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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Supraventricular Tachycardia?

I have been diagnosed with SVT. PVCs for the last several years. Tonight, and this has happened only a couple of other times in the past, I distincty felt my heart beat three times fast in a row and then return to the normal rate (which at the time was faster than normal). For the last year I have had palpitations every day, some days all day long. Until this past year palpitations were fairly quiet and not bothersome. I did have a 48 hour monitor months back, but, of course nothing much showed up during that time period. The three beats in a row, is this a new concern and should I consult my cardiologist again. I also had an echo at the time of the monitor and it was fine.
posted on Sun, 5 Apr 2015
Twitter Tue, 19 May 2015 Answered on
Twitter Tue, 19 May 2015 Last reviewed on
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Cardiologist,  's  Response
First of all it is not clear from your reports whether SVT was documented on ECG or not.otherwise from your history n holter reports it seems that you have tendency for benign ventricular extra systoles.best way to go for signal average ECG .this will confirm benign nature of VPCs.you should start Tab.Metoprolol 25 mg once a day .avoid smoking n coffee .try to get ECG at time of palitation and if SVT is confirmed you may need electrophysiological study.
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What Causes Supraventricular Tachycardia?

First of all it is not clear from your reports whether SVT was documented on ECG or not.otherwise from your history n holter reports it seems that you have tendency for benign ventricular extra systoles.best way to go for signal average ECG .this will confirm benign nature of VPCs.you should start Tab.Metoprolol 25 mg once a day .avoid smoking n coffee .try to get ECG at time of palitation and if SVT is confirmed you may need electrophysiological study.