Doctor insights on:
Medicine For Nonsustained Ventricular Tachycardia
Nonsustained VT: The Best way is to see a cardiologist and get worked up for diagnosis and cause of the nonsustained VT and then discuss the findings and recommendations with the dr. Who has information specific to you. Not as simple as you hope. ...Read more
Is it true that nonsustained supra ventricular tachycardia is the same as nonsustained ventricular tachycardia?
No: Supraventricular tachycardia signifies that the abnormal rhythm arises from a part of the heart above the atrioventricular node (that normally conducts atrial electrical impulses to the ventricles for ventricular excitation), whereas a ventricular tachycardia originates from the ventricular myocardium itself (below the level of the atrioventricular node). ...Read more
Are odd Supraventricular beats on24Hr Holter the same as (or connected to?) Nonsustained Ventricular Tachycardia <30sec?
No: Supraventricular is NOT ventricular. There is a significant difference clinically, treatment wise and prognostically for extra beats from the atrium vs. extra from the ventricle. ...Read more
What to do if I have nonsustained ventricular tachycardia, would this be classed as a long term heart disease?
Yes: This has to be studied and to try to determine why this occurred. VT can be dangerous if it becomes sustained. Speak to a cardiologist about the plans for you, they may consider placing an internal monitor that fires when you go into a VT. ...Read more
Abnormal fast rhythm: Abnormal fast rhythm from the large chambers of the heart which can be life threatening if sustained. ...Read more
Ventricular: Not all are dangerous. But some are. In these cases your heart may go into ventricular fibrillation and your heart stops popping blood to your body. Or, in some rare cases, especially you have an additional problem such as weak heart muscle, ventricular tachycardia can kill you. Electrophysiology docs like my self can differentiate ones with risk from none risky ones. ...Read more
Yes: Black-outs (or syncope) are often caused by transient reductions in blood flow to the brain from a variety of causes. With ventricular tachycardia, the abnormal rhythm may be associated with a reduction in cardiac output and a temporary reduction in brain blood flow that can lead to syncope. ...Read more
Not really pulseless: When VT occurs at a fast enough rate, there is inadequate time for ventricular filling, cardiac output falls, and blood pressure falls. You may not be able to palpate a pulse but an arterial line would show a waveform that is reduced in amplitude. Rate is the key. As tissue perfusion fails, acidosis, hypoxemia and hyperkalemia result leading to ventricular fibrillation and death. ...Read more
No/That's a problem!: Ventricular tachycardia is one of the most life-threatening abnormal heart rhythms. It can be associated with angina, but I am sure many doctors here have been called urgently to a hospital patient's bedside with v-tach much to the inquisitive look of the patient as they are wheeled urgently to intensive care for more careful monitoring and treatment. So no, not generally, but it is serious. ...Read more
Everything: Svt arises in the atria (the upper chambers) and VT arises in the ventricles (lower chambers). Svt often occurs in otherwise healthy hearts and is annoying but only rarely serious. Vt usually arises in diseased hearts, can be serious, and sometimes is life-threatening. Vt in the setting of a heart attack or acute coronary syndrome is very dangerous. ...Read more
If someone had angina from a quick BP drop but stabilizes will it cause damage or cause ventricular tachycardia?
No permanent injury: If the angina was caused by the blood pressure drop (caused, for example, by a medication), and it resolved (and the heart rhythm was normal) when the blood pressure returned to norma, l it is unlikely it caused permanent damage. However, if the angina was the cause of the blood pressure drop, that would be more concerning. Either way, this needs to be carefully evaluated by a doc. ...Read more
Determine cause: May not need tr after determin the etioolgy. ...Read more
Yes : Yes but only when the tachycardia is fast and not tolerated. But the electric current has to be synchronized with the heart beat. This is most appropriately called cardioversion than defibrillation the latter being unsynchronized electric shock for ventricular fibrillation which is a chaotic ineffective rhythm. ...Read more
See below: Normal heart rhythm arises in specialized cells within the right atrium called the sinus node and then is propagated over specialized conducting tissue into both ventricles. When an irritable focus in a ventricle begins firing independently repeatedly or in a repetitive loop, initiating its own renegade rhythm at a rapid rate, it's called ventricular (where it starts) tachycardia (rate >100). ...Read more
No specific signs: You can not determine if an abnormal heart rhythm is due to VT by how it feels. Vt is, by definition, a fast heart beat so people may feel pounding in their chest. Depending on the rate, they may become dizzy, short of breath, have chest pain, get sweaty and/or pass out. None of these symptoms are specific for vt. The rhythm must be recorded on ekg or on a monitor for definitive diagnosis. ...Read more
Life threatening: Ventricular tachcardia is a life threatening arrythmia. It's the rythm that needs to be "shocked". The pts in persistent v-tach is when shocking or medicine doesn't restore normal sinus rythm. The pt usually expire. ...Read more
VT, long QT: As usual this is far too complcated for the space here. You need an etiologic diagnosis for the arrhythmia and an estimate of the type of long QT syndrome present. There are several genotypes of long QT. Once this is done, there are drugs, electrophysiologic testing/therapy and device therapy all possible as well as anatomic or physiologic therapy depending on what is thought to be the cause ...Read more
Depends: Ventricular tachycardia in the presence of structural hear disease is at risk of sudden death. However, V Tach in a normal heart or without underlying heart disease is benign. It can cause palpitation but the risk of death is low. It often originates in the right side of the heart and can be treated with medicine or cured by ablation ...Read more
You canpi if If not: Treated probably you can not do high intensity training. See a cardiologist. I hope this helps. If you want to discuss my answer to your question or if you have more questions contact me on my Virtual Practice at www.healthtap.com/dryetimyan ...Read more