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paroxysmal supraventricular tachycardia (PSVT),

I was diagnosed with Neurocardiogenic syncope and seizures back in 2003, lately I have been having a different kind of episode where I feel light headed and then I suddenly cant beathe or feel like my throat was squeezing together, I went to the ER and found out what was going on is now  Paroxysmal Supraventricular tachycardia. Has anyone had a combonation of both? I see a Cardiologist tomorrow but I really want to know if anyone has heard of this and what are the treatment options?


This discussion is related to Tachycardia and Neurocardiogenic Syncope.
5 Responses
1423357 tn?1511085442
"..''.but I really want to know if anyone has heard of this and what are the treatment options?"

I can't help you with the combination, but I l know a little about PSVT, or SVT as it is simply referred to.  I had a lifetime of it starting at 6 years old and ending at 60 when I got it taken care of.  Treatment options can range from "dealing with it", to drug therapy, to an electrophysiology procedure to cauterize (ablate) the area in your heart responsible for causing.  There are primarily two different types of SVT, AVNRT and AVRT.  The latter is an accessory path problem where a stray fiber of muscle tissue supports conduction where it is not suppose to.  These accessory pathways are typically located away from the important AV Node.  The former involves an extra conductive pathway that is closely linked to the AV node.  In fact, some cardiologists often consider it part of the AV Node itself.  It is the most common of the two main types of SVT.  Many of us here on the forum have it, or have had it.  Many of us have opted to go after it and be cured.  It is usually a one day or overnight procedure, and you walk out on your own.  I was up the next day, and back to work in 4 days. I had reached a point where drug therapy was no longer working effectively.  Most of my life however, I just dealt with it without the aid of any kinds of drugs.  I learned a method called, Valsalva which was very effective in converting the SVT back to sinus rhythm, and used this all of my life.  I wish you luck going after yours, and we're always here to field any questions that you may have.

Tom H.

1807132 tn?1318743597
As with Tom I had a lifetime of psvt the AVNRT kind where the issue is with the avnode, the most common type.  I had it ablated a few years ago at age 45.  It is generally easy to fix with an ablation though it is technically not life threatening but it will also never go away without treatment.  Considering your other issues you might want to at least consider eliminating this one though it is helpful for it to be fairly active before you go in so the EP can trigger it so they know where to ablate.  But try not to fear as I said, it is not life threatening especially at your age so go and talk to the doctor and come back and let us know what they say.  We can help you sort it all out.
Avatar universal
I really appreciate both of your responses. I talked to a cardiologist today and she recomends  to abolate the area as well as do a sleep study because she thinks I may also have some level of sleep apnea on top of this all. So, she wants to do a sleep study proior to the abolate.  I am really hoping recovery time is fast and not too rough. I am a mother of a 1 year old and a 6 year old going to school to be a paramedic and also working so There isnt much time if any I have to really just RECOVER. is there usually an overnight stay is there much pain associated? I will be expected to be able to transport patients and just want to get a sense of how limited I will be.
1423357 tn?1511085442
Most likely you'll be up on your feet the next day and walking around.  I was out at our favorite town restaurant for breakfast the net morning.  There are no stitches involved  Access to your heart is made with a puncture in the groin area on either side.  They heal very quickly.  By three days, they were nothing more than two red dots.  I did have a large hematoma in my right leg which took months to fade.  Expect to walk with a limp for a week or two as the area will remain tender.

Check with your electrophysiologist to see if they partially sedate you, or if he uses general anesthesia.  I had general and remember nothing except the ride to the lab.  The shot of Vallium made me so sleepy, that I was asleep on the table before it started.

As Michelle mentioned above, the key to finding it is to get your heart to going into SVT.  If they can't make that happen, then it's literally just guessing where the spot may be.

Ahh. Sleep Apnea.. you came to the right spot as I was diagnosed with very severe, untreated OSA about 7 years ago.  A bad night would leave my heart skipping for days.  I had developed Secondary Polycythemia, or overly rich red blood cells due to the low O2 levels that I slept at constantly.  A sleep study, the diagnosis, and a CPAP machine with a small "nostril pillows" mask immediately corrected it, and I got better quickly.  Without a doubt it restarted my life, and saved me from a very dim future; one with an enlarged heart and most likely a stroke.  Hope all goes well for you!
1807132 tn?1318743597
Recovery is pretty quick.  You can expect to be up and about the next day as Tom said but I was restricted from strenuous exercise for 5 days.  I was short of breath for about a week due to an elevated heart rate as well it state a bit elevated for a few months.  You may also experience a jumpy heart.  sometimes the ablation can trigger an increase in ectopic activity if you have it.  These are extra beats that fire off in the atria/pacs or the ventricle/pvcs.  They are harmless in an otherwise healthy heart and a lot of times people with svt also have these.  They may or may not bother you after your ablation, I was having a lot of symptoms before my ablation so my heart was already highly irritated.  Yours may not be but wanted to give you an alert about them because I was never informed and freaked out a bit after my ablation when they were going crazy on me. But again I went at least a year or more with daily symptoms so I probably should have gotten myself to a doctor sooner to investigate it.  I guess since I was born with it and had episodes all my life that stopped on their own I never gave it much thought.  I was never afraid of the condition so I never did anything about it.  My heart is still fine but near the end it was pretty irritated from weekly epsiodes of svt and which can bring on the ectopics.  They can feel like the heart jumps about and pauses as opposed to running fast for an extended period of time.  Well best of luck with it all.  Do keep us posted.  I was awake for my ablation and though I was terrified to do it, it was a piece of cake.  I kind of found the whole thing interesting.    I could have easily fallen asleep but kind of wanted to stay awake.  The anticipation is way worse then the procedure.  If you want to read my story you can click on my name and read my journal entry.  If you have any questions just post them here.  Take care and keep us posted on how you are doing.
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1807132 tn?1318743597
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