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anyone help, heart problems VT now irregular?!

13 replies

lisad123isgoingcrazy · 30/10/2010 21:29

had dx of Ventricular tachicardi a few years back. Never caused too much trouble and its always been regular and cardio wasnt too worried. Over the last few months syntoms have got worse. Im dizzy after exserice, shoulder pain, and palpatations are more often and hitting while im exsercising too. I did go to GP and asked to rerefer to Cardio but my GP sucks and for reasons around funding he refused Hmm

Anyways been unwell with cough and other GP noted irregular rythems and told me to go back to normal GP again.

I had palpatations for an hour yesterday and a few pains so popped to A&E and they stuck me on monitors ect.
They said my heart rate is now irregular as well as quick and referred me urgently back to cardio team.

So what is the problem with irregular heartrates??
Im only 28, i dont drink coffee, dont smoke, dont drink anything other than tea or water. Im stressed but thats been going for months and tbh I think i manage ok.

TIA

OP posts:
CaptainSquidBones · 30/10/2010 21:45

Do you mean SVT not VT. VT is normally considered serious/ life-threatening arrhythmia. SVT is typically benign.

lisad123isgoingcrazy · 30/10/2010 21:51

nope just VT, consistant fast heart rate. well thats what they told me 3 years ago.

OP posts:
CaptainSquidBones · 30/10/2010 22:03

There is no just VT as people drop-down dead with VT.Constant fast heart rate is atrial tachycardia. Sorry to be pedantic but it really is an important distinction.

Regardless if you now have a truely fast irregular heart beat the most commone rhythm will be atrial fibrillation which will need further consideration. The options may be:

drugs to keep you if normal rhythm

possible shock therapy to 'cardiovert' ( not as awful as it sounds)

possible need to thin the blood with warfarin

But these are all only possiblities, need to confirm the rhythm first.

lisad123isgoingcrazy · 30/10/2010 22:13

sorry just looking at notes from last dicharge, she said its sinus tachycardia. Structurally normal heart echo, resting rate of 127 and Heart rate peak at exsercise test of 210 but not completed as machine broke. Hmm

She said its always essentially been sinus rhythm.

Had beata blockers and calcuim channel blockers but neither suited me.
Had the IV drugs (cant remember name) when resting rate went into faster rate of 220 ish which has only happened twice.

they said something about the small waves inbetween the large ones on ECG at A&E but didnt really understand it all.
TIA

OP posts:
CaptainSquidBones · 30/10/2010 22:28

Yes that sounds better.

If irregular you could be gettign sinus tachy with regular ectopics with or without pauses or atrial filbrillation.

Would ask GP what rhythm the new ECG shows.

If just sinus tachy again you may benefit from a low dose of beta-blocker.

Is your blood pressure normal and are you alcohol- and caffeine- and other recreational drug-free( sorry ) . I assume you have had your thyroid function checked.

lisad123isgoingcrazy · 30/10/2010 22:36

they have done all the normal blood test including thyroid tests, and yes im drug free :)
Belta blockers made me very sleepy and impossible to continue day to day life it was terrible :(
It wasnt my GP that did the ECG, it was local A&E. I guess they will repeat all normal tests again when i see the cardiologist but dont understand how it can go from regular to irregular.

They did discuss pace maker last time but said if i could live with the symtoms it wasnt causing damge and therefore no rush iyswim.

OP posts:
CaptainSquidBones · 31/10/2010 23:04

Depends many things that predispose to regular fast rhythms can also result in atrial fibrillation. It may be that you have developed ectopic beats making the underlying rhythm seem irregular.

Instead of the beta-blocker you may be put on calcium-antagonists for rate control or other anti-dysrhythmics - but really depends on the actual rhythm invovled.

giraffescantdookforapples · 01/11/2010 22:52

Your heart stuff (aside from my current chest infection stuff which is complicating things) sounds a fair bit like mine. Have you had any idea of why yours is so fast?

happygilmore · 02/11/2010 11:39

Have you had a 24 hour ECG?

Have you tried any other beta blockers? I had one that didn't suit, but on another now and it has really helped. You need to insist on a referral to a cardiologist - change GP or complain to your PCT if not.

How is your BP?

lisad123isgoingcrazy · 02/11/2010 13:30

when they took BP in hospital it was very high at 102/165 Confused
They have never been able to work out why the rate is so fast. Had last 24hour tape a few years back.
Awaiting for appointment atm.

OP posts:
happygilmore · 02/11/2010 15:32

Sounds like you need both 24hour BP and ECG, and you would prob benefit from a beta blocker and/or other anti-hypertensives. It took a while for them to sort my meds out, but now they have I feel a lot better. Hope you do too soon.

giraffescantdookforapples · 02/11/2010 16:01

I am having a 24 hour one on the 17th. My boss is not happy about this though.

happygilmore · 02/11/2010 16:03

Why not giraffes?

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