There are 2 lines of treatment:
1) Short term.
2)Long term.
Short-term medical management
* When SVT is not terminated by vagal maneuvers, short-term management involves intravenous adenosine or calcium channel blockers. Adenosine is a short-acting drug that blocks AV node conduction; it terminates 90% of tachycardias due to AVNRT or AVRT (Pieper, 1995; Campbell, 1997; Connors, 1997; Etheridge, 1999; Trohman, 2000). Adenosine does not usually terminate atrial tachycardia, although it is effective for terminating SNRT (Pieper, 1995; Campbell, 1997; Connors, 1997; Gold, 1999; Trohman, 2000). Typical adverse effects of adenosine include flushing, chest pain, and dizziness. These effects are temporary because adenosine has a very short half-life of 10-20 seconds (Siberry, 2000).
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* Other alternatives for the acute treatment of SVT include calcium channel blockers like verapamil, diltiazem or beta-blockers like metoprolol or esmolol. Verapamil is a calcium channel blocker that also has AV blocking properties. Verapamil has a longer half-life than adenosine and may help maintain sinus rhythm following the termination of SVT. It is also advantageous for controlling the ventricular rate in patients with atrial tachyarrhythmia.
# Long-term medical management
#
* The choice of long-term therapy for patients with SVT depends on the type of tachyarrhythmia and the frequency and duration of episodes, symptoms, and risks associated with the arrhythmia (eg, heart failure, sudden death). Evaluate patients on an individual basis, and tailor the best therapy for the specific tachyarrhythmia.
* Patients with PSVT may initially be treated with calcium channel blockers, digoxin, and/or beta-blockers. Class IA, IC, or III antiarrhythmic agents are used less frequently because of the success of radiofrequency catheter ablation (Pieper, 1995; Campbell, 1997; Connors, 1997; Levy, 1997; Reimold, 1997; Gold, 1999; Siberry, 2000; Trohman, 2000). Consider radiofrequency ablation for any patient with symptomatic PSVT in whom long-term medical treatment is not effectively tolerated or desired. In addition, because of the risk of sudden cardiac death, perform catheter ablation on patients with symptomatic WPW syndrome. Radiofrequency catheter ablation is more than 90% effective in curing PSVT (Ganz, 1995; Pieper, 1995; Xie, 1998; Trohman, 2000; Ganz, 2002).
* Radiofrequency ablation involves focally ablating the crucial component of the arrhythmia mechanism. For example, in AVNRT, the slow pathway is ablated, which prevents the reentry cycle. The accessory pathway is targeted in patients with AVRT. Focal atrial tachycardia, atrial flutter, and, in some cases, AF can also be cured with ablation. Radiofrequency ablation has a high success rate and is performed using conscious sedation in an outpatient setting or with overnight hospitalization. Complications, which occur at a rate of 1-3%, include deep vein thrombosis, systemic embolism, infection, cardiac tamponade, and hemorrhage. The risk of death is approximately 0.1%. The lifetime risk of fatal malignancy as a result of radiation exposure is low.
*
* Radiofrequency ablation is cost-effective for patients who have frequent episodes of SVT that require antiarrhythmic agents and frequent emergency visits. It is also indicated for patients with incessant tachycardia and for patients with symptomatic WPW syndrome. The optimal management strategy for patients with asymptomatic preexcitation syndromes remains uncertain.
2007-05-27 07:08:04
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answer #1
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answered by Dr.Qutub 7
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I took beta blockers. My doctor prescribed them for anxiety. I had no side effects at all. Reading on the internet, some people said they felt tired or had less energy, but I felt no different at all. If you have heart palpitations, you should try the medication. The did slow down my heart rate when I was in a situation that made me nervous. I'm 27. The doctor first prescribed me atenolol which is fairly long lasting and only needed to be taken one a day. Now, since I don't feel I need to take the medication on a daily basis, I have been prescribed propranolol. It lasts only about 4 - 6 hours and I only take this when I feel like I will need it. You could give them a try and see how you feel on them. If you have any side effects, let your doctor know. I had no problems and was able to exercise daily with no loss of energy or shortness of breath. They've been around a long time and are very cheap.
2007-05-26 16:50:40
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answer #2
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answered by DTott 5
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2016-09-13 05:06:54
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answer #3
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answered by Pierre 3
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Hi my name is Alan I had rhumatic fever age 9 and blew out my Mitral valve I was very lucky to survive and 44 years later I'm still around. The hart uses two types of adrenaline Alpha and Beta Alpha is used by your hart muscle to keep fireing when no simulation is applied this lets your hart beat at rest the drugs to control Alpha Adrenaline are Ace Inhibitors. Beta Blockers are for controlling beta adrenaline this is produced to help you jump over gates and run the mile. Palpitations result from beta adrenaline production when you not doing anything strenuous.
Ive been taking sotocor (sotalol) for 6 years. I have had atrial fibrillation for 40 years and palpitations are cool. I had a great specialist as a kid and he used to tell me things like there's no point people telling you to relax when your lying in bed and your hart is belting around. Breathing exercise was how I delt with palpitations 44 years ago and they don't seem to go away.
I went to see a hart specialist 30 years ago and he said have lots of holidays don't waste your life working. I did that lots of traveling around the world climbing mountains and almost drowning a lot because I've never been a good swimmer and never let that stop me from going in. Lots more traveling then I worked and got married again had more kids.
About 6 years ago I had a seizure and started going to Royal Melbourne Cardiac Clinic. The staff were doing test on me and I was having palpitations and atrial fibrillation afterwards so I contacted the Specialist at the clinic and told them I would not continue if they didn't have a chemical means of controlling the results of the test..
I was prescribed sotolol 1x 80mg tablet that I break in half, take half at least 2 hours after food and the next half when I wake up in the night with my hart belting away. I found beta blockers work really well for the first few months then they still work but not as well.
The side effect are strange enhanced 3D dreams most of the time I enjoy them some times they are scary but I'm a big boy now and as long as things are dreams I can handle them,
When I was 9 they gave me Pheno - Barbitone and I had to lie around in hospital for a year. Two bigger girls came in with the same condition Rheumatic Chorea but no one else survived. I was told that I wouldn't live passed 50 I had a Mitral Valve replacement 4 years ago at 49 and I still take my 80mg sotollo / sotocor. The most important thing about taking Beta blockers is to take them properly. You should ask your A hart specialist or me what to do don't take them with food or other pills.
2007-05-26 18:18:14
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answer #4
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answered by clapper 4
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Taking Beta blocker r safe in case of heart palpitation they regulate the heart rate & usually does not have any side effects & r toleraed well. But If U have SVTThen if it is paroxysmal means on & off then calcium cannel blocker like isoptin is much better. U can have ablation surgery also for compete relief.U should cosult a crdiologist before starting any medication.
2007-05-26 17:53:14
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answer #5
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answered by Anonymous
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I was prescribed beta blockers for my blood pressure when I maxed out on ACE blockers. The only side effect other than my pulse slowing down from an average of 89 to 72 and my blood pressure going down to normal range is I get tired and want to take a nap in the afternoon. Some people that have a fear of public speaking take them to get over the feeling of fear caused by a racing heart.
Heart problems are seldom cured, just controlled.
2007-05-26 17:03:52
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answer #6
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answered by RomeoMike 5
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I have had beta blockers for 5 days and I have to ask my cardiologist to take me off it. I have had SVTs and the beta blocker did not help at all. I had really bad side effects. I have had chest tightness, shortness of breath and I didn't feel well at all. My cardiologist changed me to calcium channel blockers. I have had it for a month. I also asked the doctor to take me off it because of the never-ending fatigue and I can't go on with my work (I am a nurse) because of this.
I am not on any medications at the moment. I haven't had an episode (SVT) for almost 2 years now since my last one. I am very particular with what I eat and drink. I make sure that I don't have caffeinated drinks and food. I also make sure that I sleep early. I have also avoided having alcoholic drinks and I don't smoke. I am not doing any recreational drugs (which can brought on SVT).
2007-05-28 14:51:20
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answer #7
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answered by daniella 4
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I took beta blockers for heart palpitations for about six months. They did nothing for the palpitations, and caused no side effects, and I am very sensitive to medication. Of course, this doesn't mean you won't have side effects.
2007-05-26 16:45:41
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answer #8
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answered by anna13 4
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Don't be scared to take the Beta blockers - I was too- and I feel 100%better! I have a sinus tachycardia and felt awful. I awoke with palpitations and that was bad too. I was put on 50mgs morning and night of atenolol- and I feel tons better! This happened immediately. You may feel a little tired but that is normal until your body adjusts. I still have my weekend happy hours with my husband and that can have an adverse reaction to the atenolol but I watch my intake. I have been on atenolol for over two years now and can honestly say that I feel better. Don't worry you will feel better and be fine.
2007-05-27 08:12:11
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answer #9
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answered by Anonymous
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Cure For Palpitations
2016-12-11 19:50:01
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answer #10
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answered by degennaro 4
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If I were you ? you do whatever you want .. I've seen it before as a 1st responder , I dont wanna go to the hospital, It just costs money , but everytime you get a twinge You call 911 requiring us To respond as if its an emergency , and You tell the dispatcher No Lights and sirens as if I am going to listen to you tell me how to deal with liability issues .. then you dont wanna take your medication.. I've been taking My own Medications including Various Beta blockers, My Cardiologist has them so screwed up increasing them that I went to get a specific non related Physical and that PA said MY Pressure was lower then its ever been In My life...The issue is without taking the drugs guess whats gonna Happen... YOUR BP is gonna go up and in a case like yours the blood begins to clog up again.... Don't "do whatever you want" discuss options with your cardiologist Your Heart May be fine at the moment, I wouldnt be trusting Yahoo answers OVER My cardiolgist
For the best answers, search on this site https://smarturl.im/aDBQG
2016-04-14 01:29:22
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answer #11
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answered by Anonymous
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