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Paroxysmal Atrial Tachycardia

Heart Rhythm Conditions | Last Active: Jun 8, 2023 | Replies (54)

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@slynnb

Of course, don't take a post as perfect or even accurate medical information. However, I happen to know a great deal about this subject and I would suggest you make an appointment with your - or another - cardiologist and go over everything I write here: Paroxysmal atrial tachycardia (PAT) is not life threatening. Often, medications can cause annoying and even health problems of their own when it scares people so badly and they insist on a medication "fix". PAT means your heart is racing over 100 for no reason that can be explained by exercise, extreme anxiety or a drug reaction ( including extremely excessive caffeine). Because the beats originate in the atrium ( UPPER chamber) - that's the good news. That is why PAT is not life threatening . In extreme cases a person could faint and if it doesn't stop for a very long time you might need to go to ER to have the super fast beat terminated. There are some easy do-it-yourself techniques to stop the racing. Talk to your doctor about this. The one I've seen work the best and fastest is employing the "mammalian diving reflex". Huh? Let me explain. When a mammal which lives mostly in water dives deep , its heart rate must slow down to survive under water... In human mammals, we have a bit of this reflex ourselves. When your heart races, tell yourself to be calm. Run a pot of water and dump in some ice. Take a deep breath and then exhale slowing while plunging your face into the cold water.. You can, in fact, simply first trying splashing your face with cold water. Simply sitting calmly and focusing, taking in deep, slow breaths through your nose, holding breath briefly and then slowly exhaling through your nose can very very often break the cycle of PAT within a few minutes . You can put on an oximeter on your finger to test how much your heart rate is going down. You can also massage one side of your neck - carotid artery - which can help break stop PAT but discuss how to do this with your doctor. If you truly have PAT so often that you are miserable , talk to your doctor about seen an electrophysiologist about an ablation - a minimally invasive procedure which can usually cure the condition. Good luck..

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Replies to "Of course, don't take a post as perfect or even accurate medical information. However, I happen..."

You do know a lot. Thanks for this. 🙏
I am struggling so much with this condition too… it is exacerbating a long term chronic pain syndrome I also have-pudendal neuralgia-(which I managed not too badly in the past with exercise) and throw the debilitating scenario of anxiety about my health into the mix and it’s pure misery. I haven’t been able to understand why my doctor is unconcerned about the tachycardia. Your response here adds clarity. I have many episodes a day of up to 185 bpm - exacerbated by emotional and physical stress. I find I have been avoiding exercise as a result and this has been detrimental to my overall health. Grappling about what to “do” about it all is tiresome. Sleeplessness from the pain syndrome at night…
And fatigue from the cardiac thing in the day and I’m a mess. It’s been going on for years but much worse lately.
I do the cold water thing. I actually have been advised by pelvic physio to stand in it up to my neck and have started doing so for 2 minutes at a time so far. I feel better after it and it doesn’t at least trigger the AT.
Thanks again for sharing your knowledge. 🙂

This has been extremely helpful to me anyway. Mine starts in the atrium. This I know because as soon as it starts I have to urinate every 10 minutes. My cardiologist explained that is because the atrium produces a diuretic when in afib. I am do interested to read of the different techniques that you suggested. I will definitely try the next time, if there is a next time,.. my problem is I just can't relax when in fast afib. Thank you again.

You can also bear down like you are having a bowel movement or baby and most of the time that will slow heartbeat down. Sneezing and coughing also will do it.