Worsening SVT

Posted by nordicstrong @nordicstrong, Jan 28, 2023

Hi, I've had AVNRT/SVT depending on the doctor; since I was 30. It started after my daughter was born. It was mostly random and not long-lasting; maybe twice a year, lasting 5=10 minutes.
It got worse when I was about 50, more frequent and started to have ones that lasted 5-10 hours, with spaghetti legs, nausea, sweats, pain and general terror. I ended up in emerg one time, after a 12 hour wait, I was diagnosed, given meds and then an angiogram, and CT scan of my lungs. Confirmed AVNRT. I was told I could live with it, take beta-blockers or have wide-awake ablation which sounds absolutely terrifying. I have GAD, had a panic attack during the ablation.
The past 2 years have seen my life fall apart and I am having more frequent SVTs probably from chronic emotional stress. I live alone now, I don't have anyone who can come and help me out. I'm in an apartment and have to take my dog out to pee, which is almost impossible to manage when my HR is 180. I had a 2 episodes this week, which has never happened before. I feel so alone and helpless. I take bisprolol but it no longer seems to be preventing attacks. I don't go to the hospital because I live in Ontario and our health care system is a disaster; patients sit in the waiting room for 14+ hours just waiting to be seen. I can't sit upright when I'm having an SVT, I have to lie down. I'm having a bad day. thank you

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So sorry you are experiencing the SVT. I have both afib and Atrial Tachycardia ( a form SVT). Neither were well controlled with medication. I did have an ablation wide awake for the SVT. Other than having to lay very still it was not difficult. It was pain free. I suspect your physician and the staff would be willing to devise a plan to work with your anxiety during the procedure. Having a well thought out plan might be what helps you get through it as well as the appropriate medication. Ablation is about 95% curative for AVRNT. You might be well served to have a long talk about it with your electrophysiologist to address your concerns. Hoping you will find relief.

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So sorry you are experiencing the SVT. I have Atrial Tachycardia ( a form SVT) which was poorly controlled with medication. I did have an ablation wide awake for the SVT. Other than having to lay very still it was not difficult. It was pain free. I suspect your physician and the staff would be willing to devise a plan to work with your anxiety during the procedure. Having a well thought out plan might be what helps you get through it. Ablation has a high cure rate for AVRNT. You might be well served to have a long talk about it with your electrophysiologist to address your concerns. Hoping you will find relief.

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How are you doing at this point? I am so sorry you've had to suffer so much.
I've also had SVT for decades, which started as yours did, no big deal...I even worked out right through svt episodes. Then, like yours, as time passed, it became tougher to deal with. More frequent and harder to covert with learned maneuvers, etc. It was not caught on a monitor or ekg until I had a horrible episode right before covid and paramedics came. They caught it. From there, I took metropolol (beta blocker) and HATED it but it helped until it didn't. Ended up finally getting the ablation but sedated. It has been working well for the last almost 2 yrs, but have been having some tachy along with a short svt run this weekend. Going to see the doc today for next steps. My cardio is so busy, he pushed me off on someone else. Sigh.
Also I too, have GAD and panic disorder and it makes the svt attacks ten million times worse, so I really feel you. I read somewhere recently that panic and anxiety occur with svt attacks whether or not you have anxiety issues.
Let me knonw how you're doing.

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I was recently diagnosed with SVT after experiencing heart palpitations, having an ECG, and then wearing a heart monitor for 14 days. It doesn't seem to be triggered by exercise or walking, but my heart rate does sometimes soar after going up a flight of stairs. Still waiting to see a cardiologist. What further tests should I push for besides an echocardiogram? What questions should I ask about medications or treatments? I'm grateful for having a place to ask questions and get / give support.

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