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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Developed A Sudden Run Of SVT, Chest Pain, After Nitro, ASA, Lovanox EKG Normal. Should I Take Stress Test ?

I am an RN and was at work and developed a sudden run of svt. I work in the or and had a quick ekg which diagnosed it as svt 179bpp. I had chest pain and was taken to the er. I was in svt for about 30 min, then converted back to nsr.
I was given nitro, asa, and lovanox. the second ekg was regular. Im a healthy 42 yo female with all tests (labs normal) I stayed in the hospital overnight for monitor and nothing else happened. The echo also turned out ok. No cold medications, no caffene, just dont under stand it. I was sent home with nothing else done. Should I have a stress test? or anything else at this point. The anesthesiologist that helped me seems to think it needs to be worked up more.
Mon, 15 Jul 2013
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Radiologist 's  Response
Hi,
Thanks for writing in.

Following a sudden onset of SVT and no other serious abnormality after an overnight hospital stay may require further investigation to confirm it as a trivial occurrence.

You might have heard of Holter monitoring where a device records the EKG findings of a patient through complete 24 hours and then any slight transient variations are highlighted.

This investigation may be of help to you and rule out any possibility of subsequent events in future.

Hope this helps.
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Developed A Sudden Run Of SVT, Chest Pain, After Nitro, ASA, Lovanox EKG Normal. Should I Take Stress Test ?

Hi, Thanks for writing in. Following a sudden onset of SVT and no other serious abnormality after an overnight hospital stay may require further investigation to confirm it as a trivial occurrence. You might have heard of Holter monitoring where a device records the EKG findings of a patient through complete 24 hours and then any slight transient variations are highlighted. This investigation may be of help to you and rule out any possibility of subsequent events in future. Hope this helps.