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Afib and VT questions
Hello All, My first post....So, during the last 20 years I have had 4 ablations for AFIB. I am 54 years old. I had a loop monitor implanted two years ago in my chest. I have had very few episodes of AFIB since having loop monitor installed. Once, almost 1 year ago, I was in AFIB for 14 mins and didnt even know it. So approximately a month ago I was walking in yard and suddenly became short of breath and very dizzy. I sat down and in less than a minute it went away...Within the hour my cardiologist was calling my wife and I....he stated that I had a "serious cardiac event" and should be seen in his office ASAP. Once there I was told I had a ventricular tachychardia event - something Ive never had befoe - that I know of....Within the week I had a nucleur stress test, echocardiagram and and EKG...The EP doctor conducting tests did not seem so concerned, my cardiologist seemed more concerned....I then had a cardiac MRI...all tests came back negative, no blockages, no underlying heart conditions...I do have high BP and take two medications, I am overweight and have COPD...Anywaty EP doc calls me and says every test looked good we will continue to do what we've been doing (which is nothing besides quarterly appt with cardiologist and loop monitor)....great. So yesterday, I go to my primary care physician...for an unelated matter, nothing serious. While there he asks why I had a cardiac MRI? when I told him about the VT episode he got very, very concerned and said that he does not think I should just "continue what we've been doing"...He suggested that I get another opinion and at least have an EP study done...Over the pat 20 years Ive had 4 of these as well...This doctor who has treated me for a couple of decades was adamant that I do not settle for lets wait and see....so I guess my question to all is...can you have survive a VT event and never have another? If so, does this happen more often than not? I must also infor m you that I cannot take antiarrythmia medications, beta blockers, calcium channel blockers, etc due to my COPD....any thoughts on this scanrio? Anyone have a similar experience with AFIB and VT? any advice, comments, suggestions would be greatly appreciated. JIM
TessC, September 21, 2020 2:37pm EST
Sorry you must be here, JIM. Your cardiologist sounds like he took the event you had seriously and did the right things and sent you to have tests. I'm glad they are normal, but just to be told that is not always reassuring. I was told I had had a SVT event and had many of the same tests you did, and was also told my heart was structurally normal, but I was still anxious about my heart. So I did quite a bit of research online of the various heart issues and found Dr Sanjay Gupta of York Cardiology's videos to be very informative and presented in layman's terms. Check out his video, Non sustained Ventricular Tachycardia (NSVT). I have HBP and asthma so I also cannot tolerate beta blockers, so I've had to get rid of the triggers for my SVT which include no caffieine, no alcohol, keep well hydrated and drink electrolytes, no eating after 6pm and I take magnesium.
I think you have good doctors and of course following their advice is important. I hope others who have the same issue as you will soon read your post. And I hope you will soon find the best course that will help you the most.
AHAASAKatie, September 22, 2020 9:33am EST
AmbassadorDN, September 29, 2020 6:39pm EST
Others here have given you good insight and advice. I have also had V-Tach and A-Fib, and I still struggle with premature ventricular contractons (PVCs). In fact, I just got off the phone with my electrophysiologist for my belated check-up.
My advice as a person who has dealt with arrythmia my entire life (I was born with a congenital heart defect, so there's that): Ask your GP for a referral to an electrophysiologist (EP). While a cardiologist deals with the "plumbing," your EP is your "electrician." Allow the EP to guide you in best treatment(s) for your arrythmia. An EP study may be in order so the doctor can gauge the severity of your heart rhythm issues. I have had a few EP studies as well as cardiac ablations to try to "zap" the arrythmia. You can learn more about cardiac ablations here. It is a medical procedure to basically get rid of the electrical impulses that are causing the abnormalities in your rhythm.
Meanwhile, take care of yourself and let us know if you have any questions or concerns.
To Heart and Soul Health,