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SVT (supraventricular tachycardia) and Cardiac Ablation

Posted on 11/1/24 at 9:31 am
Posted by GeauxldMember
Member since Nov 2003
5435 posts
Posted on 11/1/24 at 9:31 am
I’m 50. I was diagnosed with and have had short bouts of this in the past, which freaked me out, initially, but were determined not to be anything to be overly concerned about. Over the last several months, the episodes have become more frequent and in a couple of instances, longer (>1 minute, with some light-headedness and a metric frick ton of anxiety to follow ). Cut out caffeine; cut out alcohol, but didn’t really see any difference.

Cardiologist gave me a 7 day monitor, and determined the rhythm was sinus and still nothing to be overly concerned with, but recommended 50mg metoprolol. I tried this for a few months and it seemed to somewhat reduce the frequency of the episodes, but it kept me sluggish to the point I didn’t want to exercise or be very active.

After I had the longest episode yet a few weeks ago (~2 min), I saw a Electrophysiologist, who recommended moving me to Verapamil 120mg, or possibly cardiac ablation.

Opted to try the Verapramil first, and feel much better, but now I’m getting these SVTs pretty much every other time I’m exercising or getting my heart rate much over 120. So, I’m now considering the ablation vs living with this shite.

Anyone on the board have experience with the procedure, good or bad, and could offer feedback. TIA
Posted by Clint Torres
Member since Oct 2011
2832 posts
Posted on 11/1/24 at 9:54 am to
Call Dr. Nassir Marrouche in New Orleans (Tulane) and schedule an appointment to discuss. He is a world renowned clinician and researcher.
Posted by Ingeniero
Baton Rouge
Member since Dec 2013
21878 posts
Posted on 11/1/24 at 10:19 am to
quote:

Call Dr. Nassir Marrouche in New Orleans (Tulane) and schedule an appointment to discuss. He is a world renowned clinician and researcher.


+1. He did my dad's ablation and there hasn't been a single problem since. His NP, Monique, is great too.
Posted by GeauxldMember
Member since Nov 2003
5435 posts
Posted on 11/1/24 at 11:11 am to
Glad to hear this. I won’t lie, the thought of voluntarily letting someone burn a piece of my heart is tough to reconcile.

quote:

Dr. Nassir Marrouche


This was one of two names my buddy (a cardiovascular surgeon) gave me. The other was Khatib at Oschner. Said if he was having it done, it would be one of them doing it.
Posted by Popths
Baton Rouge
Member since Aug 2016
4395 posts
Posted on 11/1/24 at 11:22 am to
I know 2 people who had ablation that worked for both of them.
Posted by geauxtigertailgate
Mandeville
Member since Jul 2011
94 posts
Posted on 11/1/24 at 3:03 pm to
Sammy Khatib did mine. I would highly recommend him
Posted by Ingeniero
Baton Rouge
Member since Dec 2013
21878 posts
Posted on 11/1/24 at 4:57 pm to
quote:

I won’t lie, the thought of voluntarily letting someone burn a piece of my heart is tough to reconcile.


It sounds spooky but the whole process is super fast and honestly the patient intake and recovery room was worse than the procedure itself. We got there at like 4am and didn't leave until that evening, but it was like 15 minutes from the time they rolled him out of the "triage" room to Dr. Marrouche coming in to tell us everything went well.

If you have any questions you can post them and I'll forward them to my dad.
Posted by GeauxldMember
Member since Nov 2003
5435 posts
Posted on 11/1/24 at 5:11 pm to
From what I hear, there’s some soreness/discomfort in the groin from the incision and possibly some in the chest for a day or two, with some restriction on activity for a week or two. Does that gibe with your Father’s experience?

I really appreciate the info.
Posted by Ingeniero
Baton Rouge
Member since Dec 2013
21878 posts
Posted on 11/2/24 at 10:39 am to
Yep, you got it. Swelling, discomfort, and he said for the next couple of weeks he still had flutters and shortness of breath (he got the ablation to fix AFib, not SVT) but the doctor said those were expected. They eventually go away
Posted by AllbyMyRelf
Virginia
Member since Nov 2014
3992 posts
Posted on 11/2/24 at 11:13 am to
Just curious, are you a cyclist?
Posted by GeauxldMember
Member since Nov 2003
5435 posts
Posted on 11/2/24 at 1:07 pm to
quote:

Just curious, are you a cyclist?


Negative.
Posted by LSUWoodworker
St George "God's Country "
Member since Dec 2007
18728 posts
Posted on 1/14/25 at 1:57 pm to
Had it done 2x 49years old. Started after initial covid infection. Dr. XU is the boss. LINK

Dr Xu
Posted by GeauxldMember
Member since Nov 2003
5435 posts
Posted on 1/14/25 at 5:54 pm to
quote:

Had it done 2x 49years old. Started after initial covid infection.


Just curious why you had to do it a 2nd time. Did the arrhythmia return, or did they just not get it on the first procedure?
Posted by BottomlandBrew
Member since Aug 2010
29187 posts
Posted on 1/14/25 at 7:57 pm to
I got kind of lucky with SVT. I had it in my late teens up until my late 20s, but I just kind of grew out of it. Episodes can get pretty intense and scary. The worst one had me thinking I was a goner for sure. Home alone on the floor with tunnel vision and my heart just pounding away like a jackhammer. I don't know if I passed out or what, but time perception got kind of funky for a bit. I remember trying my vasalva maneuver that sometimes helped. I about shite my pants, but it worked to slow my heart enough to get up and splash some cold water on my face.

Another time I was driving and it was all I could do to pull my car over. You're right about the following anxiety. It's a motherfricker.
Posted by GeorgeTheGreek
Sparta, Greece
Member since Mar 2008
68547 posts
Posted on 1/14/25 at 11:23 pm to
My FIL had this done this past year and it went great! Did it at Northwest Medicine Chicago.

His best friend had it done a two years prior in California and died.
Posted by LSUWoodworker
St George "God's Country "
Member since Dec 2007
18728 posts
Posted on 1/15/25 at 11:03 am to
quote:

ust curious why you had to do it a 2nd time. Did the arrhythmia return, or did they just not get it on the first procedure?


The first foci was ablated, a second began firing during the procedure. It was ablated as well. Following 1st ablation all appeared fine, sat in a chair one day to watch some TV and SVT again. The 2nd lasted 5 hours and required transversion of the the atrial septum to fully control. So far, its holding, the anxiety from fear of its return can be troubling..
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