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What Causes Night Time Palpitations?

Posted on Mon, 12 Oct 2015

Question: I dd not receive the answer from Dr XXXXXXX as yet.Please answer my question.I need an instant reply from Dr XXXXXXX

My Specialist Premium Direct Query to Dr XXXXXXX HEIJEBU.

Hello, Sir.I am XXXX, working in XXXXXXX I have been recently having a pounding heart.This happens at night and I get terribly afraid.My sleep is often disturbed.I met a doctor who advised me to get an ECG.I am here sending you the same report. it says SVT? What is it?Please give your valuable suggestion?Need an urgent response.

Please give me the detailed analysis of the report and your diagnosis and possible precautions and treatment issues in detail.

Thanks in advance Dr XXXXXXX hejebu.
Also please suggest me whether Arogyasri covers this problem?If yes, suitable hospital in XXXXXXX and Vizianagaram?

Answered by Dr. Suresh Heijebu (5 hours later)

Brief Answer:
Possible AVNRT variant of Arrhythmia.

Detailed Answer:
Hi Mam,

I understand your concern.

I have seen your images and gone through them in detail.

SVT is Supra ventricular tachycardia which is a form of arrhythmias. But your reports are suggestive of a different entity of Arrhythmia known as AV Nodal reentrant tachycardia.

As of now,you need only medical management.

Anti arrhythmic drugs like Calcium channel blockers or beta blockers will be advisable in your case.

In resistant case Radio frequency ablation will be the procedure of choice.

Avoid stress and anxiety.Reduce caffeine intake in your diet.

Arogyasri is covered in Indus,Care and Apollo hospitals in XXXXXXX

Post your further queries if any,

Thank you.

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Suresh Heijebu (40 hours later)

Thanks doctor.Can you tell me approximate cost of Radio-frequency ablation?

Answered by Dr. Suresh Heijebu (43 minutes later)

Brief Answer:
It is 50000 rs

Detailed Answer:
Hello Madam.

The approximate cost for RFA will be around 50000 INR.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Suresh Heijebu (4 hours later)

Ok doctor.Can you tell me is it a major operation?How many days I need to stay in hospital?

Answered by Dr. Suresh Heijebu (3 hours later)

Brief Answer:
Nothing to worry.

Detailed Answer:
Hi Mam,

I understand your concern.

Radio frequency ablation is a minimally invasive procedure.

The duration lasts for 45 min and 3-5 days stay is sufficient.

Nothing to worry.

Post your queries if any,

Thank you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Suresh Heijebu (4 minutes later)

Wil this procedure cause chest infection like pneumonia?

Answered by Dr. Suresh Heijebu (3 hours later)

Brief Answer:
This procedure will not cause chest infections

Detailed Answer:
Hello, Madam.

This procedure will not cause any chest infections like pneumonia.

This procedure is safe, brief when performed in experienced hands.

Thank you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Suresh Heijebu (14 hours later)

Thanks doctor.I visited cardiologist today.He said to use Metolar 25.Is it ok?If I use medication how long can I delay ablation?

Answered by Dr. Suresh Heijebu (1 hour later)

Brief Answer:
You can continue the drug.

Detailed Answer:
Hi Mam,

Welcome again.

Yes you can continue with Metolar 25.It is used as first line therapy in many cases.

Regular compliance with the drug and Exercise+dietary management+ frequent follow up can delay ablation to as long as 20 years.

So nothing to worry.

Post your queries if any,
Thank you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Suresh Heijebu (56 minutes later)

Thanks a lot for all your clarifications.

Answered by Dr. Suresh Heijebu (2 minutes later)

Brief Answer:
You are Welcome.

Detailed Answer:
You are Welcome.

Note: click here to Consult a cardiac surgeon online. to know the best treatment option for your heart-related issues

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar