Paroxysmal Supraventricular Tachycardia and Chest Discomfort

Q: Paroxysmal Supraventricular Tachycardia and Chest Discomfort

Hello： There are many causes of chest tightness, including a diet high in caffeine, palpitations, irregular sleep patterns, stress, emotional issues, or the presence of vascular narrowing problems. <br>Dr. <br>Lin Chi-Hsiung.

Paroxysmal Supraventricular Tachycardia (PSVT) & Chest Discomfort

Hello Doctor, I would like to ask about my brother (male, 33 years old, smoker, with nasal allergies).
Last year, he experienced tachycardia and went to the hospital for an injection.
He drinks quite a bit of coffee, and this year he had another episode.
After this episode, he has been experiencing chest tightness almost every day.
He has started to cut back on coffee and smoke less.
He underwent a catheter ablation procedure on February 9th (the doctor mentioned that the fast heartbeat was due to an extra blood vessel), but he still experiences chest tightness.
He went to the emergency room on February 11th, but they said his test results were normal.
After the procedure, the doctor mentioned that the chest tightness could be due to post-operative effects and that some patients may experience resolution of symptoms afterward.
He will have to wait until after the Lunar New Year for a follow-up appointment to ask further questions.
Therefore, I would like to know if you have any insights on what might be causing this.
Thank you!

ANN, 30~39 year old female. Ask Date: 2018/02/13

Dr. Lin Jixiong reply Cardiology

Hello: There are many causes of chest tightness, including a diet high in caffeine, palpitations, irregular sleep patterns, stress, emotional issues, or the presence of vascular narrowing problems.
Dr.
Lin Chi-Hsiung.

Reply Date: 2018/02/13

More Info

Paroxysmal Supraventricular Tachycardia (PSVT) is a condition characterized by episodes of rapid heart rate originating above the ventricles, often leading to symptoms such as palpitations, chest discomfort, and sometimes dizziness or fainting. In your brother's case, his history of smoking, high caffeine intake, and recent surgical intervention for a heart condition may all contribute to his symptoms.

The fact that your brother experienced a rapid heartbeat last year and subsequently underwent a procedure to address an additional blood vessel suggests that he may have had an underlying structural or electrical issue with his heart. The surgery, often referred to as catheter ablation, is a common treatment for PSVT, especially when it is recurrent and symptomatic. The goal of the procedure is to eliminate the abnormal electrical pathways that cause the tachycardia.

Post-surgery, it is not uncommon for patients to experience residual symptoms such as chest discomfort or tightness. This can be due to several factors:
1. Healing Process: After any surgical procedure, the body goes through a healing phase. This can involve inflammation and irritation of the tissues around the heart, which may manifest as chest discomfort. It can take time for the body to fully heal, and symptoms may gradually improve.

2. Anxiety and Stress: The experience of having a heart condition and undergoing surgery can lead to anxiety, which may exacerbate feelings of chest discomfort. It's essential to address any psychological factors that may contribute to the perception of chest pain.

3. Changes in Heart Function: Following surgery, the heart may take some time to adjust to the changes made during the procedure. This adjustment period can sometimes lead to sensations of discomfort or altered heart rhythms.

4. Lifestyle Factors: Although your brother has made positive changes by reducing caffeine intake and smoking, other lifestyle factors can still play a role in his symptoms. Stress, diet, and overall physical activity can impact heart health and should be considered.

5. Underlying Conditions: It’s also crucial to rule out other potential causes of chest discomfort, such as gastroesophageal reflux disease (GERD), musculoskeletal issues, or even anxiety-related disorders.
Given that your brother's symptoms persist, it is advisable for him to follow up with his cardiologist. They may recommend further evaluation, such as an echocardiogram or a Holter monitor, to assess his heart function and rhythm over a more extended period. It’s essential to keep an open line of communication with his healthcare provider, especially if he experiences any new or worsening symptoms, such as increased chest pain, shortness of breath, or dizziness.

In summary, while it is common to experience some discomfort after a procedure for PSVT, ongoing symptoms should be evaluated to ensure there are no complications or other underlying issues. Regular follow-ups and adherence to lifestyle modifications are crucial for managing his condition effectively.

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