Doctor insights on:
What Is The Difference Between Wpw And Svt
No, no, and no!: The best treatment for symptomatic WPW is radiofrequency catheter ablation. Even allopathic drugs are not usually an adequate treatment. Wpw is potentially serious with heart rates of 220-300 or more and curable. Don't mess with it. Svt can be handled with medication in many cases or ablation when meds fail or aren't tolerated. ...Read more
I have symptomatic WPW syndrome (episode SVT about once a year), I take medications all the time, can I fly commercial airplane (3 hours)?
Kristalose 20 grams 2 x daily for constipation. Is this safe and a good dose? Any side effects? I have SVT/WPW syndrome.
Constipation: Constipation in an otherwise healthy person is usually due to inadequate fiber and fluid intake, and is especially prevalent in Western society due to the widespread use of processed foods combined with a high intake of non-vegetarian foods. Adding fiber supplements e.g. Benefiber, Metamucil, Konsyl and Aloe Vera helps. Lactulose also helps by fighting the colon's effort to dehydrate the stool. ...Read more
B/p 105/55. Heart rate 55. Is this safe? I have WPW syndrome and hypertension. I take PROPRANOLOL to prevent SVT & lower BP.
Sounds great as long: As you are not having dizzy spells or passing out. ...Read more
What medication does the ER administer during a severe episode of SVT caused by WPW syndrome? Adenosine is contradicted with WPW right?
WPW: Procainamide (pronestyl) given intravenously has been successfully used in such cases. Adenosine can be given as long as the qrs is narrow. Electric cardioversion can also be performed. Beta blockers can also be tried iv. In my experience, procainamide has been quite effective although it is an older medication. Ideally a cardiologist would be available to treat such a patient. ...Read more
1 yr ago I had SVT episode, my pulse went to 195. I went to ER & they just discharged me bc it went back 2 norm. Now on beta blockersfor wpw. Ok?
Preexitation: Syndrome or wolf-parkinson-white. This is an aberrant accessory conduction pathway of the electric stimulation from the upper chambers (atria) to the lower chambers (ventricle), a short cut and it fires up pulse goes up. I am a surgeon, thus I would suggest see a cardiologist as a definitive treatment in form of rf ablation does exist. Keep living as a normal person! ...Read more
2months ago my 20 yr son had ablation for wpw. He is still symptomatic. He wore a 21 day monitor. Diangosis paroxysmal svt, hr hi 203, he's 20. Serious?
On propranolol 20 mg 2x a day for SVT (wpw), &hbp. I need one that lasts longer but can't take er. Toprol (metoprolol) was to strong even at 25 mg. Any suggestion?
Flecamide: This is a dangerous medicine but used in what you have as untested it may be more dangerous. Discuss with your Dr. ...Read more
How dangerous is Fleccanide? My doctor mentioned possibly putting me on it. Is it better for my SVT than Nadolol or propranolol? I have WPW syndrome.
High: Fleccanide is most dangerous out of antiarrythmic drugs. But it can be used as last resort under close supervision. It may cause VT or V fib. It is not recommend routinely. ...Read more
Ekg- extremely short pr interval, delta wave, & many bouts of sinus tachycardia 150 bpm+ but no svt. Is that enough for WPW diagnosis?
No not enough: As electrophysiology would be needed to say for sure...Talk to an electrophysiologist. ...Read more
Blood pressure has been 120/45-50 recently. Is this concerning? Could it be heart failure? I have WPW syndrome and on propranolol to control SVT.
Ok: This BP is ok. I'm frequently asked about "my diastolic BP being too low". Usually it's inconsequential-even factitious due to inadequacy of many home BP monitoring kits to take diastolic BPs. I usually don't get hot and bothered by pts "low" diastolic BPs-only the high ones (ie over 90. Best wishes! ...Read more
Two different issues: Svt is a common usually "solitary " form of short circuit that can happen at any age, often in women. There several forms of svt. Now afib is a different can of worms - this is a more complex arrhythmia that may be related to structural heart abnormalities or endocrine problems. There are patients that need blood thinners. Patients can have both but it's not common. Definitely visit your doc. ...Read more
Recurrence: Svt is typically used to describe a type of rapid heart beat that is related to a type of "wiring" problem in the heart. If a patient has more than one episode (which is typical), is is referred to as paroxysmal svt. ...Read more
SVT, WPW, Afib: Svt or supraventricular tachycardia is a condition in which the upper chamber of the heart causes the heart to beat very fast. Wpw or wolf parkinson white syndrome is a condition where te heart has a propensity to abnormal electrical conduction that may predispose people to have svt, atrial fibrillation (where the upper chamber of the heart beats chaotically), or other heart rhythm issues. ...Read more
Similar-different: Both originate with the "pace-maker" in the right atrium. In svt, it leads to a sinus rhythm over 100-140 beats per min (bpm). Atrial flutter is a specific type of svt that causes (by definition) an atrial rate of around 300 bpm. Depending on the electrical conduction of that heart, it will lead to a ventricular rate of some multiple of 300 (150, 100, 75, etc). ...Read more
What's the main difference between SVT and sinus tachcardia on an ECG and how are they distinguished?
SVT is abnormal: Sinus rhythm is normal pacemaker activity in the heart. Tachycardia means the heart rate is going fast. SVT stands for "supra ventricular tachycardia", which is an abnormal fast heart rhythm, that can cause symptoms of palpitations, dizziness, shortness of breath, or chest pain. Sinus tachycardia is thus a fast heart beat in response to your bodies natural signals. See EP cardiologist for svt. ...Read more
What's the difference between catheter ablation and radiofrequency ablation for treating arrhythmias like svt?
General term: Catheter ablation is a general term referring to elimination of electrical conduction in very specific areas of the heart. Two primary technologies are used to perform catheter ablation. Radiofrequency energy is a rapidly alternating electrical current that generates heat at the point of catheter contact. Cryo ablation uses super cooled nitrogen to freeze at the point of of catheter contact. ...Read more
Can a doctor tell the difference between svt and sinus tachycardia on loop monitor? Heart rate gets up to 180bpm laying in bed
Yes: The way sinus tachycardia looks on an ECG printout or monitor looks much different than SVT and that's how we even distinguish between the two. Have you actually had a discussion with the ordering physician regarding your results or a discussion with a cardiologist so that your questions can be answered in a more comprehensive way? ...Read more
VT is very bad:
SVT can be dangerous, but usually not as dangerous as VT. PSVT just means that the patient has bouts ("paroxysms") of SVT.
Hope this helps! ...Read more
I have a-fib and svt. Are these one in the same or are they 2 different conditions? What is the difference in the two?
A fib: Atrial fibrillation is one type of supra-ventricular tachycardia. In atrial fibrillation the atria (top chamber) fires on its own and there is no coordination with the ventricle (the main pumping mechanism). Atrial fibrillation is usually associated with an "irregularly irregular rhythm". ...Read more
Very Different: SVT is often sudden, limited duration, and can cause a drop in blood pressure sufficient to make someone dizzy or even faint. SVT does not increase risk of stroke and doesn't require anticoagulation. Whereas a-fib can be asymptomatic and increases the risk of stroke. A-fib usually occurs in older patients and exertional shortness of breath is the usual symptom. Both require evaluation & treatment. ...Read more
Yes: Generally speaking, it should not be too difficult for your doctor to differentiate between the two on your EKG. ...Read more