Hi doctor, I had a bad episode of SVT. It was the first major episode. The heart rate was above 200 bpm. I rushed to emergency, today is the fifth day, and still, I have tightness in the chest, shortness of breath and pain in the chest that come and go. Is this normal? I am a 30-year-old female. My weight is 70 kg and height is 165 cm. I am not on any medication yet. I have a history of high anxiety. I had a sudden onset of fast heart rate around once or twice a few years before. I have white coat hypertension. Blood tests taken in the Emergency Unit came back normal.
Hi. The definitive treatment is ablation of the pathway in the heart. An electrophysiology study is done to locate pathway, and radio frequency or cryoablation is done to cure SVT (supraventricular tachycardia). The symptomatic treatment before ablation is tablet Verapamil 480 mg per day. Some degree of fatigue is common after SVT which may last one to two days.