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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!
Asked On : Wed, 20 Mar 2013
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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.
Answered: Thu, 21 Mar 2013
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