Uaually an EKG is the medium to diagnosis of ventricular tachycardia is made based on the rhythm seen on either a 12 lead EKG or a telemetry rhythm strip. Additionally, for consideration is whether there is a past history of a heart attack (heart cell negrosis...scarred tissue does not permit electrical conduction), congested heart failure or recent angina (chest pain from lack of oxygen to heart cells). In cardiac ablation, a form of energy renders a small section of damaged tissue inactive.
How rare is it to have both supraventricular tachycardia and ventricular tachycardia. I had an ablation for the ventricular tachycardia but it appeared that I have supraventricular tachycardia. My doctor didn't tell me I had supraventricular tachycardia but when I was given the report I saw that I was diagnosed with supraventricular tachycardia and my ventricular tachycardia was gone.
When these components are disassociated, VT is the likely diagnosis because it is unlikely that the upper chambers are involve in a reciprocating tachycardia in that case. On such traces, the ventricular component (QRS) is always easy to see. The atrial component is demarcated by the p, and if it is not obscured by measurement issues, it can be used to establish whether the upper and lower chambers are involved in a reciprocating SVT.
From what I understand the strip shows monomorphic ventricular tachycardia at rate approx 190 bpm. I think the little notch is the baseline but it's hard to say from an one lead rhythm strip of this arrhythmia. One of the dangers with ventricular tachycardia is as far as I know that you don't have much of a baseline, and the baseline is when the heart fills. So cardiac output is more or less diminished.
However, it is important to understand that ventricular tachycardia (or ventricular tachyarrhythmias, that is a joint term for ventricular tachycardia, ventricular flutter and to some degree ventricular fibrillation, though almost all the time used for ventricular tachycardia) can manifest in different ways and be caused by different mechanisms, some of them almost completely benign, some of them life threatening.
Supraventricular which is a tachycardia arising in the top two chambers of the heart, Ventricular Tach which is a tachycardia originating from the bottom two chambers in the heart.
Hope this helps to shed some light on your question.
I've posted this many times before, I'm just leaving the top part in for a refresher about my symptoms and everything, the new questions and concerns I have is the very bottom part of this post. thanks
I'm a 24 yr old male. Echo, stress test, stress echo, holter, and event monitors have all been normal besides "PVC's and a 26 beat run of ventricular tachycardia at 127bpms that self terminated".
Dear Doctor;
iam 34 yrs old and before two weeks ago i got irregular heart palpation reach 234 rate per minute; this is the first time but iam type of drinking coffee and smoking hubbly bubbly.
Hello,
I'm scheduled to have an ablation in 2 weeks as well. I've lived the past yr in fear of my tachycardia acting up again. I have only had 2 episodes and just found out that I had WPW last yr. I've given up drinking caffeine, any type of alcohol, if I get a cold then I am very limited in what I can take. If I had to give up exercise in the beginning I would have had the ablation immediately because this is a huge staple in my life.
Another doctor at the practice called (my dr. was on vacation) and said I had a ventricular tachycardia showing 6 beats and prescribed me 25 mg of Metroprolol to start immediately. I asked this week for a referral to an EP doctor and I have an appointment next week with her. The Metoprolol slows my hear to the 60s when I take it at night, but my heart rate is back in the 90s-100 and 80s in the morning and all day. Is that normal?
Ventricular tachycardia is an ominous sign in patients with decreased ventricular function and others with arrhythmogenic right ventricular dysplasia (ARVD). If you have had an echocardiogram showing normal LV and RV function, most likely this is not a life threatening concern and you may only need a beta blocker ( which may be causing all of your symptoms). If not then you may need an echocardiogram and a fat suppresion MRI to assess for the presence of ARVD.
In one week I had an echocardiogram, MRI, stress test and many EKGs. My echo came back good but my stress test came back with ventricular tachycardia and my last EKG came back bad too. But I don't have my MRI results yet. I don't meet with him till march 20th. My question is how do I help calm the chest pain? It's always different like sometimes it will be stabbing or tightness or pressure but most of the time it's the stabbing one. How can I mange the pain till my appointment?
Hi, I've had issues with PVC's for a couple of years and I'm familiar with what they feel like. The past few weeks I've been feeling a chaotic fluttery beat right under my left breast. It usually lasts about 5 seconds and happens a few times a day. I had a normal echo and ecg, and the cardiologist said it's very unlikely in feeling VT, but it's probably just a benign palpitation felt in the"bottom tip" of my heart.
There are a group of arrhythmic conditions which give rise to sustained ventricular tachycardia but, in the absence of any structural heart disease or defect, are not life threatening and termed "benign". Many choose to go through an ablation procedre, while some may choose antiarrhythmic medications.
Many have RVOT-VT(Right ventricular outflow tract tachycardia) which is usaully a benign VT. I had this form of VT and was fortunate to have had an ablation procedure for it last Aug.
Ventricular tachycardia also turns on and off like a switch. Sustained (>30 seconds) ventricular tachycardia is rare without heart disease. If the heart rate gradually increases and decreases and also varies some during the event, you can be very sure that it's sinus tachycardia.
I've experienced exactly the same as you.
The link below your post goes to a doctor's explanation where he states digoxin is used to treat irregular heartbeats. I was on digoxin for a few months following my congested heart failue event. It is my understanding the medication is used to increase contractility of the pumping chambers. My medication for stablizing heart rate is a beta blocker (coreg) and an ACE inhibitor.
My research: "Digoxin is contraindicated in patients with ventricular fibrillation.
What does it feel like when it happens? A ventricular rate in the 90s doesn't seem like tachycardia. Tachy would be more like 150+ unless your resting SA node rhythm is 45 and quickly doubled to 90 because of some sort of reentry circuit. Did your doc explain the morphology of the tachy?
Positive for inducible nonsustained monomorphic ventricular tachycardia as well as inducible sustained ventricular tachycardia and ventricular fibrillation requiring defibrillation therpapy. 34-year old female. History of one syncopal episode and one pre-syncopal episode prior to diagnosis.
Thanks for any light you can shed on my condition. I was beginning to deal quite well with my ICD and heart problem, but lately have begun to worry again.
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