HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

On Holter Monitor For Checking For AVNRT. Have Anxiety And Panic Disorder. Can AVNRT Be Triggered By Panic Attack?

Hi- I was recently placed on a 30 day Holter monitor because my cardiologist believes I have AVNRT. He wants to gather more data before referring to an EP for ablation . I also have anxiety and believe I most likely have panic disorder . My confusion lies in wondering if the tachycardia causes the feeling of sudden panic, or if sudden panic attacks can cause my hr to abruptly jump to around 150bpm. I don t want to undergo ablation and risk developing new arrhythmias if this is all due to anxiety. HOW will the doc know for sure? Is there a particular indication on the ECG tracing that can differentiate b/t AVNRT and regular sinus tach possibly triggered by panic ?? Thank u so much!
Fri, 22 Mar 2013
Report Abuse
Cardiologist,  's  Response
generally for AVNRT there is no precipitating factor, but in some cases stress or alcohol leads to AVNRT.
diffrance between sinus tacy and AVNRT -
1) in AVNRT heart rate will be classical 150, in sinus tacy it will be high but varying
2) in AVNRT ABRUPTLY increase or decrease of heart rate , in sinus tacy it will increase or decrease slowly.
3)in AVNRT, R'. This is a small secondary R wave. It resembles a right bundle branch block
4) in AVNRT , Onset after a premature atrial beat with delayed conduction to the ventricles.
I find this answer helpful

1 Doctor agrees with this answer

Note: For further queries related to coronary artery disease and prevention, click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Cardiac arrhythmia


Loading Online Doctors....
On Holter Monitor For Checking For AVNRT. Have Anxiety And Panic Disorder. Can AVNRT Be Triggered By Panic Attack?

generally for AVNRT there is no precipitating factor, but in some cases stress or alcohol leads to AVNRT. diffrance between sinus tacy and AVNRT - 1) in AVNRT heart rate will be classical 150, in sinus tacy it will be high but varying 2) in AVNRT ABRUPTLY increase or decrease of heart rate , in sinus tacy it will increase or decrease slowly. 3)in AVNRT, R . This is a small secondary R wave. It resembles a right bundle branch block 4) in AVNRT , Onset after a premature atrial beat with delayed conduction to the ventricles.