Hello, My name is Reggie. I am 58 year old recently diagnosed with SVT and captured on ekg. After 2 hours of rapid heart rate and fluttering I sent to the ed and as rhey were about to cardiovert I recovered.
I have Sarcoidosis and had a bout if Covid 2 years ago where I established a rapid heart rate. Standing is impossible without symptoms and near collapse. Exercise i tolerance, extreme fatigue. I have been on immunotherapy for the sarcoid in my lungs and seems to have been in remission.
I was seen by cardiology and have been on bisoprolol during this episode. They increased my dose and after a few days I couldnt eat feom nausea so the stopped it. Then I was switched to caedizam and that made thinga worse and was seen back to ed. I am now at 180 extended release with 4 changes to get to this dose. Still having rapid heart rate and when on the short acting had another episode that last 1.5 until all measure were unsuccessful at home, I took Verapamil...30 min later normal rhythm.
The electrophysiologiest will not do a ablation till he can stimulate it again. How do you know if you can and when does that seem reproducable?
My rheumatologist requested a cardiac cat scan and I am pending a second echo and the results of a 15 ekg. Prior cat scans, stress tests only determined tachycardia, bo abnormalities A physical therapist did a modified table test and assumed pots but I was on the blocker bisoprolol already so not too conclusive. I had ortho hypostatic BP, and rapid heart rate and advised to treat as if pots.
I have now occasional fluttering and rapid heart rate of 145 when doing light activity before sob, and tremors, fatgue and near collapse or crash set in. If I do to much I am out for days with extreme exhaustion.
@reggie68
This article may help you to situate your case and what the EP has told you about being able to stimulate the SVT prior to applying energy to tissue:
https://onlinelibrary.wiley.com/doi/10.1111/jce.16496