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How Can Elevated Heart Rate Be Treated?
Hi, I have had PSVT, extra beats and AV block Mobitz I type for seven years due to a flu like disease and once there was a complete heart block on my holter six years ago. I do not have any medication as my pulse can be too low 40-50 bpm. I am in my thirties and my symptoms (heart rate over 200) and strange beats occur very often now 7-10 times a day or even more. I am at the beginning of my pregnancy. Can this be the cause of my frequent episodes? Is there anything that can be done to ease my problems in this state? I am on the waiting list to a cardiologist. Thanks
Mon, 28 Aug 2017
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Thanks for contacting HCM with your health concern
1. As you are a diagnosed case of PSVT and also pregnant [and PSVT is the most common sustained arrhythmia during pregnancy] so it is wise to see a Cardiologist for more detailed examination and necessary investigations:
PS. intravenous adenosine is the choice of drug for treating PSVT in pregnancy due to its rapid onset, high effectivity, with transient side effects in mother and comparative safety in the fetus].
2. Other relevant examination and investigation include:
- serum T3,T4,TSH to rule out thyrotoxicosis
- ECG & Holter moniter test
- Blood sugar to exclude hypoglycemia
- chest x-ray for left ventricular hypertrophy [auscultation of heart for murmur and heaving apex beat in clinical examination]
3. Avoid excess of tea/coffee
. avoid alcohol/smoking
. avoid mental strain
4. Since viral infection like flu [influenza] puts added STRESS on your body which can affect the overall function of heart [blood pressure/heart rate], same has happened in your case, so best is to get a flu shot and maintain personal hygiene:
- regular washing of hands
- regular fluid intake [maintain proper hydration] since rapid heart rate could be due to mild dehydration caused by infection
Thanks for contacting HCM with your health concern
1. As you are a diagnosed case of PSVT and also pregnant [and PSVT is the most common sustained arrhythmia during pregnancy] so it is wise to see a Cardiologist for more detailed examination and necessary investigations:
PS. intravenous adenosine is the choice of drug for treating PSVT in pregnancy due to its rapid onset, high effectivity, with transient side effects in mother and comparative safety in the fetus].
2. Other relevant examination and investigation include:
- serum T3,T4,TSH to rule out thyrotoxicosis
- ECG & Holter moniter test
- Blood sugar to exclude hypoglycemia
- chest x-ray for left ventricular hypertrophy [auscultation of heart for murmur and heaving apex beat in clinical examination]
3. Avoid excess of tea/coffee
. avoid alcohol/smoking
. avoid mental strain
4. Since viral infection like flu [influenza] puts added STRESS on your body which can affect the overall function of heart [blood pressure/heart rate], same has happened in your case, so best is to get a flu shot and maintain personal hygiene:
- regular washing of hands
- regular fluid intake [maintain proper hydration] since rapid heart rate could be due to mild dehydration caused by infection
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