SVTs and what to do about them

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  • čas přidán 5. 07. 2024
  • In this video, Dr Sanjay Gupta, consultant Cardiologist at York Hospital discusses SVTs (supra ventricular tachycardias) and how to go about getting them treated. I will discuss which SVts can be dangerous. I will also discuss various treatments including vagal manoeuvres, ablation, adenosine etc.
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Komentáře • 470

  • @lepaplava
    @lepaplava Před rokem +14

    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
      @elliottfireice4394 Před rokem +1

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

  • @tracey1782
    @tracey1782 Před 3 lety +6

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

  • @johngomillion4872
    @johngomillion4872 Před 2 lety +10

    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
    @eliotemme Před 8 lety +18

    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. 😊
    czcams.com/video/Lz6uPfndY2U/video.html

  • @BetterIntegra
    @BetterIntegra Před 5 lety +54

    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
      @ivandsouza504 Před 4 lety

      Thanks for the tip.

    • @polyxeniconstantinou8322
      @polyxeniconstantinou8322 Před 2 lety

      Thank you so much!!

    • @BetterIntegra
      @BetterIntegra Před 2 lety +5

      @@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
      @kokokwikwak1586 Před 4 měsíci

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

  • @stephendavies9782
    @stephendavies9782 Před 6 lety +16

    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.

  • @Antihippie24
    @Antihippie24 Před 6 lety +10

    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.

  • @KonTikiBea
    @KonTikiBea Před 6 lety +6

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

  • @ajmandalia63
    @ajmandalia63 Před 3 lety +2

    So refreshing to have it explained clearly; thank you.

  • @clarenceboddicker2617
    @clarenceboddicker2617 Před 3 lety +14

    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
    @Pete7.5R Před 3 lety +10

    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

  • @k.b.9716
    @k.b.9716 Před 3 lety

    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
    @deurcasolon2422 Před 5 lety +2

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

  • @laral8668
    @laral8668 Před rokem +4

    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

  • @BP26P
    @BP26P Před rokem +2

    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.

  • @glenndalejewelyuchung9635

    THANK YOU, DOC FOR THIS VERY INFORMATIVE VIDEO ABOUT SVT

  • @Antihippie24
    @Antihippie24 Před 7 lety +2

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

  • @patrickhandlovsky7665
    @patrickhandlovsky7665 Před rokem +2

    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:)

  • @carolbenson6524
    @carolbenson6524 Před 5 lety +2

    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.

  • @neilfletcher380
    @neilfletcher380 Před 4 lety +23

    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
      @frase1234 Před 4 lety +7

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

    • @aishawilliams5933
      @aishawilliams5933 Před 2 lety

      thank you

    • @Fsn9HD
      @Fsn9HD Před rokem

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

  • @carolbenson6524
    @carolbenson6524 Před 5 lety +4

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

  • @bon06jovibarker44
    @bon06jovibarker44 Před 5 lety +4

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

  • @winniemccuien
    @winniemccuien Před 3 lety +4

    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.

  • @muhammadanwar7217
    @muhammadanwar7217 Před 3 lety +2

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

  • @asmjad4806
    @asmjad4806 Před 6 lety +4

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

    • @YorkCardiology
      @YorkCardiology  Před 6 lety +2

      thank you!!!

    • @dineshpuliyulla4516
      @dineshpuliyulla4516 Před 6 lety +2

      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.

  • @noramartin96
    @noramartin96 Před 2 lety +4

    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.

  • @charlesjensen7918
    @charlesjensen7918 Před 4 lety +2

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

  • @KaysterLuv
    @KaysterLuv Před 4 lety +2

    This was very informative, I am learning a lot.

  • @chowchowtales
    @chowchowtales Před rokem +2

    Excellent explanation and suggestions. Thank you so much.

  • @louiseprice7755
    @louiseprice7755 Před 2 lety +46

    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
      @controlyourtemperjeez8220 Před 2 lety +3

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

    • @louiseprice7755
      @louiseprice7755 Před 2 lety +4

      @@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
      @pritampranabsinghrathore9596 Před 2 lety

      What meds are you on?

    • @louiseprice7755
      @louiseprice7755 Před 2 lety

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

    • @pritampranabsinghrathore9596
      @pritampranabsinghrathore9596 Před 2 lety

      @@louiseprice7755 does it have side effects?

  • @Dee-cb3rh
    @Dee-cb3rh Před 6 lety +12

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

  • @suzannekanter4148
    @suzannekanter4148 Před 2 lety +4

    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

  • @lovefoodisgood
    @lovefoodisgood Před 6 lety +22

    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

  • @ericshrive7506
    @ericshrive7506 Před 3 lety +4

    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
      @teelee4775 Před 3 lety

      @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
      @ericshrive7506 Před 3 lety +2

      @@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
      @teelee4775 Před 3 lety

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

    • @ericshrive7506
      @ericshrive7506 Před 3 lety

      @@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.

  • @CarrieByTheBeach
    @CarrieByTheBeach Před 4 lety +8

    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 ❤️

  • @sooperdan
    @sooperdan Před 10 měsíci +2

    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…

  • @stevegodsey2020
    @stevegodsey2020 Před 9 měsíci

    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!

  • @bluet6898
    @bluet6898 Před 7 lety +6

    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
      @cantorbarbarahaimowitz6678 Před 2 lety +2

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

    • @HustleNGrow331
      @HustleNGrow331 Před 2 lety

      @@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 ?

  • @feliciaparten4009
    @feliciaparten4009 Před 3 lety +2

    Thank you so much for this very informative video.

  • @jeremyc2445
    @jeremyc2445 Před 5 lety

    You're generous with your time.thanks

  • @rebeccazegstroo6786
    @rebeccazegstroo6786 Před 2 lety +2

    Very clear explanation. Thank you.

  • @giorassiccuriosity1796

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

  • @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.

  • @emilioramos8282
    @emilioramos8282 Před 3 lety +12

    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
      @LJ-gt7vi Před 3 lety +4

      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
      @hildastrangwayes9162 Před rokem +4

      Try magnesium with potassium

  • @cherylcooper6148
    @cherylcooper6148 Před 6 lety +2

    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)

  • @tweetterbug
    @tweetterbug Před 8 lety +16

    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
      @YorkCardiology  Před 8 lety +3

      +Deborah Soulier thanks deborah!!

    • @happydays1336
      @happydays1336 Před 6 lety +5

      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
      @Somanyissues93 Před 4 lety +1

      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
      @erick7brian Před 3 lety +3

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

  • @sukisamra9295
    @sukisamra9295 Před 3 lety +6

    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
      @tanyawieczorek6603 Před 2 lety

      Omg how are you now.

    • @JoseDiaz-yf1cd
      @JoseDiaz-yf1cd Před rokem +1

      Same mine went to 247

    • @poohbear2441
      @poohbear2441 Před rokem +2

      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
      @ColdVsIce Před 11 měsíci

      @@poohbear2441how often do you guys have SVT episodes

  • @dianna7106
    @dianna7106 Před 4 lety

    Thank you for your thorough explanation.

  • @shashimoghe3920
    @shashimoghe3920 Před 4 lety

    Dr gupta sir enjoyed your video on SVT , VERY clearly explained thanks 20/12/2019

  • @jennybouffant
    @jennybouffant Před 2 lety

    Thank you so much dr. Gupta!

  • @EbenezerGeorge
    @EbenezerGeorge Před 2 lety

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

  • @upamakarmacharya5826
    @upamakarmacharya5826 Před 4 lety

    Thankyou doc..it was very imformative

  • @sweetsmart99
    @sweetsmart99 Před 4 lety

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

  • @1jubutterfly
    @1jubutterfly Před 5 lety +2

    This is great

  • @abbymaslow4879
    @abbymaslow4879 Před 5 lety +1

    Well done! Very informative...easy to understand. Thank you!!!

  • @peggymicsky8607
    @peggymicsky8607 Před 2 lety

    I love you, Sanjay Gupta! July 2021.

  • @cptlife6648
    @cptlife6648 Před 6 lety +1

    Thank you so much..im very hopeful now...

  • @jijosebastian968
    @jijosebastian968 Před 6 lety +1

    Very good suggestion..

  • @MichaelGetter1
    @MichaelGetter1 Před rokem

    Great video thanks for sharing!!!❤

  • @yowthubert1731
    @yowthubert1731 Před 7 lety +12

    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.

  • @lorrainerotin5193
    @lorrainerotin5193 Před 3 lety

    So helpful. Thanks so much.

  • @cottoncandyblackcat9650

    BAHUT SHUKRIYA SANJAY JI ... WARM REGARDS FROM JAKARTA INDONESIA

  • @debrasonner5970
    @debrasonner5970 Před 3 lety +6

    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

  • @jasonbourne2996
    @jasonbourne2996 Před 7 lety +11

    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
      @ladyliss4961 Před 5 lety

      Agreed

    • @Hannah-pn2gs
      @Hannah-pn2gs Před 5 lety

      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
      @mitsos1397 Před 3 lety

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

  • @maychaves8008
    @maychaves8008 Před 5 lety +2

    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

  • @maxthemax65
    @maxthemax65 Před 7 lety +2

    Hello Doctor. what is the different between a run of extrasystole (about 10/14) and SVT? Thanks

  • @jacks316
    @jacks316 Před rokem

    Dr you are amazing and help my anxiety so much

  • @texasfiddleman4359
    @texasfiddleman4359 Před rokem +2

    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?

  • @holisticnurse3921
    @holisticnurse3921 Před 5 lety +5

    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
      @pjw1016 Před 2 lety +1

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

    • @Bait1official
      @Bait1official Před rokem

      @@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) :)

  • @topaze221
    @topaze221 Před 3 lety

    Wow. Super good.

  • @jstu45
    @jstu45 Před 4 lety

    GREAT VIDEO

  • @lalitmathur6914
    @lalitmathur6914 Před 5 lety

    Very nice information

  • @Mdigi1982
    @Mdigi1982 Před 5 lety

    Thanks Doc.

  • @yorkshiremanphil219
    @yorkshiremanphil219 Před 3 lety +1

    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
      @au10666 Před 2 lety

      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
      @yorkshiremanphil219 Před 2 lety

      @@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 👍

  • @alinabardotzi7299
    @alinabardotzi7299 Před 4 lety

    Good evening Doctor
    First of all I want to thank you for your explanations!
    I have a question: how do the vasodilators cause prerenal AKI? Thank you

  • @ralgeorge7030
    @ralgeorge7030 Před 4 lety

    Thank you very much

  • @ladyliss4961
    @ladyliss4961 Před 5 lety

    Thank you so much

  • @dochatch
    @dochatch Před 8 měsíci

    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?

  • @jakewelsh1002
    @jakewelsh1002 Před rokem +7

    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
      @netty062 Před rokem +1

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

    • @Akira282
      @Akira282 Před rokem +1

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

    • @hildastrangwayes9162
      @hildastrangwayes9162 Před rokem

      Try to take magnesium

    • @garyclark9807
      @garyclark9807 Před 11 měsíci

      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
      @kayally Před 10 měsíci

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

  • @inderarora9434
    @inderarora9434 Před 5 lety

    Thanku so much doctor saab. I m from india

  • @suzannewhitesullivan3119
    @suzannewhitesullivan3119 Před 4 lety +9

    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
      @davidconstant4716 Před 3 lety

      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
      @suzannewhitesullivan3119 Před 3 lety +1

      @@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
      @davidconstant4716 Před 3 lety +1

      @@suzannewhitesullivan3119 take care Suzanne and stay in touch.

    • @rachelwelsby5581
      @rachelwelsby5581 Před rokem +1

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

    • @suzannewhitesullivan3119
      @suzannewhitesullivan3119 Před rokem +1

      @@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.

  • @arnettajohnson431
    @arnettajohnson431 Před 5 lety +1

    Thank you Doctor this video really helped me as all the information given God bless 🙏🏾🥼

  • @ana-pi6ut
    @ana-pi6ut Před rokem

    Thank you! I just got diagnosed with this.

  • @salamaccountkhan3623
    @salamaccountkhan3623 Před 5 lety

    Thank you Dr

  • @samuraiallam
    @samuraiallam Před 4 lety

    very informative

  • @nickygee010
    @nickygee010 Před 7 lety +1

    I had an ablation for AVNRT in Feb 2015. A few months, later I began having bouts of skipped and irregular beats. Then, I had two bouts of SVT that lasted 5 minutes or less. Since that time, I've had episodes that have lasted briefly within 5 minutes. Why is this still happening? Did the ablated pathway heal? I'm reluctant to have another ablation. What are your thoughts?

  • @akshaykhanna9802
    @akshaykhanna9802 Před 5 lety +2

    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?

  • @williamrosenlof453
    @williamrosenlof453 Před 8 měsíci

    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

  • @Noob_STUDIOS_OFFICAL
    @Noob_STUDIOS_OFFICAL Před 5 lety +1

    Thank you so much for your videos, it is rare to get a dr that actually wants to explain how these things work to patients so it can alleviate their anxieties about topics on the heart. One question i have or to anyone in comments, is do they get palpitations at the same time as the extreme heart rate? Making it feel irregular when you feel your pulse but actually its not. So if you felt your pulse it would be like booms with BOOMS that feel foreceful then shallow and extremely fast.

    • @YorkCardiology
      @YorkCardiology  Před 5 lety +1

      thanks sophie..good to speak with you the other day

  • @supritistudent205
    @supritistudent205 Před 2 lety

    Dr. Gupta..thanks for the information. I am from India...I am a patient of psvt. When I was 14 years old. First symptoms was stated in this time....I am very upset now about this diseases. Please help Dr..... I concurnt with many doctors but everyone said that...(EP) study is the most important ......

  • @konradschaubert5520
    @konradschaubert5520 Před 4 měsíci

    thank you so much doc !!!!

  • @vaskai1333
    @vaskai1333 Před 5 lety +5

    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
      @teelee4775 Před 3 lety

      So it got better from position change and reset?

  • @jordans3379
    @jordans3379 Před 5 lety

    Is Afib with RVR considered an SVT? heart rate went as high as 209, but steady in the 180s for several hours. This Did not respond to vagal maneuvers, or cardizem drip....the rhythm was eventually corrected with cardioversion at 100j. If this recurs, is ablation an appropriate therapy? Thanks

  • @robertangel30
    @robertangel30 Před rokem

    My heart beats for you.

  • @teh1103
    @teh1103 Před 7 lety +3

    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
      @ethangreen7848 Před 5 lety +1

      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
      @bluebanana818 Před 2 lety

      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.

  • @theippo
    @theippo Před 7 lety

    Dr Sanjay, I had my first AF 2016 august, since then I had 8 more episodes all self converted or took around 12 hours after diltizem (around 4 of them were conveted this way) I have not had any AF (only pac/pvc) since december 21st 2016; however, i did have 5 tachycardiac 4 of them ranging 140-160 pulse rate last less than 10 mins, but the last one went 200-210 for a little over an hour. I stop everything in my life trying to recover from these, have been taking q10, natural astaxanthin, rutoside, chinese hawthorn, cordyceps Sinensis mycelial extract, boluoke lumbrokinase, and avoid all possible triggers i could think of (i don't drink alcolhol, no smoking no drug my whole life, used to have mild coffee but none since... assuming the heart muscle that caused my AF was healing is it possible I could be having all kinds of pac/pvc, short breath etc symtoms comes and go at the mean time of healing? I read quite many similiar symptoms people recovering from ablation procedure but i haven't had one just yet. overall i would like to think i am getting better but the heart thing is so tricky driving me crazy sometimes

  • @topps85401
    @topps85401 Před 6 lety +7

    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
      @johnwickk99 Před 3 lety

      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
      @LJ-gt7vi Před 3 lety

      Me too! I don’t know what to do!

  • @roselunabloodrainmoon500
    @roselunabloodrainmoon500 Před 4 lety +5

    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

  • @sarahdianajenninfer
    @sarahdianajenninfer Před 7 lety

    I have an implanted ICD for I have sustained Ventricular Tachycardia. It's Idiopathic. They do know that my PVC's cause them sometimes.They cannot find a pathway to ablate. My EP pretty much just gave up. I'm on Sotalol 160mg 2x a day. I wish ablation was an option for me. Spent 4 days in ICU last year after having the ICD fire 18 times in a row. I was having runs of 300+ bpm lasting 30 seconds to 10 plus minutes several times a day. Amazing that I never hit V-fib. According to my Cardiologist anyways. Whats the Difference between SVTs and Sustained VT?

  • @92hotdog
    @92hotdog Před 2 lety +2

    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.