29 year old girl, history of pre syncope and PVCs since childhood,but professional athlete, affected carditis in 19 years of age , with no structural sequel, but increased episodes of arrhythmia mainly very frequent PVCs and episodes of SVT. EF around 50%. pericarditis in 22 years of age followed by severe decrease in functional class despite good EF and increased presyncope and syncope during exercise...now suffering with episodes of tachycardia which only increases to 150bmp but severe dyspnea, intolerant of exhaustion , least exhaustion brings on sinus tachycardia lasting for hours, despite good hyderation. also increased need to beta blocker, (Metohexal), increased resting rate despite medication and recently getting acrocyanosis post exercise. thank you