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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Light Headedness, Fast Heart Beat, Breathlessness, Anxiety. Diagnosed PSVT. Any Cure ?

four months ago,suddenly i experienced light headedness, very fast heart beat & when taken to the hosp. my heart beat was above 150...they said that it was sinus tachy due to exams anxiety as i had my exams after 4 days , i had a couple of more similar episodes with breathlessness... i had severe anxiety throughout my exams, several nights i didnt sleep at all... but even afiter my exams i experienced the same anxiety... now after four months, i m trying my best to be positive in life but i still experience tachycardia mostly after taking heavy meals... my echocardio reports were normal & one of the cardiologists diagnosed it as psvt .... pls help i m really fed up of leading this kind of life...
Mon, 15 Oct 2012
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Cardiologist 's  Response
Hi Deepshika
> It is not possible to conclude from your description whether it is Sinus or Paroxysmal Supra Ventricular Tachycardia (PSVT). There could be some clues in history - but a look at the ECG is must - especially the one during the episode.
> It is a vicious cycle - fast beats cause anxiety / anxiety causes fast beats
> Since you mention other situations - BOTH CAN BE FROM A COMMON CAUSE!? - like Thyroid (Hyperthyroidism) / adrenal (Pheochromocytoma)
> The first thing to do will be to document what you have - routine ECG
> The next step is / Ambulatory monitoring (Holter) / ECHOcardiography / Blood tests for thyroid and adrenal in addition to routine tests
> There are several more - in special circumstances - depending on the results of above

In general - it could simply be anxiety - relax - enjoy life - take things easy
See a Physician / cardiologist in the mean time - get examined, get investigated.
If the results are negative, be happy.
If they find something, nothing to worry - treatment can be properly planned and carried out

Wishing you a speedy recovery
Good luck
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General & Family Physician Dr. Shanthi E's  Response
Hi Deepshika,

Please relax; there is always a solution to every problem.

Is there a family history of heart diseases? If no, please get your thyroid function tests done as it mostly seems like a case of Hyperthyroidism with increased heart rate and anxiety, a bit of irritability.

PSVT is a probability, but it needs to be confirmed. If it is confirmed it can be managed accordingly.

But, my thinking mostly goes towards Hyperthyroidism.

Hope this helps you. Take care.
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Light Headedness, Fast Heart Beat, Breathlessness, Anxiety. Diagnosed PSVT. Any Cure ?

Hi Deepshika It is not possible to conclude from your description whether it is Sinus or Paroxysmal Supra Ventricular Tachycardia (PSVT). There could be some clues in history - but a look at the ECG is must - especially the one during the episode. It is a vicious cycle - fast beats cause anxiety / anxiety causes fast beats Since you mention other situations - BOTH CAN BE FROM A COMMON CAUSE!? - like Thyroid (Hyperthyroidism) / adrenal (Pheochromocytoma) The first thing to do will be to document what you have - routine ECG The next step is / Ambulatory monitoring (Holter) / ECHOcardiography / Blood tests for thyroid and adrenal in addition to routine tests There are several more - in special circumstances - depending on the results of above In general - it could simply be anxiety - relax - enjoy life - take things easy See a Physician / cardiologist in the mean time - get examined, get investigated. If the results are negative, be happy. If they find something, nothing to worry - treatment can be properly planned and carried out Wishing you a speedy recovery Good luck