What triggers cause your SVT? How do they affect you?
Posted , 10 users are following.
Hi, I'm new to this group and delighted to find it. My story in brief, I'm now 35 and pretty fit - I run a lot and have done for years. Almost 3 years ago I had my first SVT episode - I've had about 15 or 20 since then, lasting up to 2 or 3 minutes each. They seem to happen in 'clusters'. I might get 3 or 4 episodes in a month, then nothing for 6 months, then off we go again. They always happen when I'm running hard, and I've picked them up on my own garmin heart rate monitor but they have never performed when I've been wearing an ECG monitor. A few weeks ago I was brought in for an EP study (which was nowhere near as scary as I thought it would be) - again it refused to perform so I couldn't get an ablation.
Anyway during all this my cardiologist has been perfectly happy for me to continue running - it's not dangerous. But no-one has mentioned triggers to me, so I'm really interested to find out what affects you and how. Are there any good books or websites that helped you? For me, every episode has happened when I'm running - but even during a cluster I can have several episode-free runs. I'd love to be able to figure out if it's just bad luck or if something's setting these clusters off. I'd really appreciate your thoughts. Thanks.
0 likes, 17 replies
jim53704 runnerbean
Posted
i've found this forum helpful too so I'll try to do my part.
Like you, my symptoms seem to only happen when exercising; in my case, jogging, hard biking, cross country skiing or while using an elliptical trainer. I'm in my late 50's and had my first symptoms while in my mid 50's. I too can go weeks, if not months with no episodes. They became more frequent for several weeks this past summer/fall and none at all over the past 6 weeks or so. I thought one of my triggers was caffeine but now am not so sure. If you look further in this forum or Google SVT triggers, you will find more possibilities. I know alcohol is another trigger for some people. On the other hand, I've read other posts where triggers are not known at all or seem to be multiple. I sometimes think the intensity of the aerobic activity itself is the trigger in my own case as it usually happens when I'm already working hard. My docs also said my elevated heart rate during the infrequent episodes are not a threat to my short or long term health. However, I am almost always able to interrupt my elevated heart rate within a minute or two by "bearing down."
Obviously, you need to consult your own doctors and make your decision on how to proceed accordingly. But, now you have another perspective/experience to draw upon and I'm sure there will others who came in with their situations.
Good luck and good health!
runnerbean jim53704
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I had cut out caffeine (coffee and cola) a while ago on a whim of my own, and I do think it has helped though obviously still not perfect. I tried cutting out chocolate but that made no difference. Alcohol is next on the list........
Thanks again for your reply and all the best for the future
jim53704 runnerbean
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runnerbean jim53704
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When I went for my EP study they would have done the ablation at the same time if they could. I made it very clear to them that exercise was important to me so if they were at all unsure about the ablation (and if they thought I would need a pacemaker depending on where they had to work) then to err on the side of caution. Anyway they couldn't find the node so no ablation. Hope yours is more successful!
diane21732 runnerbean
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paullie diane21732
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runnerbean diane21732
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sue73 runnerbean
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paullie runnerbean
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sue73 paullie
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I don't know if 5 hours is "too long". No one has told me if it can do you any harm. But I don't think I'd let it go on that long again.
courtv sue73
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I'm 36. was diagnosed AF last september, last episode which was the 9th AF happened December 21st 2017, but since then I have had 5 tachycardia episodes 4 of them last less than 10 mins, 2 disappear within 2 mins, these short ones only cause me 150-170 pulse rate, but the fifth one went around 210 for a little longer than an hour. The first 4 times happened after i had dinner and had a strong burp while walking. The last one were happening after i swallow some supplement capsules and it stocked in the throat for split second then my heart was pounding since.. Note the 5th time before the tachycardia I had quite many uncomfortable PAC/PVCs... my trigger seems to be vagal and stress related as 90% of them happened with those factors
paullie runnerbean
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sue73 paullie
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No, the flecainide isn't a beta blocker. The cardiologist who prescribed it (a charming professor at my local north London hospital) implied it's a relatively recent idea to take it as a one-off SVT stopper. He checked that I am an organised enough person to carry a couple with me all the time. I am soooo grateful to him.
paullie runnerbean
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I'm glad to hear your svt stopped when u relaxed on the plane..so flecainide is fairly new..I will definitely be mentioning this option to my cardiologist : ) ..thx!
michelle37691 runnerbean
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I am 43 now and suffered with palpatations during my early 30s. I was also a runner . I had every test performed by MDs and cardiologists . The problem was an episode never occurred when we were conducting them. I was running at the gym one night and my heart rate got up to about 198 but I didn't feel any different. Suddenly I felt my heart accelerate and it was stuck at a pace where I was short of breath and it wouldn't slow down . I went to the ER and my heart rate was at 268 a minute. They had to stop and restart my heart . Scarriest thing I've ever been through . (When your palpitations start cough or bear down like your going to the bathroom and most of the time it will correct itself .) That night I had a soda before going to the gym . I completely cut out diet cokes, tea or anything with a lot of sugar and caffeine . Pasta is also a trigger . When I go for a run i usually do it on a fairly empty stomach. I will eat a few peanut butter Cracker or a small bowl of cereal . If I run after eating carbs or sugar is when I have problems . I had an ablasion 6 years ago . Even still I have heart flip flops but I know my limits . If it starts, i resort to biking or low cardio Once you have an overactive heart it never really goes away if you maintain an active lifestyle especially if you continue to run .
runnerbean michelle37691
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Thanks for sharing your story - reassuring to know you've found a way to control it. I didn't really think about food before running - but definitely will now; thanks for the idea