Paroxysmal Supraventricular Tachycardia

Paroxysmal supraventricular tachycardia (PSVT) is a board term used to describe many forms of heart arrhythmias (irregular heart rhythm), where the heart beats too fast, which originates above the ventricles of the heart. The types are atrial tachycardia and atrioventricular nodal reentry tachycardia. The symptoms include palpitations, dyspnea, sweating, fluttering in your chest, chest tightness, rapid pulse, and anxiety.

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What is the reason for persistent increased heart rate?

Query: Hello doctor, My wife is 63 years old. Her heartbeat has gone up, and I got the ECG done. I have attached the reports. She usually gets on and off increased heartbeat, and it lasts for a short while. But since yesterday, her increased heart rate is persisting. Please help.  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. It is PSVT (paroxysmal supraventricular tachycardia). It is an abnormal form of heart rate elevation (arrhythmia). This can be problematic if her heart rate remains elevated for a long time. This can be an age-related problem. However, the possibility of structural...  Read Full »

Please help me to know the reason for having cardiac episodes of accelerated heart beat.

Query: Hello, I am a 55 year old woman, with no known medical conditions, and recently started experiencing cardiac episodes of very accelerated heartbeat. I have consulted a cardiologist, and was done extensive blood work, all of which will be attached for your thorough analysis and review. Upon doing a...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, I have gone through your all reports. You are having supraventricular tachycardia and it's atrial fibrillation likely from your tracings. Since your heart rate was very high, it was difficult for me to convincingly differentiate between two, atrial fibrillation and psvt which are both suprave...  Read Full »

Why does my heart rate elevate during exercise?

Query: Hi doctor,I am taking Metoprolol 25 mg and Losartan 100 mg for HBP and diastolic dysfunction. Have lost 50 lbs over the last three months by doing a cardio exercise (jogging, row, and weights) four times per week for one hour each session. During this time, the resting heart rate dropped from 70-75 ...  Read Full »


Dr. Isaac Gana

Cardiologist

Answer: Hello, Welcome to icliniq.com. Thanks for reaching out to us. Heart rate generally differs from person to person, depending upon the body size and activity level. Some persons like athletes can have as low as 40 bpm. Pulse rate can be very low, anything below 50 bpm with symptoms such as dizzines...  Read Full »

What could be the reason for strong palpitations at the age of 26?

Query: Hello doctor, I am a 26-year-old female. I am 52 kg weight with 5.4 feet height. I just want to ask what could be the possible diagnosis for my heart because I experience strong palpitations. My 2D echo says I am normal and the ECG results are the same. What could be the other findings regarding my...  Read Full »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hello, Welcome back to icliniq.com. I have seen the attachment (attachment removed to protect patient identity). Such episodic palpitations may be due to paroxysmal supraventricular tachycardia (PSVT), which occur and spontaneously resolve. They are not present every time so they may not be capt...  Read Full »

How to cure SVT?

Query: Hi doctor, I had a bad episode of SVT. It was the first major episode. The heart rate was above 200 bpm. I rushed to emergency, today is the fifth day, and still, I have tightness in the chest, shortness of breath and pain in the chest that come and go. Is this normal? I am a 30-year-old female. My...  Read Full »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. The definitive treatment is ablation of the pathway in the heart. An electrophysiology study is done to locate pathway, and radio frequency or cryoablation is done to cure SVT (supraventricular tachycardia). The symptomatic treatment before ablation is tablet Verapamil...  Read Full »

When should I seek medical advice for SVT?

Query: Hi doctor, When I was 13 or 14 years old, I was diagnosed with SVT (supraventricular tachycardia). During initial days, it would last several minutes, and by the age 15, it was down to a few seconds (10-15). I saw a cardiologist, and he said that for the age 15 the SVT was so irregular. Also, he sta...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. The episode that you described is probably an SVT episode. The warning signs are the same which you had such as sudden palpitations, dizziness, shortness of breath and chest pain, and lastly, it can lead to syncope. However, these are not directly life-threatening. ...  Read Full »

My heart suddenly starts beating fast but reports are normal. Can you help?

Query: Hello doctor,My heart suddenly starts beating very fast from the last three years. My echo and ECG are always normal. Nowadays, I can feel the chest pain and some kind of picking in my right arm. My thyroid test is also normal. I do not know what to do. Doctors here do not know what my actual proble...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. This can be cardiac arrhythmia like PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. How much is your hemoglobin? Have you ever counted your pulse rate during the episodes? H...  Read Full »

Why does my heart rate increases very fast on exercising?

Query: Hello doctor, I am 19 years old, seemingly healthy with a history of anxiety. I recently had CBC, thyroid, kidney, cholesterol, and glucose test and all came back normal so I am not anemic or hyperthyroid. For several years, when I go from sitting to standing my heart rate increases to about 110 an...  Read Full »


Dr. Hafiz Muhammad Hassan Shoukat

Family Physician, General Practitioner, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. As you are concerned about this HR (heart rate) being atrial fibrillation or atrial flutter or SVT (supraventricular tachycardia), first, HR is usually more than 130 to 140 in these conditions, especially in SVT. Secondly, these disorders do not have any specific relati...  Read Full »

What does an irregular heartbeat mean?

Query: Hello doctor, Just tonight I started having an irregular heartbeat. I have no other symptoms. I am not weak or dizzy or lightheaded. It has been going on and off for about five hours.  Read Full »


Dr. Mahmoud Ahmed Abelrahman Abouibrahim

Internal Medicine Physician, Family Physician, General Practitioner, General Medicine Physician

Answer: Hi, Welcome to icliniq.com. I understand your concerns. Your symptoms are most likely due to heart arrhythmia most likely AFib (atrial fibrillation), the most common arrhythmia which causes palpitations and may be completely asymptomatic. The other possible causes include SVT (supraventricular tac...  Read Full »

Why is the heart having rapid, uncontrollable pounding?

Query: Hi doctor, I am 24 years old, and my heart is having episodes of rapid, uncontrollable pounding which is giving me shortness of breath and faintness. This has only started recently with my first episode giving me tunnel vision. What should I do?  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. This can be a cardiac arrhythmia like PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes, and one has dizziness, fainting, blackouts, some...  Read Full »

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