Suggest Treatment For History Of Supraventricular Tachycardia And Cardiac Ablation

Posted on Tue, 13 Jan 2015

Question: I am a 27 year old female with hx of svt and cardiac ablation in 2006. since I have had pvcs and pacs as seen on holtors. some days I have a few other days hundreds.
I got the stomach. flu two days ago and have had increased skipped beats or palpitations since. I went to urgent care earlier and they basically said you have stomach virus keep drinking Gatorade and after I asked they did blood work for magnesium and electrolytes. they said the test results would not be back until MONDAY or TUESDAY! Should I go to er or is it ok to wait Just worried bc I am having so many palpitations. want to avoid er due to waiting long times and exposure to flu and other things. please help...

Answered by Dr. Pankaj Borade (1 hour later)

Brief Answer:
A possible electrolyte imbalance

Detailed Answer:
Hi,

Thanks for your query.

I understand you have been operated for Svt and having missed pvcs and pacs currently. There are also flu symptoms that you are having.
Considering this information it appears that you are having an electrolyte imbalance that is caused due to your stomach upset, it it the imbalanced electrolyte levels that are causing arrhythmias and missed beats.
I suggest an urgent electrolyte level assessment as already done by you.
Any fluctuations in the potassium and magnesium levels can cause arrhythmias, and needs an urgent correction.
If any symptoms of dizziness or chest pain refer to emergency care urgently.
It is advisable to continue the prescribed treatment and follow the instruction if your treating doctor and wait for the electrolytes levels.

Let me know the results.
Thank you,

Regards,
Dr Pankaj Borade

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Pankaj Borade (12 minutes later)

so if mold change in palpitations or no other symptoms it is ok to wait for results? pvcs feel so scary and cause me so much anxiety

Answered by Dr. Pankaj Borade (5 minutes later)

Brief Answer:
An hospital admission can be discussed

Detailed Answer:
Hi,

Palpitations or anxiety with missed beats can be suggestive of underlying arrhythmias, it being a serious unstable condition it is always better to be on safer side. Therefore an hospital admission for a day or two can be advisable and should be discussed with the treating doctor.

By the time report are available a continuous monitoring of ECG and observation is suggested.
Do discuss this with the treating consultant.

Welcome for further queries. and with results of the test.
Thank you
Dr Pankaj Borade

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Above answer was peer-reviewed by : Dr. Raju A.T