SVTs and what to do about them

[@lepaplava]

I have been dealing with SVT for the past 40 years, and I have seen at least four cardiologists during that time. Dr. Gupta‘s video has given me the best explanation and understanding of SVT that I never received from any cardiologist I ever saw. Thank you, Dr. Gupta!

[@elliottfireice4394]

I have you had an ablation before? I had SVT the other day and my heart rate was 260 BPM. Very upsetting

[@BetterIntegra]

A little trick I learned for getting out of svt. First thing to do is stand up, then take a few breaths and try and feel calm, then take a moderately deep breath, not to big, don't try and force it. As you take that breath, again not to big but not a shallow breath, just a good one, as you inhale lean forward and put a hand or both on your knees, try and keep your head up like you are bowing. Hold that breath and focus on a slower heart rate. It should return to normal. If it doesn't, don't keep trying. Stand back up slowly, take a few normal breaths, relax, and try it again. It works for me every time.

[@ivandsouza504]

Thanks for the tip.

[@polyxeniconstantinou8322]

Thank you so much!!

[@BetterIntegra]

@@polyxeniconstantinou8322 You are very welcome. And as an update I haven't had any bad runaway episodes since I stopped eating so much ramen noodles and sodium in general. Since salt makes water more conductive it allows the electrical signal to prefer the alternate path around the AV node more frequently.

[@kokokwikwak1586]

That figures I ate a lot of ramen and stomach is bloated my heart rate goes so fast

[@tennaj1367]

​@@kokokwikwak1586yeah ramen noodles has model sodium glutamate / MSG in the seasoning which has been found to cause a lot of high heart rate / Rhythm issues at times.. I remember eating a bag of chips and then at night my heart was racing and going pitter patter and I didn't know what was going on and then I looked at the ingredient list the next day and saw that it had MSG and knew immediately that was an issue. Because I've always avoided foods with MSG in it and somehow I didn't read that bag of chips and all of a sudden my heart started to act differently.

[@johngomillion4872]

Thank you, very comforting. I just had cardiac ablation after having an SVT that was 24/7 for over 2 months. I feel better than before I had the SVT.

[@eliotemme]

Thanks! This video is very informative. My daughter has been having daily SVTs for a few months, though she only gets "stuck" in SVT every few weeks. She takes a daily beta blocker, which helps keep the longer episodes mostly at bay, and she can take extra to try to convert at home. She had 2 EPs in her heart for over 4 hours in the cath lab and they cryo'd 2 spots in January, but the ablation apparently didn't take. We knew her case would be a challenge because her SVT is a wide complex tachycardia. Initially they thought it was VT, but they now feel they've ruled that out. They now think it's atypical AVNRT with aberrancy. At least she converts with adenosine! To anyone afraid of adenosine or ablations: Don't be! Give it a try. She said the worst part about the adenosine is the needle stick for the IV and the worst part about ablation is lying flat afterwords. Everything else is totally fine. 😊 kzbin.info/www/bejne/gquZpoOco8mMaLc

[@neilfletcher380]

Thank you for sharing. Your advice is much appreciated. I have SVT's an incorporate some of the techniques you have suggested in this video. During those uncomfortable times the best technique I have found to put an end to an episode is to lay in bed and have my feet elevated above my heart. The transition from standing to being flat shocks the heart back into a more regular tempo. It doesn't always work but it can. Thanks again.

[@frase1234]

Likewise... lay down flat - hold breath - then put feet up (a wall is handy) - works a treat

[@aishawilliams5933]

thank you

[@Fsn9HD]

Feets elevated, some minuts of relaxation and deep breathing. Works perfectly!

[@stephendavies9782]

Dear Dr Gupta, your series of videos are truly amazing and I cannot put into words just how helpful they are to me. You are a true star, thank you very much.

[@louiseprice7755]

I've had SVT for 32 years, fairly well controlled with meds as in when it happens my heart rate doesn't really go above 120. I was 17 when it started, now 49 next week and during that time I've had 3 kids. They kept me on my meds throughout pregnancy and all three were healthy ❤

[@controlyourtemperjeez8220]

At 17 what caused you to have SVT? mine started at age of 32

[@louiseprice7755]

@@controlyourtemperjeez8220 For me unfortunately it' is genetic, there are 6 other members of my family with arrhythmia, all different ages. Sadly my 18 year old son had his first episode of SVT recently

[@pritampranabsinghrathore9596]

What meds are you on?

[@louiseprice7755]

@@pritampranabsinghrathore9596 I'm on 80mg Sotalol 3 times a day

[@pritampranabsinghrathore9596]

@@louiseprice7755 does it have side effects?

[@Antihippie24]

I have SVT, had EP study done that was unsuccessful this August, on betas now, your video has calmed down about them and I'm back to work now, I didn't know what this was at first and I was afraid. Thank you, now I know what it is I'm not as afraid now.

[@lovefoodisgood]

Had an SVT most of my adult life. It’s been a huge cause of stress and as I’m getting older I’ve decided to have an ablation (coincidentally I now live near York) this video was a very reassuring message so thank you

[@Antihippie24]

Jason Hartley I had it done, helped alot

[@Satellitegravity]

Antihippie24 Were you able to cure it?

[@alexanderthegreat3]

Is it painful and does it take long

[@mitsos1397]

@@alexanderthegreat3 ellhnas?

[@alexanderthegreat3]

@@mitsos1397 nai

[@tracey1782]

Amazing, amazing information Dr. Gupta! You are a very talented and a truly gifted man!

[@laral8668]

Thank you Dr for this nice video , I have been diagnosed with SVT last night , I had few bad episodes of SVT and are really interfering with my day to day routine . I feel bit better now that I understand and know more about. Thank you

[@ericshrive7506]

Hadn't seen this before. Good explanation Sir. I had PSVT as a youth, very sporadically. Later, in late 40's, began to have very frequent episodes and eventually medically evacuated from the Falklands due to a prolonged attack. I had an aberrent-pathway ablation way back in 1997 and no issues since. Just to reassure others. It's now 2021, so no doubt the procedure has been finessed somewhat since '97. Thanks again Sir. Hats off.

[@teelee4775]

@G G how do you know you have a episode? My heart rate was at 184 and didn't notice at all I checked my oximeter to check my oxygen level and saw my pulse was at 184 but went back to 70 shortly after

[@ericshrive7506]

@@teelee4775 From memory, every time I suffered a bout of SVT the start and the end were clearly felt, so I was aware something unusual was happening. The start would be a fluttering feeling in my chest with a throat sensation like I was trying to swallow something. The end would start with a pressured feeling in my throat followed by the end of the racing heartbeat accompanied by a single significant ectopic 'thump' in the chest, then the heartbeat would instantly revert to normal. As you can see, I was never unaware it was happening due to these sensations.

[@teelee4775]

@@ericshrive7506 oh ok do you think it could have went away without a procedure

[@ericshrive7506]

@@teelee4775 We are all different, so maybe the way your body reacts is not the same as mine did. Because your rapid pulse had no 'signals' for start and ending does not invalidate your experience. With your quoted rapid heartbeat, it certainly seems that it was within the realm of SVT. I would entreat you to see a heart doctor to determine your risk, if any. Hope this helps.

[@clarenceboddicker2617]

Thanks Doc! I didn't realize this was a relatively common thing. Very informative and went miles to assuage my fears about suddenly dropping dead if it happens again. The methods to disarm it during the attack was especially helpful. 🙏👍

[@Pete7.5R]

I have recently been diagnosed with SVT after having a 48hr monitor fitted. They seem to be brought on by exertion, particularly activities involving bending down, and I was able to bring on a relatively mild attack during the 48 hr monitor. I am usually very active, and these attacks over the past six months have been having a significant impact on my life. I am currently waiting to see a cardiologist to discuss treatment options.Thank you for giving your time and effort to post these videos which have been really informative and reassuring - I have now subscribed and will look out for further posts on SVT

[@emilioramos8282]

I just had an episode 5 days ago, I’m 27 years old. I was given adenosine 4 times, my heart rate was 197 and they couldn’t break the svt my last one was a year ago and I have been dealing with this for four years, it was hard to diagnose, it’s rough for me to deal with so thank you for posting this video

[@LJ-gt7vi]

I’m so sorry! It’s such a terrible condition! What brought it down? And how are you doing now? I’ve been reading about magnesium supplementation, it’s seems promising.

[@hildastrangwayes9162]

Try magnesium with potassium

[@noramartin96]

I was having them frequently and blue lighted off to A&E where I was given injections of Adenozine After a lot of consideration I decided against an ablation. At the time of these attacks I was going through a long period of emotional distress and possibly that may have triggered them. Now I have found that my 'emergency treatment' of crunching ice or ice lollies halts them. I dread the thought of getting further SVT's and I just hope in the event of another attack the ice will continue to bring my heart back under control. As all the other followers will recognise SVT's are very frightening and often have the symptoms of a heart attack. Radiating chest pain that travels down arms and into the face combined with weakness and feeling you are going to collapse. If the methods suggested by Dr Gupta don't work then do ensure you get to A&E and consult a cardiologist.

[@chowchowtales]

Excellent explanation and suggestions. Thank you so much.

[@winnie2222]

I made a video about living with svt. Watching this video spiked anxiety lol ... Svt sucks. Dr. Sanjay thank you! You are a beautiful soul.

[@asmjad4806]

thanks doctor ,.. i have never seen such good lecture from a doctor... u solved my problem by this video. .. hats off ...

[@YorkCardiology]

thank you!!!

[@dineshpuliyulla4516]

York Cardiology Hi Dr. Sanjay. All of your videos are very informative. can you please make a video on diastolic disfunction and natural way to cure or stop the progression. Thank u Dr.

[@patrickhandlovsky7665]

Have had svt's now about 5 years - initially they were brought on by exercise and when I was drumming intensely - now they trigger more easily and episodes can last hours - did not have success with beta blockers and after my third Covid shot I also developed pvc's - so it's a party in my heart - saw an electrophysiologist back in the summer and he recommended an ablation - still contemplating this but with the almost daily frequency of my svt's and pvc's now I think I am going to do it - with as active as I am, when you get an episode it's not fun and drastically effects you life style as well - thank you for all the information you provide:)

[@CarrieByTheBeach]

Hi Dr. Gupta! You are so wonderful and have such a tender and loving demeanor! I’ve had 2 ablations, one in 1999 and one in 2011. I still have SVT’s and had one today. My HR went from 81 bpm to 186 in one second. I became dizzy and felt faint. I got to a chair and coughed hard. That usually stabilizes it but it lasted for a good 4 minutes or so. I have been on Rhythmol 225mg twice daily for about 20 years as well as Metoprolol 25 mg one at night. I weaned off Metoprolol slowly with my doctors okay. Last night I took the last one and this happened today. I went and took one as well as a .5 mg Xanax. My HR returned to normal a few minutes later. I’ve been dealing with this for 32 years now. Have you ever seen a patient have a third ablation? I really don’t want to do that again, but my medications make me dizzy, lightheaded and tired with weight gain. Is there anything you could suggest? Thank you soooooo much for your time ❤️

[@motorshaala]

Are you ok now?

[@KonTikiBea]

Thank you for making this video, just had my first STV and really thankful for the information. :)

[@sukisamra9295]

I had an episode couple of weeks ago. My heart rate was at 240. This was very scary and this came on very suddenly and was taken to hospital. Thank you Dr Gupta I've found this video very helpful.

[@tanyawieczorek6603]

Omg how are you now.

[@JoseDiaz-yf1cd]

Same mine went to 247

[@poohbear2441]

Mine was 220:/ It was scary cause i feel like recent episode heartbeat felt faster. Previously when I had it it felt more like 200. This video makes me feel better about it. I hate it when it last longer than 30mins. My last one lasted almost 2 hours! I put my head up and poked my neck like how video showed and it was I think perfect pressure cause it stopped. I normally get it when I have lack of sleep, physically and mentally stressed.

[@ColdVsIce]

@@poohbear2441how often do you guys have SVT episodes

[@sooperdan]

This was the best video describing what SVT is and can be done for it, I was diagnosed with svt just last year while I do believe I’ve had it for a very long time, I literally just went to the local ER this morning because I was stuck in svt, adenosine was given again and worked great again just like the last 2 times this has happened, I’ve been on metropital since last November, not sure if it has helped much, we are going to start on a new medication while I wait to see the ablation doctor, it is a little unnerving thinking I will probably have a procedure done on my heart at only 49, it kinda stinks while I’ve tried to be good in my lifetime, no drinking, smoking or drugs, I do have a question for you doctor, is the hereditary at all, just wondering if my son has to worry about it…

[@cantorbarbarahaimowitz6678]

I had a AVNRT slow pathway ablation less than 2 weeks ago. So glad that I had it done. These SVTs would show up at the most surprising moments and broke through my betablockers. I was afraid, but don't be. All worked out great in the end.

[@sonjanoone4109]

What were yours like?

[@Dee-cb3rh]

I am so glad I watched this video. Thank you so much

[@YorkCardiology]

thanks

[@tweetterbug]

Such a fantastic video. Thank you. I had an ablation in 2009 and yes it did change my life for sure. I would also recommend this procedure for those who are experiencing SVT's.

[@YorkCardiology]

+Deborah Soulier thanks deborah!!

[@happydays1336]

I had an ablation last spring for SVTs. My heart rate was 187 bmp and I was given adenosine in an i.v. which rapidly brought my heart rate back to normal. The ablation, for me, was almost painless to recover from--just a little bit of pain from the tiny groin incisions. I felt so much better afterwards. I didn't realize how poorly I was feeling until after the ablation. I wouldn't be scared to have it done again. I'd rather have an ablation than a root canal!

[@Somanyissues93]

Barbara Lyman I’ve had 2 root canals and they weren’t bad at all. So an ablation must be a walk in the park lol 😂 I’m terrified to get mine done

[@erick7brian]

@@Somanyissues93 did u end up.getting it done?

[@glenndalejewelyuchung9635]

THANK YOU, DOC FOR THIS VERY INFORMATIVE VIDEO ABOUT SVT

[@shreebell7554]

Hello Dr. The information you provide is just wonderful!

[@BP26P]

Now in the hospital for a SVT. 200+ bpm. 2 doses of adenosine brought it down. Seems to have been triggered by drinking a cold glass of water. Scary experience, but your video calms me down. Thank you so much for your work.

[@Jaime0110]

How are you?

[@BP26P]

@@Jaime0110 Now on a beta blocker. No SVTs since.

[@muhammadanwar7217]

Thanks doctor by these kind of lectures you are helping the people’s a lot

[@suzannekanter4148]

Thank you for your very clear explanations. I was diagnosed with SVT after my HR went upto 190 and I needed adenosine to bring it down. I'm on metoprolol which keeps it under control however my heart is constantly in sinus tachycardia which is exhausting. I'm on waiting list for an ablation

[@jakewelsh1002]

I was diagnosed with SVT last night. My heart rate was at 198bpm when I went to the ER. They reset my heartbeat with IV adenosine

[@netty062]

Read my most recent comment, it would not hurt to try a supplement first

[@Akira282]

yeah, same here. Just had this happen to me. Adenosine, what a drug lol

[@hildastrangwayes9162]

Try to take magnesium

[@garyclark9807]

They tried adenosine IV on me. It didn’t work. Now I take 200mg adenosine by pill, coreig and some med that starts with a C. 30mg 3 times a day.

[@kayally]

Hi, did your svt happen a few times? Do you know what triggered it? Thanks

[@bon06jovibarker44]

Thank you, great informative video. My SVT seems to be getting more frequent so I’m going back to my GP who diagnosed it.

[@ajmandalia63]

So refreshing to have it explained clearly; thank you.

[@jasonbourne2996]

Thank you so much! I've just got released from the E.R from having my first SVT attack just hours before I came across your video.. The EMT said my HR was at about 230 and I arrived at the hospital at a HR 211. Well they got my HR down after asministering 2 kind os medicine as the first wasnt working. Then they administered another type and that didnt seem to have an effect. In the meanwhile trying to find a vein it finally went down to 77 after 45 min later. So after being discharged and leaving the hospital I did kind of worry about having another episode. the experience was a bit traumatic after leaving since I have never really had any medical issues. but it's been on my mind that I am going to have one in any moment. That's when I cam across this video and it you gave me so much comfort and relief. I learned so much it really helped. Now I know what to expect when I see a cardiologist tomorrow . Finally a good night sleep. Thank you again for making this video.

[@ladyliss4961]

Agreed

[@Hannah-pn2gs]

It is very scary when having those. I had SRV a month ago and would not stop for almost hour. I had to get a EMT in the end.

[@mitsos1397]

How are u today?have u had any other episodes?

[@bluet6898]

Thanks again for these informative, helpful videos- have svt for over 31 years - have managed them, been on beta blockers for 17 years, get maybe 2 bad episodes @ month 200 beats, have been told about ablation, considering it.

[@cantorbarbarahaimowitz6678]

Do it. I suffered through them for over 10 years, with multiple ER visits. Two a month is a LOT.

[@HustleNGrow331]

@@cantorbarbarahaimowitz6678 but this dr was saying in another video that he wouldnt recommand ablation for afib but somehow is a cure fot svt ? Is it because its 2 different things ?

[@cherylcooper6148]

I’ve been having episodes of palpitations and tachycardia for the past 3-4 years, required adenosine in January 2018 to reverse it and was diagnosed from ECG with SVT. I work for NHS and occupational health were informed and asked to assess my ability to continue my work which involves driving. I was informed that as I have symptoms when SVT occurs that I cannot drive! DVLA guidelines are online and very clear, so if you have SVT with symptoms be prepared to surrender your driving license until you have been fixed - 4 weeks after meds commenced and working, 2 days after successful ablation! I see cardiologist in 2 weeks and will be requesting ablation as I need to drive and don’t want meds for life (and side effects thereof)

[@kneedeacon2309]

Cheryl Cooper z

[@Antihippie24]

thanks i wrote you sir on facebook about this and didnt know you made this. you are awesome! just diagnosed with atrial tachycardia

[@suzannewhitesullivan3119]

I first realised I had SVT when I was 7 yrs old. They lasted 2hrs and I had them weekly. Nothing but waiting would make them go away. They often started with me having hiccoughs. I occasionally went to hospital for "an injection" which sorted it out immediately. After my pregnancy at age 27, the episodes started to become less frequent. Now, aged 76, I rarely have them, or rather, I have some very short ones, e.g. 4 or 5 seconds. Though I now have AFib and plenty of PVCs and other similar "jumps" as I call them! I take sotalol, 40mg twice a day but don't feel sure they make any positive difference. Basically I have a healthy heart and had said no to an ablation and pacemaker.

[@davidconstant4716]

Hey Suzanne I'm on sotalol now.. How long you been taking them? And what mg? "your story is kind of similar to mine Hope your well. Be nice to hear from you. Many thanks David

[@suzannewhitesullivan3119]

@@davidconstant4716 Hi David, I've been on 40mg sotalol, twice a day, for about three years. It does not have a huge effect on my AF or SVT but trying double the dose a year or so ago, made me very "dopey" in the daytime, so went back to 40 x 2. Take care, Suzanne

[@davidconstant4716]

@@suzannewhitesullivan3119 take care Suzanne and stay in touch.

[@rachelwelsby5581]

Hi how are your symptoms now? I'm struggling with mine.

[@suzannewhitesullivan3119]

@@rachelwelsby5581 I'm just the same. I have some bad nights with lots if irregular beats. About 3 times a year they scare me and I get a panic attack. But now I've learnt to accept they are not life threatening , so I cope better. I'm still on 40mg sotalol morning and evening.

[@yowthubert1731]

Fantastic video and explanation. Sanjay I am in my early 30s, I am considering the ablation, I had SVTs since I was a kid but it was never an issue, it only lasted 30 sec to 1 min, now they are longer, recently I had a scary SVT in the airplane that lasted 4 hours, I was exhausted prior to the SVT and nervous during. Longest SVT I have ever experienced. Now my SVTs can only be terminated with 6 mg of Adenosine. The aftermath is terrible, even when my heart rate is normal, I get very tired and ridiculously short of breath for several weeks, low effort tolerance, physical and also mental fatigue, it's at it's worst when stressed and after a meal, sometimes there are no symptoms i feel ok till it comes back. Could it be Afib ? Or since I am a very nervous person, could it be anxiety ? I am confused! Thank you.

[@rebeccazegstroo6786]

Very clear explanation. Thank you.

[@stevegodsey2020]

Thanks for this information. The MULLER MANEUVER, which is trying to INHALE rather than PUSH against a blocked airway (the Valsalva maneuver), works far better for me. Over 40 years and many SVT episodes, I used to always try the Valsalva maneuver and it often didn't work - I had to go to the ER several times and get Adenosine. But several years ago I discovered the Muller maneuver and it works every time (sometimes I have to do it more than once). It's a weird feeling to lower your intrathoracic pressure, but it's worth the discomfort. Hope this helps someone!

[@feliciaparten4009]

Thank you so much for this very informative video.

[@vaskai1333]

i just had this happen to me 2 days ago. im still at the hospital but getting better. i was able to convert by myself suddenly by sitting up. it happened right before they were going to reset my heart

[@teelee4775]

So it got better from position change and reset?

[@maychaves8008]

Dr Sanjay thank you. I have a question, an answer with rationale is appreciated. A strong ventricular stimulus is potentially dangerous when it lands on the 1) U wave 2) P wave 3) T wave 4) QRS complex

[@carolbenson6524]

Great video...just found it. Good explanations of what I have. I'm on meds and also do the breathing exercises and see my cardiologist. Its all very annoying and worrisome so now I'm just trying to get as much information as possible. Thank you.

[@k.b.9716]

This Doc's good info. became valuable part of the answers to my prayer. I tried all kinds of ways to manage my parasympathetic tones for years. Thanks!

[@deurcasolon2422]

Excellent, detailed information. Thank you! You covered all the bases.

[@jeannepeters8836]

Before my SVT diagnosis, when I felt a sudden heart rate increase (146 to 184), I would take a magnesium pill, drink extra water or drink 1/2 cup pedialyte (electrolyte solution for babies). Rehydrating helped. My new cardiologist ordered the 14-day Zio patch for me to wear. It tracked many episodes of very rapid heart rate. This little monitor confirmed a supraventricular tachycardia diagnosis. Now, I have to see whether meds will help. It's scary. I thought I was going to have a sudden cardiac death.

[@The_lunar_legend]

How are you doing now? I'm getting a monitor in a couple weeks for suspected SVT.. it's terrifying and I'm trying to educate myself as much as possible

[@jeannepeters8836]

@@The_lunar_legend Hello...I'm totally stable... not taking meds. Eating smaller meals has reduced the SVT episodes (big meals with full stomach was irritating my vagus nerve, which caused rapid heart rate). I'm not worried like before. The Zio patch is a great device. It tracked rapid heart rate pattern after my meals. Who knew? 😎

[@The_lunar_legend]

@@jeannepeters8836 I'm glad you're doing well! Was it ever something that drastically impacted your life or your health? I've heard that its not life threatening, but im in need of all the reassurance I can get

[@jeannepeters8836]

@@The_lunar_legend The first occurrence of SVT for me lasted 4.5 hours, with heart rate of 148 to 150, in Feb. 2021. I tried taking electrolytes, deep breathing, water to hydrate meditation, hummed relaxing tones. to no avail. So scared, I thought my heart would just stop. So, I drove to the VA hospital ER at 2 am. They would not let me be seen because I had my dog Bella with me. I sat in my car (28°F) for 2 hours in the ER parking lot. It finally dropped to 106, so drove home. I had many other episodes... suddenly my heart rate jumped to 150, 160,, when I was in bed... no activity. Next, I paid $500 at Walk-In Labs for all my blood tests and found a cardiologist. He was not helpful. Did not listen, wrote in his summary notes that he thought it was "anxiety." I quickly found another cardiologist, who really knew his diagnostics. He ordered echocardiogram. EKG, and Zio 14-day monitor patch. Got a solid diagnosis of SVT, triggered when I ate regular to heavy sized meals. So, it was necessary for me to eat smaller meals. Soon after this I had a barium swallow to check for any gastrointestinal issues. On the drive home, my stomach was over full with thick barium. My heart rate shot up to 178 to 182. I kept my pulse-oximeter on, my finger, drove slowly in the right lane (in case I started to pass out), but got home in 20 minutes. I tried the ice pack on the back of my neck, like before, it did not calm my vagus nerve. Then, I got a big soup pot... filled it with ice cubes and water... plunged my whole face in the cold water 2 times for 30 seconds, (learned this technique on Google search about vagus nerve). Two minutes later, my heart rate dropped from 180 to 96, and gradually back in the 70's. Very scary.... but since then, I never overload my stomach and I have not been troubled. My heart rate will jump to 108-110, but drops back down in 5 minutes. I am not scared anymore. I don't need meds and my cardiologist will recheck me every 6 months to a year with EKG and another Echocardiogram in 2 years. MY TIPS: 1. Get a pulse-oximeter from Target- $29. Put it on your finger to check your heart rate and percent oxygen, during the day, especially if it goes up. 2. Next time you have an SVT episode... try ice pack on back of neck, move under chin, and sides of neck. 3. Make a paper record of each occurrence with heart rate, duration, activity so you have it at your doctor appt. 4. Don't worry...SVT is rarely life threatening. You are doing things correctly. You may need meds... the doctor will figure it out. If SVT happens really often, interfering with life, then an ablation can be done to zap the problem tissue in the electrical system of the heart. All the best... let me know how things go. Jeanne in Colorado

[@The_lunar_legend]

@@jeannepeters8836 thank you so much for this. My episodes were sudden, and I haven't been able to find any reasoning behind why it's happening for me specifically. But I've got an appointment coming up for an echo, and im getting set up with a monitor to give me a definitive diagnosis. While not as frequent as others seem to have, my episodes have been terrifying. The first had me at more than 180 bpm sitting in bed, and anything I tried seemed to only help for a moment. I truly thought I was dying in my mom's car on the way to the ER. They ruled it as a weed induced panic attack. The second time it happened, I only called an emt to make sure I was okay. Having your heart rate jump for no explainable reason has to be, by far, one of the scariest experiences of my life. Then two days ago my heart rate was up and down all day, and I took myself to the ER just to be sure I was good. Each time I've been to the ER they rehydrate me with a saline solution and send me on my way. However, today I finally got to see a cardiologist and he told me he thinks I have SVT

[@KaysterLuv]

This was very informative, I am learning a lot.

[@debrasonner5970]

I had an attempted ablation for an SVT but the accessory path is too close to the AV node. That was in 2008 it is now 2020 and I am wondering if there is anything new available to me. I am 67 and a small dose of Sotalol is helping, but I believe it is making my resting heart rate in the low 50’s and sometimes the height 40’s. Thank you, Debra

[@ann755]

SVT's are very scary! Felt like I was going to pass out.

[@brandonlee3875]

Yea they are I have tachycardia too sometimes my heart beats fast like 180 beats a min and I have to lay down take beta blocker and wait about 40 minutes for it to stop laying down helps some tho and sometimes if my heart rate gets up too fast while working if i sit down or lay down to fast then it dips to like 80 beats a min for few seconds feels like a missed beat or something takes my breath dont kno what it is I had few test done but all good so far just tachycardia ima get a monitor again tomorrow

[@brandonlee3875]

Mine has gotten better so far it's been getting up fast and getting very tired but beta blocker helps its aggravating but its little better now

[@xCmOn3yx777]

yep, makes you feel like you're going to drop dead... cold water helps allot for me, but only when im under cold water.... but it usually returns. The important thing is if you cant end it, or it doesnt go away on its own(or you unsure!) go to the hospital as it may be VT... which is *immediately life threatening*

[@teelee4775]

@@xCmOn3yx777 what's the difference between those two

[@xCmOn3yx777]

@@teelee4775 VT starts in the ventricles where as SVT starts above them

[@carolbenson6524]

Thank you so much for explaining all of this. Really helps!

[@jordanparsons7689]

I had SVT from age 20 had 2 ablations. 2nd one was successful in ridding me of SVT but have been left with bouts of AFIB and different kinds of palpitations. Been taking flecainide for 11 years now everyday

[@roselunabloodrainmoon500]

I had an ablation 2 days after my 17th birthday my heart got up to 280 at one time and i almost could have died but after my surgery ive still have problems ive lived with this for almost 5 years now im going into my senior year

[@FullTimePatient37]

How big are the gaps of the irregularity of the pulse ? It can be big from 30 to 100 BPM at a resting heartbeat... I'm still on waiting lists 😔😢

[@charlesjensen7918]

Thank You so much Doctor. This has been reassuring to me regarding my episode. CMJ Canada

[@themoondustlife]

who would leave their heart rate up in a svt attack for a day?? wow 😳 i cant handle 5 minutes with an attack!! and those meneuvers you mentioned have never worked for me, i always go to the hospital and they administer adenison and that resets my heart rate 😊

[@jenirup1566]

It happened to me for 2 days because primary doctor kept telling me it was nothing and i didn't know what it was at the time but when i told her about it afterwards she then tells me i can have a heart attack when it's like that so next time go to the hospital

[@garydunn3037]

I had an SVT just two nights ago, I knew it was SVT because I have had it 12 years before. And it was diagnosed as SVT, which differs from Palpitations which I have also had. But in the case of Palpitations, they are very pronounced and beating like a drum in the chest. With SVT there is a strange sensation of the heart not beating right, which is very scarey. It just came on suddenly as I stood up to go to the toilet. But was really frightening. I said a prayer, then asked God for help, and he responded by reminding me what a Paramedic told me 12 years ago, and that was to nip my nose, and blow very hard into my mouth, which expands the chest cavity, and pushes down on the heart. And it worked, even though I had taken 40mg of Propranolol, and a 75mg Aspirin, which had little effect. I recommend that anyone with SVT carries this maneuver out, as well as taking the prescribed medication.

[@BlueLineofthesky]

Mr. Gupta, can someone have an SVT episode and get a heart rate of 180-200 beats per minute for several minutes and not have symptoms? Can someone not know he is in the SVT episode of that high heart rate? In a resting situation, like watching a movie on a couch? Thank you very much for your immense work.

[@Markymarkbejammin]

I just had a SVT attack it lasted one hour. I noticed laying on my right side was most comfortable position while having SVT attack. I took a 2 minute cold shower which helped get me back to normal rhythm. I took my medication late today also had some chocolate ice cream which probably made me go into SVT. I was relaxing in my recliner when SVT occurred. I tried to bare down like a bowel movement but it didn't work. I definitely am done eating chocolate I'm going to miss chocolate.

[@curtisbaker1852]

I had an ablation to help Mins as it was so frequent, for me I use to lean over as in bend over take a deep breath before hand and tense my whole body up do that a few times and it does stop it’s the only thing I know that really helps it, if your worried about getting an ablation don’t be, I was 18 when I had mine I’m 24 now, only thing that’s bothering me now is ectopics

[@amwilson195]

I have had SVT since 1994 (1-2 episodes a year). I have still yet to find a method to convert my heart back to normal rhythm. None of these maneuvers you've described in this video work for me! All I can do is take some magnesium, drink some electrolytes, and breathe until the SVT goes away. I've tried every other method, and I wish it was that easy. My SVTs usually last 5-20 minutes.

[@The_lunar_legend]

Has it impacted your life a lot..? I'm only 22 and this started for me about a month ago. It's absolutely terrifying, and I'm scared of what the rest of my life might look like with this going on

[@amwilson195]

@@The_lunar_legend As much as I am not happy about how much this condition has run my life, I am still thankful for it. It has taught me how to take care of myself, and how to cope with my stress. My first and foremost priority every day is to make sure my body has enough nutrients, enough sleep, and enough rest/ stress reduction. After that, I don't have to worry about an SVT happening. Take magnesium. Electrolyte packets. Potassium. Make sure you are breathing deeply through your diaphragm when you are stressed. Nourish your body, get enough rest. I went sky diving last year and didn't have an SVT! I overcame my fear. Pray, meditate. Your body is telling you to take care of it, that's what I've learned.😊

[@The_lunar_legend]

@@amwilson195 thank you so much for this, I needed to hear this tonight. Much love ❤

[@mattparr3038]

Oh phew! Theyre not dangerous. After a stressful period in life i have these about twice a year.. they last for about 10mins, between 150bpm - 190.. it goes away, but i dread them..

[@patriciambcarr]

Thank you very much for this video Dr. Gupta. Would anyone know if it is possible to have SVT episodes and to have a healthy heart? I believe I have had them sporadically now for 3 years and each time I have been to the E.R my heart has decided to behave and make a liar out of me 😅 The most they could see was a sinus arrhythmia on the ECG.

[@tinajohnson5685]

I just wore a zio heart monitor for two weeks for palpitations (ie pvc's) and was very surprised when they said I had 3 runs of svt in that two weeks with the worst getting up to HR of 191 for 6 heartbeats. The Dr said if I want to, I can go on metoprolol to help me not "notice them". Do these feel like pcv's or skipped beats or just fast beats? Because I'm curious why I didn't feel them but I do feel pvcs/missed/skipped beats. Side note...I am a very anxious and cardio phobic person and was nervous about having it on for the whole two weeks that I wore it b/c I was scared of what they were going to say it said. Ty for your videos! You are soooo knowledgeable and calming!!! I am so glad that I found you! Oh also, in a few days I will be having an echo and a coronary calcium score.

[@thecuriousperfumer]

Can all SVT be cured with ablation? My EP said my SVT is possibly coming from my sinus node and they can't ablate 😭

[@topps85401]

I have this issue when exercising or watching sports of my favorite teams. My Dr prescribed atenolol and if I take 3 prior to exercising I am good plus I take one in the morning and one at night daily. I wish I could get off the atenolol as it’s the only medication I need but I would have a pulse of 220 or higher daily without it.

[@johnwickk99]

How r u now? I also get vert fast heart rate with a light exercise..even a short run and it stays hight for quite some time..scared to exercise now

[@LJ-gt7vi]

Me too! I don’t know what to do!

[@MichaelGetter1]

Great video thanks for sharing!!!❤

[@stephenbaintonjr2718]

Hello Doc, quick question. I was recently taught that the carotid massage is no longer a good practice as you can break off plaque and cause a CVA. Thoughts on this? I’m not questioning you, I’m just trying to get to the bottom of this and know the correct practice to do no harm and benefit the patient. Thanks a lot for your time.

[@netty062]

Husband has PSVT and recommended an ablation by a cardiologist for it because he would get 3/week. But he cured it 8 months ago by taking an amino acid blend. Now Sports Amino Complex 3 tabs per day and also A-Arganine powder on its own worked as well. He was willing to try anything BEFORE having heart cells burned.

[@Mantras-and-Mystics]

Thank you for this info! I've been trying through diet and supplements - but still have the svts. Gonna get some of those amino acids. Thank your husband for me! 😊

[@vishwakalra]

What I noticed about my SVT is, it only happens when I eat heavy (or some milk product) after exercise, or too soon after exercise (thats why now I wait for my heartbeat to go below 90 before considering eating). It doesn't happen when I do not exercise. Has anybody had any similar experiences?

[@ashlynnanxietysupport853]

Me to its the nervous system i beleive

[@yorkshiremanphil219]

Thanks very much I've just been diagnosed with svt and I'm currently on medication but it 12 weeks I'm off for an appointment at a clinic and will ask about ablation thanks again for the advice as I thought I would be on tablets for the rest of my life 👍

[@au10666]

How did they diagnose it? I’ve had 2 ECG’s and they came back normal..but that make sense as my heart rate was normal.

[@yorkshiremanphil219]

@@au10666 my pulse was 200 BPM whilst I was having my ECG then went back to normal shortly after worrying the doctor's so ended up in the hospital over night and was diagnosed the morning after I've not had any svt attacks since I've been on medication I've since been put off ablation as if it goes wrong you could end up having to have a pace maker cheers Phil 👍

[@CosmicRhythms101]

I was in hospital after my SVT and a couple nights later I woke up having SVT but I terminated it using the carotid sinus massage technique :) still worried about them but happy I can SOMETIMES stop them before they get out of hand and not always require adenosine cardioversion.

[@nasixr]

hey how’s things going now

[@CosmicRhythms101]

@@nasixr hey mate. I haven’t had any episodes in over a year (touch wood!). Well, once during a surprise in a movie theatre it seemed like one started and I massaged my carotid artery to terminate it but I was soon okay so not really sure what happened there. Regular exercise, drinking lots of water and avoiding high carb meals have all really helped. Take care

[@berosullivan8089]

Thank you for this video. I'm going for ablation in a few weeks. I have SVT and its wreaking havoc in my life. I had refused the procedure when it was first suggested but a few months ago I was hospitalised twice because of my SVT. I love that adenosine works so well but it's rotten to get. So I'll have the ablation and hopefully that's it, done and dusted.

[@danleca2120]

Hello! How are you now after the ablation?

[@berosullivan8089]

​@@danleca2120very well thanks. No problems since I had the ablation last December thankfully

[@dochatch]

Thanks this has been a great video and explained it so well for me. Thank you Dr Gupta! I have had SVT around 5 times in total however it has only ever happened when I've been excercising. I have been riding my bike and my HR is already around 150bpm and then It suddenly jumps to 215bpm but I've managed to get it down relatively quickly using techniques. And I've now realised as well that in the 30-60mins prior to the SVT happening, I had eaten a cycling specific energy/carbohydrate bar. Not sure if that has been a trigger? I also have a coffee before I leave home in the morning for the ride. And on a few of those occassions I've had 2-3 whiskeys the night before. Does this sound like some typical triggers and things to avoid before and during excercice?

[@texasfiddleman4359]

I was diagnosed with Wolf Parkinsons 3 years ago at 50 years old. I had a successful ablation according to the ECG results, however, I still have what feels like skipped beats, and work a heart monitor and was told I was having periodic benign PAC's.. A few weeks ago, I was getting these skipped beats every couple of minutes for about two weeks or so. After wearing a monitor, I was told it was atrial Tachycardia. It seems to only last second no faster than the skipped beats. These are they same symptoms I was feeling when WPW was discovered and I still get them. I've been told it would be difficult to find the location for the current AT, due to it being intermittent now. Does the same rules you mention in this video apply to atrial tachycardia, taking into mind that WPW was ablated, or does the fact that I had WPW change the association with my current issues, and should I be concerned about other things?

[@teh1103]

A really useful and informative video - thank you. I have SVT and I've found that it has been brought on during exercise, but I haven't seen it listed as a possible trigger for it. Have you known exercise to be a trigger for your patients?

[@ethangreen7848]

I'm a 16-year-old runner it is my main sport if also found that my symptoms are bought on while being explosive eg; start of a race. ive figured some ways to help with the symptoms. one is holding your breath for about 75% and then deep breaths helps stop the symptoms or slowly walk-jogging into your exercise can be effective aswell.

[@bluebanana818]

Agree with this, I only get very occasional episodes (once or twice a year) but had a couple that were brought on by sudden speed changes when I jogged, especially if I suddenly stopped. I’ve made sure to change my speed gradually and haven’t had one triggered by running since.

[@holisticnurse3921]

Thank you tor for the clear, informative video, you described much of my clinical story. I had cardiac ablation for AV node re-entry tachycardia approximately 12 years ago. My SVT’s were frequent with rates of 250/min where only Adenosine in ER ended my SVT’s. I haven’t had an episode in 12 years, however, I still get palpitations, PAC’s and occasionally tachycardia around 120/min occasionally without wny clear cause. My ECHO is normal, EST negative, Holter shows sinus tachy and some PACs. I am prone to palpitations and mostly at night where I am woken up during my sleep with arrhythmias. I am taking magnesium and it seems to have helped with reducing frequency of arrhythmias. Anything else I can do?

[@pjw1016]

400mg/day of magnesium citrate or gluconate does the trick for me. My cardiologist dismisses this, but I swear it works.

[@Bait1official]

@@pjw1016 make your magnesium oil with flakes and distilled water. Spray your body with it after a shower everyday and you will reach saturation fast. Also take a natura b complex (nutritional yeast non fortified) and extra B1. Omega 3s, ubiquinol, whole food vitamin C (camu camu) :)

[@jeremyc2445]

You're generous with your time.thanks

[@MissOnaBudget]

I wish I can afford to have an ablation. I started experiencing it since 1993 and as I grow older episodes become frequent. Once I was given the Amiodarone, so effective that I didn't have palpitation for 2 years, but I got a thyroid problem because of too much iodine I was getting from the drug. As of now, I am taking Isoptin tablet (not so expensive than going to the ER for IV Adenosine infusion). It's just that the tablet takes time to effect, the longest is an hour to 3 hours. They say it's not really dangerous to have SVT, but it's really so tiring and sometimes my heart rate would reach 250 and I have low blood pressure.

[@DanielBilan]

a pacemaker for life, migh freak out some people, especially the young ones!

[@palomamayrany1537]

An year later but how are you coping now ? I also have thyroid problems and get low blood pressure . And I had episodes during like summer I think May , June , July until September sometimes 😖

[@MissOnaBudget]

I still take Isoptin whenever there's an episode which is not that frequent anymore. Maybe once every 3 months. But I also take Carvedilol whenever I feel something will about to happen, then I will feel fine. 😊

[@sweetsmart99]

Thanks for sharing videos about SVt, mine is always 200-210 when i have episodes. i am now taking verapimil for maintenance.

[@upamakarmacharya5826]

Thankyou doc..it was very imformative

[@revjdb688]

the interventions you name--blowing your nose, massaging the vein in the neck, etc--also the things to do for VTs?

[@debbienewcombe6065]

Dear dr Gupta, I have svt and the ablation procedure didn't work, when I went to a&e one doctor says I have to go to hospital after 40 minutes, but another a&e doctor says it won't kill me and some people have it for days, which doctor was right, by the way I have to say your so handsome and thank you for explaining svt .

[@sierrawaver9020]

Doctor Gupta, I only have SvT during my sleep, what could be the cause of that? Sleep apnea?

[@bellelaguardia9376]

I also have SVTs in my sleep. I was wondering the same thing

[@gardengrovemike]

I suspected i had SVT maybe like 7-8 months ago... One day i was sitting watching tv and then felt my heartrate just suddenly spike, i did a Manuel pulse check and it was at 180bpm... It lasted maybe 5-10mins at most... Went to the Dr everything was ok because of course it wasn't happening when i went... They gave me a holter and no episodes... I've been having pvcs since then, not a lot but maybe a few a day, which i attribute to anxiety since i had that episode im always scanning my heart and chest area... I've noticed now when I'm stressed or anxious I'll get some pvcs... Any way, i decided to buy myself a Kardia device just in case.... Then today, while I was at working sitting typing on the computer.. it happened again, sudden onset of a fast heartrate, i remained calm and grabbed by kardia device and ran a ECG and boom, SVT confirmed... Now i have proof to show my cardiologist... If anyone here hates waiting around for answers or hate that their symptoms go away before seeing the DR i strongly recommend the kardia device

[@thecuriousperfumer]

Covid caused me to have SVT now. Can you do a video on this?

[@neetugoel5351]

Thanks Dr. Gupta for the information. I am 43 years old with first SVT in 2010 then 2014 and now in 2017. My rest all reports and overall health is good but SVT makes me uncomfortable and in three cases I got them terminated with Adenosine with emergency admission. I am not willing to go for Ablalation. Kindly suggest

[@shoaibshaikh3466]

hi where are you located? did you go for ablation? how are you feeling now?

[@rayinimurali4680]

Hi how were you I'm in same boat, only 2 epi in 5 yrs Did you get ablatedd

[@anwarahmed7123]

Im a Physician myself. 42y old. No comorbidities. Recently during a routine health check i had a SVT (AVNRT) immediately after TMT. There were no symptoms other than palpitations. It subsided in a minute on its own. I remember i had similar feeling of a rapid heart beat about 8-10 yrs back while I had just started swimming in a swimming pool. There were no other symptoms and it subsided in few seconds. What should I do now ? Does it need evaluation ? Cardiologists were not v sure. One advised CT coronary angiogram to rule out ischemia as the cause of svt. Other said CT coronary calcium score would be sufficient. I haven't gone for anything. There has been no recurrence since 3-4months now. I was kept under observation for few hours after the event and then asked to go home. Troponin twice after the event was negative. My TMT was reported as - Negative for inducible ischemia ; SVT (likely AVNRT) triggered by TMT . What should I be doing now ? Can u pls reply/advice ? Im from India

[@williamrosenlof453]

Thank you so much for your info.. I have been going crazy with svt incidents.. now I am going to talk to my doc about getting an ablation.. I also found out about a drug called atyprimil nasal spray that supposed to work well.. you made me feel a little better.. last Friday night I went to the ER & at one point my heart was beating 204.. if it happens again I'm mostly going to try & stay calm.. not easy to do because I have issues with extreme anxiety

[@jadenaomixx]

Ive been struggling figuring out what's wrong for years. My heart rate randomly shoots up. Never more than 140. and I get chest/shoulder pain. My echo years ago was normal so my heart structurally is fine and I doubt that's changed. So would that mean I'm OK to leave it? As long as its short lived and goes away?

[@AjaySingh-rz3kl]

@jade G please I would like to talk to you Do reply

[@jadenaomixx]

@@AjaySingh-rz3kl hi, are you okay?

[@HustleNGrow331]

Dr but i am confused in your other video you meantion ablation for afib you wouldnt recommand you out weight this and that or try meds first but when it comes to SVT you say the opposite. You mention a cure you mention ablation will terminate it. Can you please explain

[@Christinesworldspice]

I saw that video he said that about ectopic hearts beats too

[@EbenezerGeorge]

Thank You so much Doctor. This has been reassuring to me.

[@elliottfireice4394]

Hi doctor, have you heard of macro-reentrant atrial tachycardia? Can you please tell me any more about this specific type of SVT

[@Hapamanda]

My 9 year old daughter has had SVT since she was 6 (noticeably). She gets episodes ever couple of months. We do a lot of maneuvers but it can last 45 min+ at 260bpm. She is prescribed Atenolol but I don't think it works and makes her very sick. She gets very scared but we have been able to eventually get her rhythm back to normal. They just suck to be honest lol

[@georgiie6036]

Hapamanda I’m so sorry that she’s dealing with this at such a young age. I’ve been experiencing svt since I was 11 years old and I’m now 15 & I thought that was bad! None of the manoeuvres work for me and I tend to get them around 25 minutes at 255bpm. It’s really scary but when she is having an episode, just make sure she is in a calm environment, and the most important thing is that you are calm. Reassurance is the best thing that can possibly be given to someone with this condition! I really hope everything is going alright with her and that you’re coping because I know how scary it must be for yourself. All my wishes go to you and your family!!

[@akshaykhanna9802]

Try “modified valsalva”. Thank me later.

[@92hotdog]

I’ve been having svts every other day multiple times a day since December peaking in the 190’s that are quite frightening but my blood pressure is usually in a good range during them. I’ve been bringing it up with my gp but nothing has been done about it. They come very randomly I’ve had 5 today since 9am( it’s 11pm) now from what I believe to be my ocd and I feel miserable.

[@giorassiccuriosity1796]

Very informative! Helps me able to explain to others better!

[@akshaykhanna9802]

A question: Is it riskier to have rf ablation done in the left side of the heart? My father’s SVT (avnrt) has been diagnosed to be caused by tissue in the left part of the heart and doctor didn’t go ahead. He said that we will try to control it with maximum dosage of metoprolol (along with other drugs like blood thinners). Also, he found a 80-90% blockage in one artery and said that first we will deal with it and see if my father's condition improves (as a blockage can possibly worsen the SVT). Is it the right way to go about it?

[@jijosebastian968]

Very good suggestion..