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Heart dancing all over the place (Read 5719 times)
baily
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Heart dancing all over the place
Nov 27th, 2011, 10:02am
 
Hi here hope someone on here has some idea's and please excuse any spelling mistakes before i even start..
Been awful since september when out of the blue my heart started dancing all over the place..it miss's beats add's them..race's and goes slow..you name it does it and all the time..there is never a minute in the day that goes passed it's not up to something!!I was rushed into a/e with chest pains and breath lessness..ecg showed some of these beats..I had bloods and an echo and x-ray..heart ok sent home with a 24hr holter monitor on and then waited for follow on check up. But 10 days later rushed back in..with severe chest pain passing out and very slow heart rate..two weeks of test and treatment for chronic inflamed linning of the ribs and scans..sent home again with holter on 72hrs..i am on beta blockers but the skipping heart rate is getting worse..i've had three attacks of svt lasting over two hours and short runs of 10mins or so,,rate will drop to 43 beats a minute and bp will go as low as 52/43 but hovers around 85/48..i get so cold and tired all the time. I'm waiting to see my doctor at local hospital but do some times wonder if i should be knocking at my gp's door more often. I do not suffer from panic attacks or stress..and try to stay very laid back about this but it is getting me down as my life is on hold and it's as much as i can do to get up in the morning...sorry its so long
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RLR
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Re: Heart dancing all over the place
Reply #1 - Nov 29th, 2011, 5:03pm
 
Okay, welcome to the forum and I've read your posting and concerns.

It sounds as though you were treated at some point for Costochondritis, which is an inflammation of the cartilage which joins together the rib structure. The benign palpitations are likely becoming a greater issue to you because of the particular significance you have placed upon them, as well as your perceptions of what the events actually constitute. The sort of apprehension and generalized fearfulness which the events produce can generate certain physiological responses that can sustain and even increase their presence and/or intensity.

When you experience runs of paroxysmal atrial tachycardia, also known as SVT or supraventricular tachycardia, what is the extent of your heart rate at that point? No mention is made. The decrease in heart rate and pressure is mostly due to a normal parasympathetic nervous response and does not necessarily indicate pathology unless associated with other symptoms and clinical signs. By example, if you are experiencing thyroid problems, both heart rate and blood pressure can be affected significantly and other changes to body weight, either increase or decrease, over time are common as well. The presence of costochondritis is also common among patients with thyroid or other autoimmune problems.

Unless testing has already been performed, I'd simply suggest that a thyroid profile be among the tests you are undergoing to determine whether an underlying cause is responsible for the variability in heart rate and blood pressure as described.

You'll be fine. Simply work with your primary care physician or specialist to rule out any organic cause for the events. If none is found, then functional causes may be considered.

Best regards,

Rutheford Rane, MD (ret.)
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baily
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Re: Heart dancing all over the place
Reply #2 - Nov 30th, 2011, 10:06am
 
Hi thanks very much for your reply.
My svt's will run from 180 to 220 at there highest and can stay high for several hours. The last time i had an attack for this long we did call out for an ambulance. My doctor also came out. After treatment with oxygen asprin and gnt spray. And time, it started to lower and happily I was able to stay home. It was in the upper 90's when they left and took 2 hours to drop to the 60's. Later that night I was woken up with it running at 150 it again stayed like it for a couple of hours. But i refused to call out the doctor again, I really don't want to spend any time back in a/e. But that's not saying I wont call for advise if I fell we need it.
I also have short burst svt's of up to 5 minutes these also reach the 200 mark. All these have been recorded on the holter tests'
I had Tietze syndrome while in hospical. Which did start to settle but had a flare up after a recent heavy cold. This was in my rib cage front and back also down my left arm shoulder and neck.
I have been fairly well reassured my heart is ok and its an electrical problem but i may need surgery for it and even a pace maker..i was put on beta blockers and they did seem to help but in the last few weeks it has got worse to the extent i have more palpations now than ever...my gp wont raise the beta blocker till i see the hospital because of the bradycarida and low blood pressure...i do just wonder sometimes when it is going crazy and i'm in pain dizzy and breathless should i be seeking help..i hate wasting the ambulance's and doctors time...so i tend just to get on with it...i was warned that the svt's could turn into atrial fibrillation but unlikely as i'm on beta blockers...and the low blood pressure and heart rate make me so tired and cold .sorry this is so long
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Re: Heart dancing all over the place
Reply #3 - Dec 8th, 2011, 7:42pm
 
The "electrical problem" is a re-entrant node and is a common feature as the underlying cause for the PSVT. The light-headedness and pain are also common features as well.

Do not let the palpitation events frighten you. They are incidental to the PSVT and do not constitute a sign of worsening conditions. Work closely with your physician to determine the most effective course of treatment and resolution to the PSVT and proceed when you feel comfortable in doing so.

You'll be fine. Your heart is indeed okay and you simply need to relax and take the approach to treatment in a carefully planned manner with your healthcare professionals.

Best regards,

Rutheford Rane, MD (ret.)
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Best Regards and Good Health
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