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Old 10-28-2009, 04:15 PM   #1
Rudey
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Default Tachycardia (PSVT). Anyone been treated for it?

Had an early morning visit to the ER this morning with what was diagnosed as Paroxysmal supraventricular tachycardia (PSVT). My heartrate was 205 and would not slow down. They ended up rapid injecting something called Adenosine. It basically stops your heart for 2-3 seconds then restarts. It's like hitting a reset button. My heartrate went from 205 down to 85 in the matter of a few seconds. They kept me for a few hours for observation then released me because my heartrate was normal and blood pressure excellent. I have to meet with a cardiologist and they are talking about doing an ablation where they go in through an artery and "zap" the affected area of your heart either with radio waves or freeze it. It removes the area of your heart that is causing this short circuit. I don't like the sound of this, but it appears to be a common, safe, and very effective treatment.

Anyone ever had PSVT and any kind of treatment for it? He also suggested some medications (beta blockers, etc) but they have lower effectiveness and you have to take them forever.

I'm home now, a little tired but feel pretty much normal.
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Old 10-28-2009, 04:23 PM   #2
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205! Wow!

Didn't know the human heart could beat higher than about 160 for any time at all.

That had to be scarey.

Edit:
Just read it could beat up to 400 times per minute with that condition. Would have never thought it possible....

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Old 10-28-2009, 04:24 PM   #3
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I would say its fairly common but I've only seen it a few times with patients. Alot of that depends on your age, health habits such as what you eat and your amount of exercise as well as family medical history. Its a well known condition that can be treated with medication sometimes but not always life long.

That adenosene gave you a pretty weird feeling I bet
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Old 10-28-2009, 04:24 PM   #4
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Scary stuff.

Hope everything works out Rudey.
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Old 10-28-2009, 04:27 PM   #5
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No worries man. It's odviously been explained to you very well and you listened very well. The ablation procedure is pretty common and very safe. I've not had it done, but I know people who have and they're all still walking around like normal.
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Old 10-28-2009, 04:29 PM   #6
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That adenosene gave you a pretty weird feeling I bet
You got that right! I don't want that feeling again!
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Old 10-28-2009, 04:30 PM   #7
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Ive never had it but Ive treated patients with it. Adenenosine is an amazing drug. As you said it actually STOPS your heart and restarts it. I wouldnt worry to much. We run across patients with it all the time that live with it just fine. Good luck on your recovery and I'm glad it all worked out.
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Old 10-28-2009, 05:14 PM   #8
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My youngest neice will be having this done in a few weeks.

Her mom is a RN and said that the precedure has a very high success ratio and is very safe...
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Old 10-28-2009, 05:22 PM   #9
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I told you to be careful tripling your Viagra dosage.....
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Old 10-28-2009, 05:24 PM   #10
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Tripling it had nothing to do with it!

Now that fourth one might have...
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Old 10-28-2009, 06:06 PM   #11
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I have a buddy who is a superb athlete that had that done and his is 110% good to go. It was absolutely necessary and so he gave the green light. I would find the best doc who has done this 1000 times and seriously consider this but he is doing fine.
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Old 10-28-2009, 06:18 PM   #12
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My daughter is having this procedure on Nov 17 th. Oh BTW her rate 277

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Old 10-29-2009, 08:56 AM   #13
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Quote:
Originally Posted by Rudey View Post
Had an early morning visit to the ER this morning with what was diagnosed as Paroxysmal supraventricular tachycardia (PSVT). My heartrate was 205 and would not slow down. They ended up rapid injecting something called Adenosine. It basically stops your heart for 2-3 seconds then restarts. It's like hitting a reset button. My heartrate went from 205 down to 85 in the matter of a few seconds. They kept me for a few hours for observation then released me because my heartrate was normal and blood pressure excellent. I have to meet with a cardiologist and they are talking about doing an ablation where they go in through an artery and "zap" the affected area of your heart either with radio waves or freeze it. It removes the area of your heart that is causing this short circuit. I don't like the sound of this, but it appears to be a common, safe, and very effective treatment.

Anyone ever had PSVT and any kind of treatment for it? He also suggested some medications (beta blockers, etc) but they have lower effectiveness and you have to take them forever.

I'm home now, a little tired but feel pretty much normal.
Rudey some good advice is that if this happens again Call EMS. Most if not all Advance Life Support units are capable of resolving PSVT. I say this because PSVT can progress very rapidly to V-Fibb which = DEAD. If you are driving yourself to the hospital and this occurs it would not be good. Good luck with your procedure and be sure to listen to your DR.
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Old 10-29-2009, 09:03 AM   #14
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freaky... glad you are ok... time to get this fixed before you see your heart turn into "the bag of worms"
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Old 10-29-2009, 09:30 AM   #15
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i have had a few "runs" of svt over the last 8-10 years, when it comes on i usually hold my breath and "bear down" and it will go away, this and the vagal massage on the carotid artery are first responder treatment for svt.
mine are caused by too much caffiene, along with stress. so watch your caffiene, tobacco intake, the stress well lemme know how you get rid of that !!!!
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Old 10-29-2009, 09:32 AM   #16
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Glad you are okay and it can be fixed. Do we need to have Uncle Buck move the bar downstairs?
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Old 10-29-2009, 09:53 AM   #17
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Quote:
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Rudey some good advice is that if this happens again Call EMS. Most if not all Advance Life Support units are capable of resolving PSVT. I say this because PSVT can progress very rapidly to V-Fibb which = DEAD. If you are driving yourself to the hospital and this occurs it would not be good. Good luck with your procedure and be sure to listen to your DR.
x2. Not only V-fib, but your heart beating that fast will not pump enough blood for very long. If you are driving you could pass out and have a wreck. That adenosine is not only weird for you, but also a little butt pucker factor for the medic/RN.
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Old 10-29-2009, 10:20 AM   #18
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I have a lot of buddies that are paramedics and they talk about Adenosine all the time. They say it is quite a thing to watch someone who has been givin the drug.
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Old 10-29-2009, 10:21 AM   #19
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I had this happen to me after taking a vitamin supplement that had raw adrenal gland in it. Not a good feeling. I did the vagal manuevers and it broke. Some people are symptomatic with this and some aren't. I've given adenosine a bunch of times and sure does look weird on the ekg when it hits the heart. Ablations are the norm, so no worries there. Good luck.
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Old 10-29-2009, 10:28 AM   #20
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Sounds scary, Rudey. Glad they got it stabilized.

Michael
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Old 10-29-2009, 10:40 AM   #21
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Glad they got ya fixed up.

I had a 80y/o lady that I gave adenosine to. She told everyone see seen that I must have jumped in her lap and beat the hell out of her, said it felt like a mule or a big ol paramedic kicked her in the chest.

No matter how much you tell a pt. what it is going to do and how it might make them feel they never understand till its over.

Jeff
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Old 10-29-2009, 10:51 AM   #22
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An employee of mine just had this procedure done on Tuesday in Ausin and went home the next day feeling great!!!
My wife is an advanced cardiac RN and advance cardiac coach level 5. She deals with this procedure all the time and says no worries.
Good luck..
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Old 10-29-2009, 10:55 AM   #23
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That Adenosine/Adenocard is some interesting stuff. I like watching peoples eyes when it hits!!
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Old 10-29-2009, 11:28 AM   #24
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dog-gone did you go to another Cowboy Cheerleading Camp before it started?

glad your ok.
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Old 10-29-2009, 12:21 PM   #25
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dog-gone did you go to another Cowboy Cheerleading Camp before it started?

glad your ok.
Rudey...glad your doing better. That sure sounded like a scary moment. I was thinking along the same lines as Billy or you changed to a new beer and your system couldn't adjust
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Old 10-21-2016, 08:29 AM   #26
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So after having 3 episodes of this this week and getting the Adenosine shot in the back of an ambulance Wed. morning, I get on to the all knowing TBH and find this thread.

That Adenosine is some good stuff. Kind of weird to watch your own heart rate flat line. But, it was like an elephant was lifted off my chest when it kicked in.

They have me on a "calcium channel blocker" now that "relaxes the heart muscles" and I don't care for it. Feel really lethargic the last couple of days.

I'll be looking into the ablation when I see my heart doc next week. Anyone else had this procedure done?
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Old 10-21-2016, 08:39 AM   #27
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I was pushing 200 when I called the VA advice line on what to do.

They told me, I kid you not, "start driving toward the hospital and if you feel like you're going to pass out, pull over and call 911". The VA hospital is over an hour away... Ended up just calling the ambulance, they gave me some shot that made me feel like I was dying for about 20 seconds. A few minutes later, I was back down to 52 bpm. Discharged with no follow up scheduled. Gotta love government run health care!
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Old 10-21-2016, 09:20 AM   #28
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I was having afib problems 2 years ago. I would go to emergency room, they would slow my heart down, put me on medicine to control it, and a week later I would be back at emergency room. After 3 episodes of this, my doctor did heart ablation. 2 years later no problems.
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Old 10-21-2016, 10:07 AM   #29
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My mom has a fib. she has had 2 ablations so far with zero issues. The ablations help for a while, but the afib usually comes back. I don't know if they have tried the Adenosine, but I do know she has had to go in and have them shock her about once a year for the past several years to get it to stop. usually right around christmas.

hopefully if they do the ablation, it takes care of the problem!

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Old 10-21-2016, 10:20 AM   #30
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Sounds scary. I've had my heart rate up into the 190s for a sustained period of time when I used to race bicycles (could sustain it for about 45 minutes.) You don't "feel" it in your chest at times like that. However, once during a training ride, my heart rate jumped from 100 to 135 for no reason and stayed there for 15 seconds. I tell you what, that was the strangest darn feeling ever. I could feel it. Long story short, ended up going to a cardio and had a very healthy heart other than it being slightly enlarged... which didn't explain the Tach event.

If I had a good cardiologist, I'd listen to them.
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Old 10-21-2016, 10:34 AM   #31
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I had an ablation done for abnormal rhythm. Wasn't that big of a deal. I did bleed a lot from the femoral incision, but that was 3 years ago and it hasn't returned YET... Went in that day, they shaved me up real nice rolled me into a big room with a lot of TV screens and people, Put me under and I spent the night in the hospital. Lots of poking and blood checking that night, but went home next morning. Good Luck
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Old 10-21-2016, 11:07 AM   #32
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I had a heart ablation last year for A-Fib. That was the best sleep I have had in a long time. The worst part for me was when they stood me up I started bleeding from my groin where they inserted the catheter. They quickly laid me down in the bed and started applying pressure to my groin. That part hurt but everything else was cake! I layed around all weekend and was back at work on Monday and I had the procedure the Friday before. I have not had anymore A-Fib since. Good luck to you!
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Old 10-21-2016, 11:11 AM   #33
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I had SVT when I was a kid.. Had surgery when I was 13 now I'm good to go! PM me if you have any questions.. I got put in the hospital one time with it because it kicked me into A-Fib, but its really an easy surgery if its the same deal I had.
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Old 10-21-2016, 02:04 PM   #34
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Thanks for all the info. These experiences match what I've read, that an albation is not that big a deal.

I'll see what my heart doc says Tuesday.
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Old 10-21-2016, 02:08 PM   #35
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Darn, Devin. Hope you get it under control.
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Old 10-21-2016, 05:56 PM   #36
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I was born with my heart racing they immediately took me to another hospital and I was diagnosed with Wolfe Parkinson's white syndrome and svt. I had the catheter ablation first day of school my 8th grade year. Would have two or three episodes a year of heart rate above 250, they said some things to do if it happens is hild your breath under ice cold water or jump in pool the shock may "reset" your heart rate and even sometime just holding your breath can do it


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Old 10-21-2016, 06:11 PM   #37
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A close friend had this issue for a while. I dont know if he knew about this surgery, he never mentioned it. It took a while.for it to happen when he was actually at the dr, but when it did the dr told him if it went any faster or longer.he would probably have a heart attack and die. He told the dr it had definitely gone faster in the past. He was 30yrs old when his mom found him laying on his back in bed, fully clothed. Apparently he was getting ready for work and it happened so he layed down to get it to stop.

My younger brother worked with his dad at the time. When his dad answered the phone and was told the news he fell.to the floor, balled up and wailed uncontrollably. The thought still tears me up.

30yrs old!

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Old 10-21-2016, 07:00 PM   #38
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My oldest son had an ablation procedure at Texas Children's when he was 10 due to a form of this tachycardia. He's 18 and has had no repeat symptoms. I'm sure you're worried about it no doubt. But man when it's your youngun' u remember what those knees are for real quick like.


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Old 10-22-2016, 01:14 PM   #39
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Treated many an SVT patient in the field, both with Adenosine and Cardioversion. Guess you've gotten your answer as far as the ablation goes. FWIW if it happens again before you get into the doctor I've seen a couple, mostly children thought, convert themselves by throwing up. There's lots of vagal stimulus tricks they try but nothing ever worked as good as an old up chuck.
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Old 10-23-2016, 05:00 AM   #40
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Get an ablation before adenosine doesnt work and they want to cardiovert you emergently
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Old 10-23-2016, 05:57 AM   #41
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My Dad had the ablation recently for A-fib. His heart rate was over 200. He felt better soon as the ablation was completed - said the whole procedure was a breeze.

As to the calcium channel blockers... I don't like them. I was glad when my Rx was complete due to the physical side effects. Anyone who's taken them knows my drift.
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Old 10-24-2016, 10:36 AM   #42
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Glad to see that Devin still tries to copy everything I do.
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