tn?1282591778
Resting,

I had a monitor pick up a 9 beat run on 8/22 and I'm having a non-sedated EP study done on ?Thursday.  I too am worried about the VT issue. I'm hoping they can give me some clear answers this week and if you want, I can let you know what I find out and how the procedure goes.
Helpful - 0
967168 tn?1477584489
it's good that your EP had the thought to test for POTS; some just sweep that dx and testing under the rug for a dx of you're stressed or it's anxiety

the ttt is really easy - you lay on a bed, they strap you in and then tilt the table up - depending on your doctor's normal protocol; some dr's do a full tilt up and some only like a 90degree like my dr - they keep track of your hr/bp and then after about 20 min if you haven't fainted they may give you a dose of nitroglycerin to see how your body reacts; if you faint they put you back down quick and put your knees up to get your stats back up quick

the ep study is a bit more complicated; but realitively simple - some dr's sedate some don't; it depends on if they feel like they can trigger your problem easily - sometimes they won't know until they're in the process and mapping out your trigger spots.  They go through the groin area and if you have twilight sedation as many of us do, then you can watch it most likely during the procedure - takes between 1-4 hours but can be longer depending on how your procedure is going

one thing to remember; if you get cold ask for a warming blanket; one of the techs saw I was shivering and asked if I wanted her to do it - it's not something they just do normally

good luck =)
Helpful - 0
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