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Transient episodes of tachycardia


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21 replies to this topic

#1 DwayneEMTP

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Posted 16 November 2012 - 07:00 PM

Hey all,

So, twice during the last week I've had single instances of transient episodes of tachycardia that have awaked me during the night. They were about 5 days apart or so.

(Disclaimer. No opinions given here will be considered advice, nor will change the course I choose to follow regarding this issue. This is posted for educational and discussion purposes only.)

I awoke to feel my heart pounding, was a bit flushed. Though not diaphoretic, I had that prickly feeling in my face and arms that seems to precede it. Slight dispnea, no chest pain or pressure, slight dizziness, but I'm unsure if that was from physiology or from anxiety over the episode.

My pulse rate would run up to around 130, pulse bounding, I was very cardiac aware so unsure if there was anything unusual there or if my attention made it seem that my heart was beating harder than usual.

The first episode lasted (not timed, my 'feeling' only) maybe 4-5 mins with me kind of freaking, (breathing slowly, trying to stay calm) out before it occured to me to try and v/v (vasovagal) it down, which I was able to do by holding my breath and bearing down. Rate quickly (15-20 secs) dropped to around 80 (baseline is 60ish), stayed there for "a couple of minutes" and then over approximately a minute and a half to two minutes crawled back up to the 130's. I was again able to v/v back down. I v/v four or five times over, what Babs tells, me was a half hour or so before things seemed to settle down and stay put.

The second episode was more or less the same though the duration was approx. 15 minutes this time. Was able to mitigate several times with carotid massage. (It was interesting to try these techniques on myself. It finally occurred to me to have Babs get me a cold towel for my face to see how that compared, but the issue didn't repeat for me to try it. Though it will be on the top of my list for next time.)

No other s/s that I'm aware of surrounding these episodes or in daily life.

49 years old, 6'/220lbs, asymptomatic during regular exercise, lifetime smoker, no significant previous medical history, no n/v, chest pain/pressure, has regular physicals/ECGs due to work, no illegal drug use, no prescription meds, Melatonin periodically for sleep, but not on these occasions, OTCs periodically for head/backache, baseline vitals P 60ish, BP 126/74, RR 12ish with no history of respiratory issues, no recent illness, no unusual stresses.

It did kind of feel like times gone by when I'd have an anxiety attack, but there was no tachypnea and controlling my breathing didn't seem to mitigate the issues in any way.

So what do you think? I've googled it and visited my favorite med pages and can see where this is sometimes caused by meds, which don't apply here, and other times by cardiac blocks, though that usually causes more regular and persistent symptoms if it causes any....It's curious...

Dwayne
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#2 Curiosity

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Posted 16 November 2012 - 07:23 PM

Electrolyte imbalance (poor diet), stimulants (caffeine), smoking, stress

Those were the causes given to me by my doc for the frequent PVCs I was getting. I would suddenly feel like my heart was going to explode out of my chest. I sometimes find myself with a sudden spike in hr to around 120. Usually happens later in the day after a coffee and smoke diet though.
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#3 Kiwiology

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Posted 16 November 2012 - 08:48 PM

Clearly it is the stress of not having come to New Zed and had a BBQ with us ... well its kinda rainy here this weekend, might want to come next week.
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#4 Arctickat

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Posted 17 November 2012 - 01:42 AM

Get back to the jungle, you're in withdrawl.
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#5 island emt

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Posted 17 November 2012 - 04:15 AM

Were you home in bed with your wife instead of a PNG sheep??? :-}

Just kidding

It sounds like time to see the doc and describe the S&S and possibly a holter monitor for a couple days to see if it can be captured.
49 is NOT too young to have cardiac issues. Not something to fool around with.
Make the appt NOW
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