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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Is it normal to have mild supraventricular tachycardia in a healthy individual?

Query: Hello doctor, I am a 74 year old male in excellent health, and I am not on any medications. Recently, I had a strange chest sensation. It felt like my heart stopped or skipped, and I felt lightheaded like I might pass out. I had an EKG, echocardiogram, and a Holter test done. The EKG results were n...  Read Full »


Dr. Muhammad M. Hanif Md.

Answer: Hello, Welcome to icliniq.com. I understand you are a little worried about your heart and have been on the Holter monitor for a while. I appreciate that you have uploaded the reports in full for my consideration (attachment removed to protect patient identity).  From the fact that you are not on an...  Read Full »

How to reduce chest pain caused by high altitude in an asthma patient?

Query: Hello doctor, I am a 37 year old female with a history of asthma and SVT. I am currently at 3500 m altitude, and I am getting upper central chest pain on inhalation, which is much worse going uphill. I do not have any other altitude symptoms or shortness of breath. What could cause this? I am curr...  Read Full »


Dr. Bharat Patodiya

Answer: Hello, Welcome to icliniq.com. Chest pain could be due to muscular fatigue at high altitude. Count your pulse properly to rule out SVT (supraventricular tachycardia). Personally, I do not think it is SVT, as you appear to be stable. Check your oxygen saturation also. For further queries consult an ...  Read Full »

I got chest pain and jaw pain suddenly. Do I need to be concerned?

Query: Hi doctor, I am a 41 year old, and since the past five years, I have had some heart issues. I was hospitalized for SVT, five years back. The medications had it under control for a while, but I got older, a little bit heavier, and had some life changes, so things changed. It was also recommended that...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Firstly, I think you should upload your reports like the echocardiogram to know the severity of aortic regurgitation, and electrocardiography to know what kind of SVT (supraventricular tachycardia) it was. It will give a better idea if it is PSVT (paroxysmal supraventr...  Read Full »

My anion gap remains around 20 mmol/L. Is this bad?

Query: Hello doctor, I am a 32 year old female, and I went to the ER four days back for SVT. Apparently, my anion gap was 20 mmol/L. Is this bad? The BUN was less than 3, ionized calcium was 1.11 and low creatinine. I am freaking out as no one went over the results with me. I have had four cases of SVT ...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Firstly, low BUN (blood urea nitrogen) and creatinine levels are not a matter of worry. Normal BUN range is from 2.5 to 7.1 mmol/L. Also, ionized calcium is a bit lower but still normal. Anion gap is high, but it has got significance if you have acidosis as well l...  Read Full »

Do occasional fainting, palpitations, and increased heartbeat indicate PSVT?

Query: Hi doctor, My smartwatch has been giving me these notifications for about a month now, and each day my resting BPM has gone up to 157 to 162, and my smartwatch keeps giving me high heart rate notifications in which my heart rate has been as high as 202. Occasionally I feel faint and have had palpit...  Read Full »


Dr. Utkarsh Sharma

Answer: Hello, Welcome to icliniq.com. I understand your concern and will definitely help you regarding it. You might be suffering from what is called PSVT (paroxysmal supraventricular tachycardia). PSVT is more common in younger women and does not seem to be related to long-term health issues. Heart rate...  Read Full »

Does mild atherosclerosis cause sharp chest pain with purple foot in an SVT patient?

Query: Hi doctor,Can you please tell me the significance of mild atherosclerotic vascular calcification on CT scan aorta or retroperitoneum? I am only 38-year-old. I have normal BP and lipid panel. I am not overweight do not smoke or drink. Sometimes get sharp chest pain and purple feet independent positio...  Read Full »


Dr. Tanmai Yermal (jain)

Answer: Hello, Welcome to icliniq.com. I went through your query of chest CT (computed tomography) scan. Please upload the CT scan report. I need to know some more details about your chest pain. 1) Where is the exact location of your chest pain? 2) How long does it exist? 3) Is it on exertion or walk...  Read Full »

Do atherosclerotic calcifications cause leg pain and blue feet in a dependent position?

Query: Hi doctor,I have SVT. I have been having back pain and leg pain. I have a previous history of GERD and premature ovarian failure. I got CBC and CMP done. Can you tell me what mild atherosclerotic vascular calcification in CT scan means and if it is dangerous? Kindly guide me.  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Aorta is the largest artery in the body. It gets atherosclerotic changes over the lifetime of a person. Some have fast, and some have a slow process of atherosclerosis. Mild atherosclerotic changes are not dangerous. Every person has these changes. Some have more, some ...  Read Full »

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

Query: Hi doctor, I am a 55-year-old woman without any known medical conditions. Recently, I started experiencing cardiac episodes with faster heartbeats. I consulted a cardiologist and did some blood tests. I have attached it for your thorough analysis and review. After doing a 12 channel ECG and echoc...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hi, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). You are having supraventricular tachycardia and atrial fibrillation. As your heart rate remains high, it is difficult to differentiate between these two. Their management remains the ...  Read Full »

Should I be concerned about my bizarre episode of palpitations?

Query: Hi doctor,Earlier at work, I experienced the most bizarre episode of palpitations I can remember. I do find them to occur fairly regularly once in every couple of days. Today, however, rather than just the one small bubbling and skipping feeling, it happened in sequences shortly one after the other ...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. There are two possibilities like heart issues and even anxiety related. It is likely to be a cardiac arrhythmia like premature complexes, PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation. We first need to find out the cause, and so yo...  Read Full »

What is the cause for having an increased heart rate during pregnancy?

Query: Hi doctor, My wife is 34 weeks pregnant. She has known tachycardia and had an unsuccessful ablation at 11 years old. Around six weeks ago, using pulse oximeter I have at home, I noticed her resting heart rate had dramatically increased. It went from an average of around 100 to around 130 and 140, so...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hi, Welcome to icliniq.com. Tachycardia, which she had, was mostly probably PSVT (paroxysmal supraventricular tachycardia) or other SVT (supraventricular tachycardia), which are usually episodic in nature. So, the reading which you had of 123 was probably not due to her old heart problem PSVT, but ...  Read Full »

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