Diagnosticado com SVT e está controlando minha vida. Devo fazer a cirurgia de ablação?

Hi!

I was wondering if any of you had figured out how to help manage your svt? I'm 23 and they finally captured an episode when I was wearing the event monitor a few months ago. I've tried taking beta blockers but I hate how they make me feel. My doctor mentioned the ablation surgery because svt has been completely controlling my life. I used to be very active playing multiple sports, volleyball, softball, running, going to the gym mutple times a week and now I'm terrified to do any of it because exercise tends to trigger my svt. Especially things like squatting or anything that has quick movements. I'm also a little skeptical of the surgery because I heard it can sometimes cause symptoms to be worse and since I'm only 23 I don't know if I want to risk that. Any advice would be great.

Oi Amy,

Eu simpatizo, pois sofri de TASS por cerca de 30 anos e nunca consegui controlar os ataques, que eram aleatórios e eu não conseguia identificar nenhum gatilho para eles - na verdade, eles tendiam a acontecer quando eu estava apenas sentado relaxando. Fiz uma ablação há um ano e não tive nenhum desde então! Portanto, eu a recomendaria para você, especialmente na sua idade, pois você quer ser capaz de viver uma vida plena e não ter medo de fazer coisas o tempo todo.

É muito seguro, você pode ser avisado de que é possível destruir o mecanismo regulador do seu coração e, então, precisaria de um marcapasso instalado, mas isso é muito raro e um cardiologista saberia se o local que ele estava queimando estava muito perto e congelaria em vez de queimar, o que é mais seguro. Você poderia controlar o TASS com bloqueadores beta, mas você realmente quer tomar medicamentos pelo resto da vida?

Se você quiser mais informações sobre o procedimento para ajudá-la a tomar uma decisão, estou feliz em ajudar. Boa sorte!

Com 23 anos você é jovem demais para viver com isso pelo resto da vida. Os episódios provavelmente ocorrerão com mais frequência e maior intensidade à medida que você envelhece. Lidei com isso durante toda a minha vida, mas quando completei 50 anos, tornou-se muito difícil de gerenciar e definitivamente estava interferindo na vida em geral. Decidi fazer o procedimento e me pergunto por que não o fiz antes. Fiz a ablação há 4 meses e não poderia estar mais feliz. Sem arrependimentos. Faça se estiver afetando sua qualidade de vida como parece. Espero que você faça isso mais cedo do que tarde. Boa sorte.

Thank you for your reply! Did you ever try beta blockers? I tried them for a few months but felt pretty terrible on them. Very tired and weak all the time. Which is why the doctor mentioned the ablation since I wasn't responding well to the medication. How did you feel after the surgery? And why did you wait so long to do it? I really appreciate you taking the time to respond

Thank you for your reply! When did you usually feel your svt? At rest or exercise etc? Did you try beta blockers before doing the procedure?

Eu tomei propanolol quando tive um ataque, mas mesmo assim eles duraram mais de uma hora. Sem medicação, eles duravam o dia todo. Nunca tomei bloqueadores beta o tempo todo porque meus ataques eram tão aleatórios, às vezes duas vezes por semana e depois meses de intervalo. Ficava completamente exausto no dia seguinte, mas não acho que fosse apenas por causa do propanolol, mas pelo ataque em si, porque a frequência cardíaca chegava a cerca de 220 bpm.

​Não me ofereceram a ablação antes porque nunca consegui capturar um ataque no monitor. Nunca aconteceu quando me deram um, no final me deram um monitor para usar quando necessário e finalmente capturei um e a operação foi sugerida. Não funcionou da primeira vez porque o cardiologista não conseguiu desencadear um ataque durante o procedimento - isso acontece às vezes e é por isso que você tem que estar acordado ou tudo para. Fiquei tão decepcionada! No entanto, tentaram novamente alguns meses depois e funcionou. Depois, me senti cansada por alguns dias e tive palpitações ocasionais, mas tudo se acalmou em algumas semanas e desde então está tudo estável.

​Espero que isso tenha ajudado a tranquilizar sua mente. O procedimento em si não é doloroso, você será sedado, é um pouco desconfortável e você tem que ficar deitado imóvel por 4 horas depois para evitar sangramento na virilha, mas realmente vale a pena para recuperar sua vida. Espero que você decida seguir em frente e tudo dê certo.

Hi Amy. I was on several different meds to prevent SVT over the years but the ones that worked best also tended to make me feel most ill. Like you, I too often felt faint and weak and nervous. Eventually, I disliked the side-effects so much, and found it so difficult to function normally, that I stopped all meds and tried to cope with more frequent SVT instead. 

Five years ago I had an ablation that cured my SVT completely. No meds since, no Cardio visits, nothing.

I didn't realise how much a prisoner of SVT I had become until it was gone. I missed out on some important parenthood stuff because I was afraid to do lots of things that would have taken me outside my comfortable distance from a hospital. 

They will not offer you an ablation unless they consider it a very low risk and very high success rate procedure in your particular case. 

The ablation procedure is no big deal. I remember it as being no worse than just a single SVT episode.

I couldn't recommend it more, especially to someone of your age. 

Go for it 

 

Hi Amy,

I was on beta blockers prior to my ablation. They made me feel just awful/  My heart rate was very low, and I had absolutely NO ENERGY. Just felt like a zombie.

I then went for the ablation, but it was unsuccessful due to not being able to locate irregular circuit.  I was very anxious prior to the ablation.  It was disappointing not being seccuessful, but the EP Specialist thinks it was because of the anxiety medications I was on.  I am in the process of weaning off the meds, and will diffently go for a second one. For sure.

I did not go back on the beta blockers after that.  No way do I want to feel like that again.

I am excited to be able to go for it a second time

You are way to young to have to deal with this when you can try to have it corrected. My AVNRT started late in life, so I have only been dealing with it since Fev / 16

Wouldn't it be wonderful to not think about it ever again?    Go for it!!!!

I've had SVT for over 20 years (and I'm only 31).. I was offered an ablation when I was first officially diagnosed at 16.. I said no because I was terrified and to be honest it didn't affect my life except for when I was having an episode. As I've gotten older and especially after having kids, my episodes have become worse. I usually only have a few episodes a year but they are much more severe and harder to stop. Also, every day I have terrible palpitations and little things like laying in bed can make my heart beat funny. So in May last year I decided to go on the waiting list for ablation.. I finally got my turn in Feb this year.. unfortunately during the procedure I went into afib and for some reason I didn't respond to the sedation (even though they gave me a truck full) so it was not safe to shock me back into normal rhythm and continue so they had to stop the procedure. I'm waiting for my second attempt which will be under general anesthesia. Unfortunately it has been scheduled and cancelled twice in the last month (very frustrating) and I spent a week in hospital recently because I had over 20 episodes of SVT in one day which they could not stop. And also an episode of afib the same day. so hopefully sometime in the near future I will be SVT free.. but I recommend u try, even though I'm not cured yet, wish I had made this decision earlier because my quality of life over the past 5-10 years has not been great. I've spent too many good years letting SVT stop me from living. If it's already affecting u this way then chances are it will only get worse. Good luck with whatever u decide!

Thanks so much for your reply! what was the cause of your svt symptoms? and what tests did you have done prior to your surgery? I've had an echo and stress test as well as the event monitor which is what found it but I cant help but be concerned theres something else going on especially since mine only happen during exercise. I have an appointment with my cardiologist tomorrow so I'm going to discuss if he thinks there should be any more tests done prior to meeting with the electrophysciologist. How was your recovery from the surgery?

Hi again. SVT triggers and symptoms vary quite a bit from person to person. My most common trigger was nothing at all, just relaxinf. After that the most definite (and common until I realised it) was caffeine, even decaff. Next was sudden bending/gravity (possibly what you call 'exercise'?). Next was a delayed reaction to mental or emotional stress (usually a day afterwards).

Had every test under the sun. Heart otherwise very healthy. Didn't show up on a mobile event monitor. Eventually caught in A&E.

If you've definitely got SVT then I doubt there are many or any other tests worthwhile apart from confirming that your heart is physically fine (which it should be). 

p.s. please be careful whose advice you choose to trust on fora like this (including mine!). It might be possible some poor souls sometimes use places like this to try to address irrational stuff, whick is okay, but they can encourage unreasonable and detrimental fear in bystanders.....

 

Hi Amy,

I am also 23 and had my ablation 2 weeks ago. For 3 years I let it control my life, I didn't drink alcohol, go out, do anything normal without having that fear in the back of my head that an episode might come on. I finally plucked up the courage because I thought I cannot live like this anymore.

2 weeks later I cannot even describe the feeling of how free I feel and that I can actually do things. I'm not scared I'm excited to live my life again. You have to do what you think is best but I reallllly advise you to have the surgery because you don't want to live the rest of your life worrying, anxious,m or being restricted to do anything.

You will be fine it really isn't as bad as what your imagination is telling you! X

Hi Hannah,

So happy to hear you are doing well.  Good for you

I totally understand I just graduated college and a lot of times it definitely slowed me down and made me hesitant to do certain things with my friends. I also worry that my lifestyle during college may have brought out the svt symptoms /: Idk if thats possible but there was definitely a lot of drinking not so good eating the first two years etc. I actually lost a lot of weight in college due to not eating enough so over the last 6 months I've really been trying to treat my body better. I'm defintiely thinking about doing it just because of how much in controls everything I do and I'm so tired of being worried about being active and exercising. I appreciate your comment and I'll keep everyone posted if I decide to do it  

Hi Amy, i also live with SVT - and the most useful thing for me was an instruction given to me by a paramedic during an episode - he told me to blow on a pen real hard - like when you try to blow up a balloon and it won't go! You know what I mean! It resets the Vegus nerve and stops the SVT. Changed my life! As soon as an episode starts, I do it, and it stops. I didn't want the medication or the surgery. I know the triggers that set me off - too much alcohol, stress (usually the day after) and too much caffeine. I have always been an avid herbal tea drinker so often not an issue - but I like a glass of wine! Hope that helps! He also said, if it didn't work; then plunging your head into ice water also does the trick! I've not tried that one! Lol hope all improves for you x

Hey Amy,

I don't know if you decided to have the ablation or not, but I figured I would share my story with you to help in your decision. I was diagnosed with SVT when I was 18 and had my first ablation shortly after. The way my SVT presented I had to go through surgery awake and my first one lasted 6 hours. They burned several places and thought it was a success. Six months later we find out I still very much have something going on. I opted for a second surgery, because the medications & SVT were not allowing me to live the life I wanted. Second surgery, I was awake for this one as well. It lasted 10 hours and showed to be successful. I had no issues. I started working out like crazy, doing insanity with a group of friends. I felt fantastic. I got pregnant a few months after I turned 21. The SVT returned, I had to be hospitalized at one point. I have a fantastic electrophysiologist, he found a med combo that got my condition under control where I had a healthy pregnancy and baby. Although, I had to be closely monitored. The SVT stuck around after delivery & resulted in a third ablation at 23. This procedure was also done awake & lasted 10 hours. Surgery was a success, I have had another baby since then & no recurring SVT. My second pregnancy I was diagnosed with POTS, but it subsided after delivery. Going through all that was worth it in my opinion, because the quality of life is so much better. I am able to be physically active & keep up with two munchkins. If you have any questions I would be happy to answer them. I am most definitely not a professional or claim to know all, but I can give you some insider pointers regarding surgery and the like. Good luck & I hope all goes well for you!

Definitivamente vá em frente com a ablação! Melhor decisão que já tomei. Foi fácil, indolor e eficaz. Mudou minha vida!

hey! i was about the same age when i was diagnosed and also had the ablation however during the surgery they couldnt locate where it was kicking off from so couldnt fix it.

I have heard great success stories so i wouldn’t be afraid as the alternative is suffering though it however of course you want to make an informed decision.

I also just wanted to check in on how you are doing because i am the same. i go to the gym and workout but defo things like squats make my heart rate shoot up then i have to take breaks and of course its very scary in the mean time.

I am slowly getting back into walking as i have been out of the gym for 2 months and hoping just general healthier activities will help.

Just wanted to see if you had any development and if anything has helped with your exercising predicament.