Hey, a few days back I had a weird situation where I started feeling really anxious, my heart rate shot up to 150, and I had palpitations. I took Ciplar LA 20 and Dolo 650, and luckily my pulse eventually dropped back to 75. I'm trying to figure out if this was Supraventricular Tachycardia or just something normal? This happened to me once about three months ago, and it got better after taking Dolo 650 and some anxiety meds. I even had an ECG done in May, and that came out perfect. Do you think these two episodes could be Supraventricular Tachycardia, or are they just normal?

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Dr Anshul Maheshwari

General Practitioner

MBBS
5+ Yrs

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Based on your description, it is possible that you experienced episodes of Supraventricular tachycardia (SVT) given the sudden onset of palpitations, anxiety feeling, and rapid rise in pulse rate to 150 beats per minute. The fact that your symptoms improved after taking Ciplar LA 20 (propranolol) which is a beta-blocker commonly used to manage SVT supports this possibility. Additionally, the normal ECG results in May suggest that there may not be any underlying structural heart issues causing the SVT. For the management of SVT episodes, you can continue to use Ciplar LA 20 as needed to help control your heart rate. It is important to follow up with a cardiologist for further evaluation and to discuss long-term management options, such as potential medication adjustments or other interventions like ablation therapy. In the meantime, it is advisable to avoid triggers that may precipitate SVT episodes, such as caffeine, stress, or certain medications. Keeping a record of your symptoms and discussing them with your healthcare provider can also help in monitoring your condition effectively.

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Possible Causes
a. The symptoms you describe could be indicative of Supraventricular Tachycardia (SVT), especially with a heart rate of 150 bpm.
b. Anxiety can also cause similar symptoms, but SVT should be considered given the heart rate.
Recommendations
a. Consult a cardiologist for further evaluation, possibly including a Holter monitor to capture any irregular heart rhythms.
b. Avoid self-medicating without professional guidance, especially with heart-related symptoms.
Immediate Actions
a. If symptoms recur, seek medical attention promptly.
b. Keep a record of episodes, including triggers and duration, to assist your healthcare provider.

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