cardiactec Posted January 3, 2008 Report Share Posted January 3, 2008 Just stumbled across this a few days ago. I know this situation all too well. I spent a few years with some docs telling me I had anxiety and I was really having bouts of PSVT. --->It goes without saying that if you think there is more going on, investigate. It could spare you a lot of suffering. I believe my pots wont be as bad now that the PSVT has been addressed and treated and no longer diagnosed "anxiety". Certainly anxiety is a common problem, probably more so than PSVT, but it's just the cardiac tech in me (and with recent personal experience with this specifically) that I felt compelled to share an interesting read --> http://www.psych.org/pnews/97-04-04/cardiac.html Quote Link to comment Share on other sites More sharing options...
Guest tearose Posted January 3, 2008 Report Share Posted January 3, 2008 What a find! This is such good information. I have been strong enough to never be tagged with the "anxiety" dx or the "it's all in the head" dx. Before I found my current medical team, I would keep saying, it does not feel like anxiety. I don't feel anxious, I feel racey and wired but not anxious. I knew my heart had some kind of issue they weren't catching. Then after many years of POTS, hyperadrenergic type, to finally see the PSVT strip was very validating for me. And thank goodness Mayo captured it on paper!I don't think my doctors need to see the article but it makes clear the challenges we face are real.thanks for this,hope you are giving that little ticker a chance to heal!tearose Quote Link to comment Share on other sites More sharing options...
pat57 Posted January 3, 2008 Report Share Posted January 3, 2008 neurology and psychiatry have similar issues.http://home.att.net/~mpreter/webpage/annotatedlinks.htm Quote Link to comment Share on other sites More sharing options...
Mrs. Burschman Posted January 3, 2008 Report Share Posted January 3, 2008 "It's nonpsychiatrists who are jumping to the conclusion that it's just an anxious person," Lehmann observed. Story of my life. My PSYCHIATRIST was the one who got me in to see an autonomic doc!Amy Quote Link to comment Share on other sites More sharing options...
pat57 Posted January 3, 2008 Report Share Posted January 3, 2008 me too. my Psychiatrist said I had eipilepsy. Although I only went to the Psychiatrist because a cardio told me too. So I never felt like it was "My" Psychiatrist , never saw him again, after I went to neuro. Quote Link to comment Share on other sites More sharing options...
MomtoGiuliana Posted January 3, 2008 Report Share Posted January 3, 2008 Should PSVT always be treated, does anyone know? I think my doctor has told me in the past that I may have had PSVT (based on symptoms), but he didn't seem to think it needed further evaluation. I get the symptom rarely, altough recently it has been more frequent (twice a month since September). Anyway, I mentioned all of this to my POTS specialist, who is an electrophysiologist of high regard, and he said to just drink more fluids and take more salt. Quote Link to comment Share on other sites More sharing options...
cardiactec Posted January 4, 2008 Author Report Share Posted January 4, 2008 momtoguiliana,PSVT's should be treated if patients are symptomatic and interfering with daily life. there are very few types of PSVT's that are actually dangerous and that should be treated via radiofrequency ablation. The first approach generally is a non-invasive approach -- medications -- beta blockers. With me personally I have tried just about all beta blocker and none helped me. I was also highly symptomatic and my electrophysiologist's concern was that the PSVT might actually be making my POTS symptoms worse, or that my pots (sinus tach) was actually helping to trigger my PSVT (which came with a higher heart rate, and thus more symptoms). But yea, first line of therapy is generally beta blocker or a non-invasive approach. if you are still having problems then, generally they go invasive (EP). If the rhythm disturbances dont bother you, and the rhythm does not display a particular rhythm type that can be dangerous, than usually PSVT's are left alone.Also, Incessant PSVT's should be treated as this can cause tachyarrhythmic cardiomyopathy. Quote Link to comment Share on other sites More sharing options...
Guest tearose Posted January 4, 2008 Report Share Posted January 4, 2008 My PSVT is being "watched".I was living with it before Mayo captured it on paper and they did want to do an EP study. I discussed all the pros and cons, there were many risks to also consider...the possible need afterwards of a pacer and then maybe even more interventions. I figured I have been managing all these years so maybe I could continue to.WE...the EP cardiologist, the neurologist and I discussed the pros and cons and I chose to sit and wait and see if I can manage to live with it and just keep more track of when it is happening to tell them about.I guess it is decided on a case by case basis.tearose Quote Link to comment Share on other sites More sharing options...
Ernie Posted January 4, 2008 Report Share Posted January 4, 2008 Hi,The article also mentions that twice as much women as men are misdiagnosed in psychiatry. I also Quote Link to comment Share on other sites More sharing options...
MomtoGiuliana Posted January 4, 2008 Report Share Posted January 4, 2008 cardiactech--thank you so much for responding. It makes me a little more comfortable with my doctor's approach.Katherine Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You can post now and register later. If you have an account, sign in now to post with your account.