Supraventricular Tachycardia (SVT)

wau · Post time 5-4-2007 12:37 AM

biler kena svt tu..heart beat awak jadi berape?? 300?

naiza · Post time 5-4-2007 10:56 AM

Originally posted by wau at 5-4-2007 12:37 AM
biler kena svt tu..heart beat awak jadi berape?? 300?

weh , klu pulse 300 munkin mati kot....

ter AMAT laju tu....

rebas · Post time 5-4-2007 06:34 PM

Originally posted by BaBy^GhoSt at 17-3-2007 my question is..adakah svt ni penyakit keturunan? (my family lain xde pn penyakit jantung ape2..includin' my grandparent..sume ok)

bahaya x?coz sy xmkn ubat ape pn..n im an active person..blaja martial arts..hiking,camping,lari2..so far xde plak tibe2 kene svt time tgh buat activities ni..kire mcm org normal je..n 4 me,i dun thk svt ni bahaye n i dun see it as penyakit..adakah perception sy ni salah?

any advice 4 me?
...

dear babyghost,

SVT boleh jadi penyakit keturunan... esp WPW (mcm Blackmore jwb).. 7 of 1000 those yg ada WPW ada first degree relative (adik beradik seibu/bapa or parents) yg ada WPW..jadi tak hairan kalau yr brother dapat SVT juga..

SVT ada banyak sebab dan jenis...
yang BAHAYA selalunya menyebabkan simtom yang bahaya cth. pengsan, coma, severely breathless, pening kepala sampai tak leh diri, berpeluh2 ..collapse..
kalau terjadi yang bahaya.. selalunya rawatan dan follow up adalah lebih aggresive..

ada yang TAK BAHAYA eg.sekali-sekala.. rasa palpitation sedikit tak selesa....tapi tak pening.. sempat mandi.. make up lagi baru jumpa doctor..and selalunya hilang sendiri.. ini selalunya ada follow up tapi selalunya tak de doc bagi ubat apa2pun..Doktor pasti ajar vagal manouvre bila palpitation ni datang..

My advice is kalau ada tanda2 bahaya.. cepatlah datang ke emergency department..ASAP!
kalau ada rasa palpitation.. dan tak de tetanda bahaya..check your own pulse AT REST ..
kira berapa denyut dalam seminit (boleh rasa kat wrist) kalau 200 mmg SVT.. but dont panic...
try vagal manouvre yrself..(carotid massage/ valsalva- Google kalau nak tahu camna ok) kalau sejam dua tak hilang2 juga datangla emergency.. we have a jab to stop it..

monterez · Post time 6-4-2007 03:37 PM

but normally doc akan bagi propanolol tuk control ur heart beat.

u can view my post here...i gave a long explanation about SVT
termasuk RFA tuk pulihkan SVT..

http://forum.cari.com.my/viewthr ... &extra=page%3D1

denyutan jantung yg laju by wau

[ Last edited by monterez at 6-4-2007 03:39 PM ]

rebas · Post time 6-4-2007 05:09 PM

Originally posted by monterez at 6-4-2007 03:37 PM
but normally doc akan bagi propanolol tuk control ur heart beat.

u can view my post here...i gave a long explanation about SVT
termasuk RFA tuk pulihkan SVT..

http://forum.cari.com.my/view ...

yes monterez you are right... some will b given propranolol for rate control...

but in emergency we rarely use propranolol
- we either jab them with adenosine if they are stable without contraindication (esp if they already on propranolol)
-or synch cardioversion in those yg unstable..
-propranolol iv kite reserve for rate control of AF/flutter yg stable..

some patients with infrequent attacks of PAROXYSMAL SVT rarely have to go thru RFA or be on drugs..ni kat malaysia la.. Treatment level..is based on severity of an attack, its frequency and the cause ..
SVTs may not just be due to accesory pathways mcm WPW yg boleh di zapp oleh RFA, infarct/ischaemia fm coronary artery disease pun boleh cause SVT...

wallahu'alam...

monterez · Post time 6-4-2007 05:57 PM

Originally posted by rebas at 6-4-2007 05:09 PM

yes monterez you are right... some will b given propranolol for rate control...

but in emergency we rarely use propranolol
- we either jab them with adenosine if they are stable without ...

rebas, are you doc?

have u read my posting about SVT on thread denyutan jantung?
from what i i knw, propanolol will be given to irregular heart beat/SVT patient
and if they patient is still young doc will not suggest to take propanolol the best way to help is RFA.
but they need to do angiogram test firts ..to make sure that SVT is not becoz of coronary artery blockage.

rebas · Post time 6-4-2007 07:49 PM

Originally posted by monterez at 6-4-2007 05:57 PM

rebas, are you doc?

have u read my posting about SVT on thread denyutan jantung?
from what i i knw, propanolol will be given to irregular heart beat/SVT patient
and if they patient is ...

yes monterez.. i havent read yr posting thoroughly sorry.. kurang masa lately..

you are right.. i am not wrong either.. so smile

you're not on candid camera!

BaBy^GhoSt · Post time 6-4-2007 08:42 PM

Originally posted by wau at 5-4-2007 12:37 AM
biler kena svt tu..heart beat awak jadi berape?? 300?

rase pnh smp 300..if not 270 cmtu..
thx god still alive

BaBy^GhoSt · Post time 6-4-2007 09:01 PM

Originally posted by rebas at 5-4-2007 06:34 PM

dear babyghost,

SVT boleh jadi penyakit keturunan... esp WPW (mcm Blackmore jwb).. 7 of 1000 those yg ada WPW ada first degree relative (adik beradik seibu/bapa or parents) yg ada WPW..j ...

lps 1st time kene svt ni..ade mkn 1 ubat ni for 1 year..if not mistaken name die degoxin..sumthg like dat..im not sure..
ade Q lg ni..degoxin tu utk ape plak :hmm:

n pnh kene inject to slow down my heart beat..was it propanolol??boleh rs ubat tu jln tru hand smp ke heart..
time nk slow down d heart tu i thot i was goin to die..da siap bace mcm2 da..

rebas · Post time 8-4-2007 06:39 PM

Originally posted by BaBy^GhoSt at 6-4-2007 09:01 PM

lps 1st time kene svt ni..ade mkn 1 ubat ni for 1 year..if not mistaken name die degoxin..sumthg like dat..im not sure..
ade Q lg ni..degoxin tu utk ape plak :hmm:

n pnh kene inject to sl ...

[quote]Originally posted by BaBy^GhoSt at 6-4-2007 09:01 PM

dear babyghost,

Digoxin ni ubat yang bukan dari group propranolol tapi juga digunakan utk slow down yr heart beat ...

You pernah kene inject dgn ubat utk stop SVT? most likely its adenosine.. rasa ketat dada /chest pain sometimes bila kena adenosine..
tapi dia immediately revert your rythm to normal ..macam magic!

so lepas setahun makan digoxin.. ada doc suruh you stop? why is it b'coz attacks were too infrequent?
were you under a cardiologist? any doc mentioned about EP (electrophysiologic study/RFA..)...

saja nak survey..

BaBy^GhoSt · Post time 8-4-2007 07:52 PM

yup adenosine..mmg like magic..time ni g ER hosp selayang..

1st kene wen i was 7..dat time kene ulang g IJN beberapa kali [dlm mase setaun yg i mkn digoxin tu] i duno y coz stil kecik..stat 1st atack tu la mkn degoxin..n xtau jgk nape stop..nt i tny my parent..

mmg atck xfrequent pn [refer my 1st pos]

n i ade a Q lg..frequent tu mcm mane?how frequent :hmm:

BaBy^GhoSt · Post time 11-4-2007 09:08 PM

i kene SVT ptg td

wen to clinic n d doc ask me to go to GH..

tp x g pn..i decide utk rehat je..

now im ok..

rebas · Post time 12-4-2007 01:41 PM

selalunya too frequent maksudnya terlalu kerap sampai ganggu your quality of life eg kene ambik MC almost every month sbb attacks..

are you on follow up now ?

monterez · Post time 12-4-2007 03:23 PM

u penah tak perhatikan nape u sll kena SVT?
u ada mkn sumthin tak?
or any thing yg buat SVT?

doc tak bagi u apa2 ubat?

BaBy^GhoSt · Post time 12-4-2007 07:09 PM

mine once in 5years..

mcm smlm d doc tny nape leh kene svt.. how could i know

BaBy^GhoSt · Post time 12-4-2007 07:15 PM

xde ape ubat pn..

xprasan punca die sbb jarang sgt kene..

mcm smlm i tgh duduk kt libarary..study..tibe2 kene attack..

tp i sakit ati gile la dgn doc smlm..die kan suruh i pegi GH..i ckp la xnk sbb ade exam hari ni..den die kate if x pegi hospital takut i xleh lsg amik exam..which means..die nk kate i boleh mati..i tau la bahaya tp xleh la die nk treat i mcm x tau ape2 lsg psl SVT ni

rebas · Post time 13-4-2007 01:45 AM

Originally posted by BaBy^GhoSt at 12-4-2007 07:09 PM
mine once in 5years..

mcm smlm d doc tny nape leh kene svt.. how could i know

hmmmnn.. follow up kat mana tu.. ? once every 5 years.. is almost mcm x de follow up..!

BaBy^GhoSt · Post time 13-4-2007 01:55 AM

xde pn..

monterez · Post time 13-4-2007 10:52 AM

mmgla..sbb bagi i semua doc akan concern psl patient dia
cuma maybe cara doc tu sampaikan kat u buat u takut.
cuma SVT ni bahaya kalau dia tiba2 attack u masa u drive, mlm2 u tido,
thats y normally doc akan bagi ubat tuk control ur heart beat n prevent dr SVT ni dtg attack u..