I Notice My "Episodes" Happen In Cycles-!

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Wotan
Regular Member


Date Joined Jun 2005
Total Posts : 489
   Posted 5/4/2011 6:41 AM (GMT -7)   
Hi all--
 
Been suffering from 'irregular heartbeats'..( PACs..SVTs)-for over 30 yrs(I'm in Phila)
 
Been seeing a cardio...(and saw one top EP....in Bevery Hills....while on vacation)-
 
Have had numerous ekgs...holters..AND 'event monitors'--(the kind you keep on for 30 days)----Seems like these "irregular beats"...HIDE....when they know they're being watched!
 
My cardios have 'caught'...them...on 'event monitors'--! I don't mind...the one or two PACs....i hate the...'runs'..of 6..7 or 8 beats! (I usually do the "valsalva manuenver"...to 'break'...the run)
 
Taking 25 mg..tenormin once/day--tho cardio...says..if i'm having a bad day..i can take a half pill....at nite!
 
One thing i;'ve noticed--is these...'events'...come in cycles!  I can be in a good cycle....where i am having very few..if any 'episodes'...for weeks..or 2 or 3 months--then...bam!   I get the many times/day--!
 
they are both...'scary'..& 'debiltating'...! I don't know...when--they will hit---(when i'm in a bad cycle!)
 
I do not drink coffee....!  I have an occasional Coke a Cola...& i luv dark chocolate!---But--it can NOT be..'just'...caffeine---!
 
 
ONE...thing that is interesting,,...when out in Beverly Hills...(Have friends out there.& saw an EP....like 3 or 4 times)--he says..I do NOT need any kind of ablation...& AlSO... said...."If I did one.. can see from your event monitor---the kind of beats you have---are probably.."multi focal'...in origin..& hence ...your 'success rate'....with ablation would not be as good! confused
Anyway--that being said...anyone else...notice the "cyclical"...nature of these events...?  And..why would this be----?  Thanks--Robert

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 5/4/2011 4:16 PM (GMT -7)   
Wotan,

Wondering if the cardiologist said if your irregular beats were atrial or ventricular.

Multifocal premature ventricular contractions occur when more than one site in the ventricles is the source of the electrical impulse: each peak on the ECG will have a different shape.

Multifocal atrial tachycardia (MAT) is tachycardia resultant from at least three ectopic foci within the atria, distinguished by P-waves of at least three different morphologies that all fall before irregular, narrow QRS complexes.
Many people have atrial tachycardia and some can contribute it to times when they are anxious and stressed. Could this be part of your cyclical pattern ?

I am impressed that you have seen some very wise and talented cardiologist.

Take care and keep talking with us.

Kindly,

Kitt

Wotan
Regular Member


Date Joined Jun 2005
Total Posts : 489
   Posted 5/4/2011 4:50 PM (GMT -7)   

Dear Kitt--

Dear Kitt--

Thank you so much for your kind, caring & informative response. :-) Yes--my irregular beats are "Atrial"...in origin-!

The cardiologist explained it when he said..."SUPRAventicular"...tachycardia--meant.."ABOVE"...the ventricles...("Supra=Above)- which is the atrium-! idea I did not know that & was hapy he explained this to me--!

He said.."Atrial"...beats were more "harmless"...than ventricular!

Anyway--Nice being back on here--& hearing from you-

Kindest regards--Robert

 

 


Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 4931
   Posted 5/4/2011 5:02 PM (GMT -7)   
Robert -

Is there any possibility you have specific food or drink or medicine triggers? I get tachycardia from eating more than a little food containing sulfite. Others get it from MSG and other triggers.

I found my problem with the help of my allergist who had me keep a detailed food journal. I wrote down everything I ate or drank and all medicines, with the times and any reactions an hour or two hours later.

It's a known phenomenon called cardio-esophageal reflex, aka linked angina. The esophagus and stomach are connected to the heart and the lower GI tract by the vagus nerve. An irritant in the esophagus can cause arrhythmias and coronary artery spasms.
Alcie
 
 

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 5/5/2011 9:37 AM (GMT -7)   
Robert,


Good to see you back here too. I am glad your Dr. explained to you clearly the difference between the types of tachycardia.



Take care and lets us know how you are doing.



Kindly,

Kitt
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