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Suggest Treatment For Supraventricular Tachycardia

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Posted on Wed, 23 Sep 2015
Question: Presenting Complaint:
this is 35 years old female member who's ECG is showing Supraventricular Tachycardia.

Investigations:
Pro BNP - 208 pg/ml.
ECG - Shows SVT.

diagnosis: Supra ventricular tachycardia.

procedure planned - Cardiac Ablation

note: Could you confirm whether the above mentioned information is sufficient for the patient to get Cardiac Ablation done. moreover is this patient required to go for Cardiac Ablation without any medical management.
doctor
Answered by Dr. Anantharamakrishnan (1 hour later)
Brief Answer:
Yes / go for ablation

Detailed Answer:
Hi friend
Welcome to Health Care Magic

YES... the information is enough.
Documentation of the episode is enough
We go for investigations like Holter or Event monitor, if only it cannot be documented

EPS (Electro Physiological Studies) and ablation is the DEFINITIVE treatment. It identifies the cause – which is almost always an aberrant pathway / and abolishes it.

All drugs are only symptomatic and of course, drugs have their side effects too / need trial and error for individual patients for choosing a drug and then to adjust the dose /
No drug will treat the cause – they only treat the symptom
Their effects are temporary / the effect is gone on withdrawing it
Ablation addresses the cause /and the cure is permanent in most cases, if it could be identified and ablated… it can also identify the choice of drug…/ it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on during the procedure… That is the gold standard, but it is INVASIVE. This super-speciality expert is called ELECTRO-PHYSIOLOGIST… and is available only in select centres…

Good luck
God bless you
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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Suggest Treatment For Supraventricular Tachycardia

Brief Answer: Yes / go for ablation Detailed Answer: Hi friend Welcome to Health Care Magic YES... the information is enough. Documentation of the episode is enough We go for investigations like Holter or Event monitor, if only it cannot be documented EPS (Electro Physiological Studies) and ablation is the DEFINITIVE treatment. It identifies the cause – which is almost always an aberrant pathway / and abolishes it. All drugs are only symptomatic and of course, drugs have their side effects too / need trial and error for individual patients for choosing a drug and then to adjust the dose / No drug will treat the cause – they only treat the symptom Their effects are temporary / the effect is gone on withdrawing it Ablation addresses the cause /and the cure is permanent in most cases, if it could be identified and ablated… it can also identify the choice of drug…/ it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on during the procedure… That is the gold standard, but it is INVASIVE. This super-speciality expert is called ELECTRO-PHYSIOLOGIST… and is available only in select centres… Good luck God bless you