SVT Trigger: Going Uphill

Posted , 6 users are following.

I started having SVT episodes a couple of years ago, and

they have all been intense cardio exercise-related triggers.

Curious if others have had this particular trigger.

The first one was playing competitive tennis. Intense

changes in position and/or speed seem to be the main

trigger for me. I was running back and forth at top speed,

and "boom" I felt my heart shift into a rapid, steady HR.

Walked around for a couple of minutes and it resolved

on its own.

Every other episode has been going uphill. Sometimes

it's right at the beginning, where a couple of minutes

into a mountain hike (I live in a mountainous region)

it kicks in. Other time, it will be 30-45 minutes into

uphill hiking. HR tends to be 160-180. Valsalva maneuvers

work, generally. If I hold my breath and blow out, I

will feel my heart do a little "ectopic skip" and after

a few of these it generally resets. Typically takes

1-3 minutes.

Interestingly, running at a steady state does not

induce SVT episodes, or at least, thankfully hasn't

yet.

Like with many others on this forum, it is a dreadful

experience, though I'm learning to quickly let the

thoughts pass and move into a "take over" mode

where I stop obsessing about adensosine/ER and

do what needs to be done.

I suspect MSG, nitrites, dark chocolate, and possibly caffeine as stimulant-

triggers. And/or hills. Damn hills.

0 likes, 4 replies

4 Replies

  • Edited

    I have had SVT my entire life, and in recent years I have found that certain strenuous activities - such as a steep hike - will trigger an episode. Like you, I am usually fine with moderate exercise. The episodes do eventually stop, but for me the exercise-induced ones typically last longer than ones caused by other triggers.

  • Edited

    Add hormone shifts to the culprits list! I think progesterone aggravates it.

    • Posted

      Yup, hormones will do it for me too! (Even for people without SVT, it's "normal" for people to experience palpitations during certain parts of the menstrual cycle.)

  • Posted

    yep! treadmill at an incline does it for me if im dehydrated. i drink pediasure and it helps. im tired of trying to tip toe around life. im going in for an ablation.

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