?SVT ?EPS and ablation

Posted , 5 users are following.

hi there,

I'm undecided whether to go fo Electro Physiological Studies.

my cardiologist suspects I have either SVT or AF, and has recommended I have EPS and ablation ( should any abnormality be discovered) , however, the heart rhythm has never been caught on ECG, so how do they know it is what they suspect.

i have been referred for a 24 hour holster monitor but what if it doesn't capture it then?

my ?SVT only occurs after drinking alcohol, and although I don't drink much, I think I'll be bereaved if I have to go T-total!

i'm 54 years old and am worried about the incidence of stroke, heart attacks etc following EPS. However, these episodes are seriously affecting my quality of life as they're very scary when they happen. My heart rate has reached as high as 200bpm one time.

can anyone please advise me?


0 likes, 11 replies

Report / Delete

11 Replies

  • Posted

    Hi there

    I have been for two heart monitors now and they haven't captured my SVT even though they know that's what I have as I too have a sudden heart rate of 200. I am 20 years old and don't smoke or drink so it's all it could be. Unfortunately you have to keep having the monitors until they capture it in order to have your ablation treatment. I recommend trying to induce the SVT while on your monitor because even if it's scary, they do not cause heart attacks and are very rarely dangerous. Sometimes you have to do something scary to get the treatment you need.

    I have tried to induce mine but have failed to get it on recording thus far, but they can keep monitoring your heart till its found. Good luck smile

    Report / Delete Reply
    • Posted

      Thanks for your reply Molly.

      my cardiologist suggested EPS straight away before even suggesting the 24 hr holter  monitor, it was only when I suggested the 24hr ECG that she agreed. I also have to have a stress perfusion scan to assess the condition of my arteries supplying the heart. 

      I will certainly be attempting to trigger an episode whilst wearing the holter monitor by having a couple of drinks!! Even though I'll probably be awake all night scared of having an event.

      Report / Delete Reply
    • Posted

      Well it sounds like your in safe hands!

      I know it's a very scary feeling, how long does yours last? I can usually catch it with my breath and stop it within about a minute now but took months of practice to do so. Google maneuvers to keep it under control they are very helpful smile

      Best thing I ever did was convince myself that the SVT was my friend saying hello. Take the scary out of it and life becomes more manageable smile

      Report / Delete Reply
    • Posted

      Hi Molly,

      i'm glad very got yours under control now.

      when I don't have alcohol I don't have any episodes, so I suppose that's one way of controlling it. However, I don't want to have to cut it out altogether as I find myself not wanting to go out with friends to the pub anymore, so it does affect my quality of life. When my heart rate was at 200bpm that one time it lasted for 4 hours and I felt dizzy, light headed, didn't go to A/E just sat it out. Very scary! Since then my heart rate has never reached that high and to lower it I splash my face with ice cold water, put the fan on, open a window, drink plenty of ice cold water. It does eventually return to normal.

      good tip convincing yourself SVT is your friend, I'll have to try that one.

      Report / Delete Reply
    • Posted

      Well it's always difficult when it has an impact on socialising and doing the things you enjoy. Mine is unfortunately set off my bending down or walking too fast so my quality of life isn't amazing, I can't do what normal people do my age. But I still work full time and save myself a bundle of money from not being able to go dancing on the weekends!

      But it's a burden not a crisis and that's the key thing. It's fixable and manageable and something we should not fear. It's just an annoying thing that wants to be your friend! smile

      Report / Delete Reply
    • Posted

      You kind of have to be really. You only have one life, if you spend all your time worrying it will be over before you had time to enjoy it smile It saddens me and there are nights when I get so mad and jealous of people who can live their lives without hindrance but then I remember something.

      Life is only truly appreciated in the absence of something you cannot have. Once you have it all, you cannot appreciate the things that really matter, like the air in your lungs or the days you have to enjoy. I say take this as a eye opener, to how precious life is, and how it should be loved and celebrated and lived, to the very last moment.

      Take each day like it's your last, each breath like it's your first. So when it's all over, you can smile and say you loved every moment smile

      Report / Delete Reply
  • Posted

    Hi. I'm 56 and had SVT for about 20 years until I had an ablation three years ago. Before I had the ablation I was having SVT episodes about six times a day. I have not had a single episode since. The ablation procedure was not very pleasant but it was less distressing than an SVT episode biggrin. It changed my life immensely, so I would strongly recommend it to you if your specialist thinks it suitable.

    I have always enjoyed a few drinks (every day!), and have smoked since I was young. Several doctors blamed both for triggering my SVT. But in my case at least, I am certain they had nothing to do with it.

    Apart from common triggers like Molly mentioned, the only two triggers I was sure of were mental/emotional stress (never happened when I was stressed, but usually a day later when things had calmed down), and caffeine. Cutting out caffeine completely (including decaff tea/coffee) made a big difference.

    Doctors feel they are doing you a favour by blaming booze or fags for whatever is wrong with you. But life's too short to give up some of the things that make it enjoyable unless you have absolutely no choice.

    If you yourself believe there is some connection between your drinking and SVT, maybe try a different type of alcohol (e.g. cutting out spirits/wine and drinking beer or cider instead).

    Maybe also compare drinking at home to drinking out and see if there's a difference that might be due to other factors. 

    Good luck biggrin

    Report / Delete Reply
  • Posted

    I am 53 years old.  I wore a 30 day event monitor.  Can you request one of those?  Might be a good idea to wear one for a longer period of time.  More chance of catching one that way.  I was having several episdoes per day.  I think even the first day I wore it they diagnosed me.  They did however want me to wear it the full 30 days.  I don't really know why since they already had caught one.  It was a pain to wear it that long but I got thru it.
    Report / Delete Reply

Join this discussion or start a new one?

New discussion Reply

Report or request deletion

Thanks for your help!

We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.

newnav-down newnav-up