Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
160 Doctors are Online

SVT - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3582 Questions
User :   I have SVT but my 'episodes' are typically few and short lived. For the past two weeks my heart rate has been fairly consistently over 100 and also raises/drops quickly. (114-90-110...) I have been tired, short of breath and unable to lower my heart rate by myself and make it last for more than a few minutes before it raises again. My fingers are also blueish and swollen around the nails. I am frustrated and not sure what to do. I see a Cardiologist in a week but I haven't been able to sleep much and have been having chest pain and lightheadedness more than I am 'used' to.
Doctor :   Hi
Doctor :  
Let me read it
User :   I'm sorry, I got 'redirected' one too many times.
Doctor :   Ok

Doctor :  
No issues
Doctor :  
I am going through your query
Doctor :  
Give me 2-3 mins
User :   Ok, Thank you.
Doctor :  
Fine
Doctor :  
When have you been diagnosed with SVT?
User :   As a child, about 20 years ago.
Doctor :   Ok

Doctor :  
May I know your age and gender?
User :   I am 31 years old, female.
Doctor :   Ok
Doctor :  
How has it been since the time it has been diagnosed?
Doctor :  
the course I mean
User :   Complicated...
Doctor :   Ok

User :   I was put on digoxin originally and became toxic.
Doctor :   Ok

User :   I was then put on another medication (I want to say Toporol), I know that its indications were actually cholesterol, and that had no effectivness.
Doctor :   Ok

User :   I have mostly just learned to deal with it, no my limmits...
Doctor :   Metaprolol or Toporol does have a role in SVT

Doctor :  
and you should continue with it
User :   almost 3 years ago I had a cathedral ablation with the intent of correcting it but once inside the Cardiologist discovered it was not the form of SVT he thought it was
Doctor :  
it is not for cholesterol
Doctor :  
Ok
Doctor :  
This does look a bit complicated
User :   It was several years ago (at least 15) that I was on the Toporol. My techacardia did not change at all and I had undesirable side effects on top of that...
Doctor :  
ok
User :   During the attempted ablation the Dr. was able to correct a murmur behind my heart which significantly decreased the intensity, durration and frequency of my 'episodes'.
Doctor :  
Yes,I was about to ask about it
Doctor :  
it is one of the latest advances
Doctor :  
and is very helpful
Doctor :  
Usual sucess rate is 90%
User :   I did not go to my 6 month follow up. (He wanted to do an exploritory catheter and I wasn't excited about that) and have since moved.
User :   As I said, I normally just deal with it.
Doctor :   Ok

Doctor :  
You should have followed up, I feel
User :   Two weeks ago I had severe chest pain that lasted several hours and left me exhausted.
Doctor :   Ok
Doctor :  
Was it of same severity as the usual attacks?
User :   Since then my hand started swelling and became painful. Then I noticed that around my finger nails were swollen and my fingers started turning a blueish color.
Doctor :  
ok
User :   It was different all together. It was much more painful then bothersome.
User :   I didn't think much of it at the time.
Doctor :  
Ok
Doctor :  
And then how it progressed?
User :   I also noticed that my techacardia episodes were becoming more frequent and lasting longer.
Doctor :   Ok

User :   I went to see my Dr. this last Monday and have gone through a myriad of tests.
User :   I live in the middle of now where and can't see a cardiologist until next Wednesday.
Doctor :   Ok

Doctor :  
the coming wednesday right?
Doctor :  
3 days from now
User :   In the mean time, my heart rate is a mess, I am lightheaded, dizzy and short of breath
User :   yes
Doctor :  
Ok
User :   I purchased a digital blood pressure cuff today and have monitored myself frequently for over 12 hours now.
Doctor :   Ok
User :   It isn't just that I have been experiencing techacardia but also that it is all over the place...not consistant
User :   I have tried the vageling that I have done for years and nothing helps.
Doctor :   Ok

User :   I haven't been able to get rest. I take Klonazapam to sleep and even with that, I am still awake and my heart rate is still over 90 at best.
Doctor :  
Ok
Doctor :  
Have you done the Valsalva Manoevr?
User :   I am not sure which one that is but i have only ever found one to be helpful after trying to learn every one ther is.
Doctor :   Ok
Doctor :  
This is a method where you exhale keeping your nostrils and mouth closed
User :   Yes! That is the one...
User :   When it has helped in these last two weeks, it doesn't last longl.
Doctor :   Ok

Doctor :   What are the medications you are on right now?
User :   I take Vyvanse and Clonazepam
Doctor :  
Ok
User :   My Vyvanse dose was just decreased this week.
Doctor :   Are you prescribed with Vyvanse?
User :   My Dr. doesn't believe that it is the cause but decreased it as a safe gaurd.
User :   yes.
Doctor :  
Ok
Doctor :  
It does have a stimulant rolea
Doctor :  
and can affect during such episodes
Doctor :  
Have you told that you are taking this to your Cardiologist?
User :   Yes, we were both aware but I should have experienced side effects right away and I have been on it more than 6 months.
User :   I haven't met the Cardiologist yet. I have only lived here a year and didn't 'need' to see one until now.
Doctor :   Ok

Doctor :  
You should inform
Doctor :  
about that
Doctor :  
and why are you not on any medications for Prevention of SVT attacks?
User :   I have an extraordinary tollorence to medications and Dr.s tend to not like to treat me for things they can get away with...I have just always been ok with that.
Doctor :   Ok

Doctor :  
but for SVTs
Doctor :  
there are certain medications to take for prevention
Doctor :  
and some when you have attack
Doctor :  
Both of it should be kept handy
User :   They weren't frequent enough or severe enough that I was concerned until now.
Doctor :   Ok

User :   I thought I had things "under control'
Doctor :  
Do discuss this with your cardiologist in your next visit
User :   Surely you have 'those' patients
User :   I certainly will.
Doctor :   Ok

User :   My main question/concern at this point in time is the durration.
Doctor :  
And for now, do that Valsalva for some relief
Doctor :   and go to the ER as soon as possible as you are not able to tolerate the symptoms
User :   I don't know if I mentioned the irregularities as well.
User :   That was sort of what I was leading up to but I wanted to try to give you a good and accurate backround.
User :   I have been talking to my Dr. and two seperate Cardiologists via a nurse practioner
User :   The general consencus is that I need to go the ER, get hooked up and monitored and maybe treated.
Doctor :   Ok

Doctor :  
It is necessary to regulate the heart beats for now
User :   I have been told so many things in the last week, I am starting to wonder myself how serious it is.
Doctor :   No need to panic about it

Doctor :  
its good to take timely treatment
User :   I'm not panicing, that is the problem...lol
Doctor :  
Ok
User :   Am I risking long term damage by letting my heart rate stay 'rapid' and/or 'irregular' for such a long amount of time?
Doctor :   Yes, you should take care of it

Doctor :  
It needs to be brought back into the rhythm as early as possible
User :   How high is too high and how long is too long?
User :   Do I need to do something about it before Wednesday if I can tollorate the symtoms?
Doctor :   Since your heart rate is very high and right now

Doctor :  
along with irregularities
Doctor :  
and has not allowed you to sleep as well
Doctor :  
I would suggest you to visit the ER
Doctor :  
and get yourself checked once
Doctor :  
and later you can meet your cardilogist with the same reports
User :   I have had an EKG as well as an ecocardiogram this week.
Doctor :   Ok
Doctor :  
And what were the impressions?
User :   The Eco hasn't been read yet though.
Doctor :  
Ok
User :   We have to wait for the Cardiologist which only comes in once monthly.
Doctor :   ok

User :   All of my lab work was normal except my thyroid which was high, not low.
Doctor :   Ok

User :   So your recomendation is to have my heart put into a 'regular rythym' as soon as possible?
Doctor :  
Yes, absolutely
Doctor :  
I do not want you to suffer for another 3 days
Doctor :  
as it only worsens with delay
User :   Ok,I guess that takes away all of my excuses then.
Doctor :   Yes, you should get early treatment

User :   (My insurance loves ER visits.)
User :   Ok, thank you very much.
Doctor :   Ok

User :   Do you have any idea how exactly they would put my heart into a normal rythm?
Doctor :   With the help of antiarrythmic drugs

User :   I am a little scared that the possible adverse side effects would be worse than the next three days. I have five children at home.
Doctor :   Meaning?

User :   I will have my husband take me in the morning though. Thank you again.
User :   I am worried about my heart stopping and things like that....
Doctor :  
No
Doctor :  
You should not worry
Doctor :  
Treatment shall only help you
Doctor :  
Do not have such apprehensions
Doctor :  
Is there any thing else I can help you with?
User :   No, thank you again.
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
Question is related to
Diseases and Conditions
Medical Topics
Other doctor chats you may be interested in
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor