Got letter for refferal6

Hi on previous post I wrote that I was getting referred to electricity Dr other cardiologist wrote this referral!! Due to PSVT FOR POSSIBLE EPS ABLABATION???what condition do I have is it serious?? Can medicine control?? Or I'm done 


Persistent SVT - arrhythmia arising from the atria

by crustyg - 2022-07-26 15:10:50

I think your post answers your questions.  You have persistent SVTs, which can seriously damage your heart and, it seems that in your case they can't be controlled by medicines alone.

"Or I'm done."  Probably nowhere near circling the drain.  In skilled hands + appropriate usage of tech, an internal ablation might well be able to fix your SVTs permanently.

I suggest writing down a short list of questions: perhaps 5, and make sure that you get answers to them at your next visit to the heart docs.  Might well be the heart-rhythm doc ("electricity Dr").  Grab any leaflets that they give you at the consultation, read, read again, think and then come back here if it still doesn't make sense.

And relax!

Best wishes.

[Edited] PSVT here does indeed mean paroxysmal SVT and not persistent.  My mistake.

PSVT ?paroxysmal (intermittent) supra ventricular tachycardia

by Gemita - 2022-07-26 16:06:27

Cadaverock, please try to calm yourself.  My understanding of your message is that you are certainly not done.   And yes, if you take your medicine, it may well control your arrhythmia.

Your cardiologist wrote “Due to paroxysmal (intermittent) supra ventricular tachycardia, for possible ?electrophysiology study/ablation”.  And I repeat “for possible ?electrophysiology study/ablation”.   It is not a done deal and they may just decide to manage with medication, if they can persuade you to take your Metoprolol or another rate control med, particularly if your PSVT can be effectively managed in this way?

A short course of meds, taken as instructed, may be just sufficient to stop these intermittent atrial tachyarrhythmias, but if not, they will discuss the next stage: an ablation.  

They usually carry out an electrophysiological study to determine whether you have PSVT and the cause.  I had an EP study for this very reason.  PSVT occurs when a short circuit rhythm develops in the upper chambers of the heart which results in a regular, rapid heartbeat that can start and stop abruptly.   These abnormal electrical signals can also happen when there is an extra pathway between the atria and the ventricles and the EP study will seek to find this if such a path exists and treat it.

Paroxysmal supraventricular tachycardias are common.  My EP places mine all under the same umbrella since I have intermittent episodes of a regular SVT, Multifocal Atrial Tachycardia and Atrial Flutter, together with irregular AF.

You can read about the different types of  Supraventricular tachycardias in the link below which you need to copy and paste into your main browser to open.  You will find some possible triggers and helpful tips to try to stop it.


by cadaverock - 2022-07-27 03:55:22

I like exercising should I stop could I get psvt while on treadmill..

Exercise while waiting for your referral appointment

by Gemita - 2022-07-27 04:37:40


You should be guided by how you feel because exercise is so good for us and if you feel well enough to do it, your heart is probably able to cope.  If however you start to get any symptoms like breathlessness or awareness of your palpitations, I would stop or at least ease down a bit until you recover.

When you meet with your EP you can ask all these questions.  Certainly you could get PSVT while on a treadmill, but you could equally get PSVT while you are resting too.  

Try not to worry and enjoy the gym as you always have.  Just remember to keep well hydrated and to take a low dose beta blocker like Metoprolol, to help keep your heart rate controlled during any PSVT episode until you see your EP for advice

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