Doctor insights on:
Had heart ablation 15 yrs ago for psvts. While laying on couch, just had a brief flip flop feeling in heart and lightheaded. Should i be concerned?
Ablation: If you've had 15 good years after an ablation, i wouldn't worry about an occassional flip/flop unless its very frequent and lasts a few minutes or longer each time. You should discuss with the dr.(s) who know you and your situation. They will be able to make a more informed recommendation to you. ...Read more
I have had psvt's with heart rate over 250 twice, but I have had cardiac ablation 4 yrs ago. What does this mean?
Antibiotic risks: This is a very important discussion to have with your doctor. Overall, the benefit of therapy must be weighed against the risk. The FDA has warned that patients with certain conditions are at risk for heart problems with this medication (long QT interval, low blood levels of potassium or magnesium, a slower than normal heart rate, or those on anti arrhythmic drugs). Fortunately those risks are low ...Read more
Beta Blockers/Ca Cha: Beta blockers and calcium channel blockers are often used for PSVT(Persistant Supra Ventricular Tachycardia) But other drugs like Ace inhibiters and Angiotensin Recepter Blockers are also safe to use as there is no conrtraindications to use if Beta Blockers And ARBS are not able to bring BP down ...Read more
Unpredictable: It's the nature of psvt to come and go. It's initialed by a random extra beat (pac) that occurs at a vulnerable time in a person with the right anatomic substrate to sustain a persistent arrhythmia. Stimulants like caffeine and nicotine and stress and lack of sleep also increase the likelihood. ...Read more
Pharmacotherapy: Drug therapy of arrhythmias is individualized and there is a lot of overlap of medications used for atrial and ventricular arrhythmias. When the heart function is otherwise normal, drug therapy is 'safer' than in patients with abnormal ventricular function. Having said that we often have to treat arrhythmias in patients with abnormal ventricular function. Discuss with your doctor for your specific ...Read more
There is no: direct connection but sexual excitement does produce tachycardia which some people "detect" particularly if you are worried about your heart! Hope this is helpful Dr Z ...Read more
Have psvt, rarely have palps. Ran 2x this week for 20m, now chest discomfort on right side that comes and goes, should I worry?
No: Obstructive sleep apnea (osa) is a condition of cessation of breathing during sleep. It is due to obstruction of the oropharyngeal airway usually at the level of the tongue or epiglottis. Two-thirds of patients with osa are overweight and fatty infiltration of the neck and tongue may also contribute to airway obstruction during sleep. Rec. See sleep specialist for a sleep study (psg). ...Read more
Is it ok to drink diet coke (i have psvt)? I am on medication for it so that makes caffeine ok, right?
Yes: PACs are simply isolated early extra beats that originate from the upper chambers of the heart (above the bundle of his). Some make it through to the ventricle, some are blocked. When they occur consecutively causing the ventricle to contract faster then that situation is said to be PSVT. Some self terminate- some need meds or electrical cardioversion and ablation. They can be seen separately. ...Read more
Whice one better to deal with PSVT? propafenone or flecanidine? whether they lead to hypotension like Bisoprolol?
I have PSVT superventricular I'm 44 years old female my doctor put me on 75mg atenenlol will that dosage help prevent them?
Beta Blockers can be: ...used to slow down the ventricular response to PSVT. It doesn't always work, but it's a reasonable first choice. Amiodarone is also very effective in slowing down both the atrial and ventricular heart rates, but it has some complications. In cases that don't respond to medication, a more invasive procedure may be used to interrupt (ablate) the signals that cause the PSVT. Best wishes! ...Read more