Junctional Ectopic Tachycardiac
- by Jefficus
- 2019-08-26 07:14:33
- General Posting
- 828 views
- 4 comments
Hello I am new to this Club! After many months of experiencing very debilitating symptoms and undergoing various monitoring and a reveal device, my cardiologist had an unsuccessful attempt to ablate the ultimately diagnosed Tachycardia. However it did lead to him specifically identifying my condition as Junctional Ectopic Tachycardia (JET).
He appears unsure how to treat it and in themjeantime has prescribesd a very low Bisopolo lmedication which has worsened my symptoms, possibly as I already have a low pulse rate (40 - 50 bpm). He has mentioned the possibility of me having a pacemaker fitted. Has anyone else had this condition and what is their experience? I am 74 with over 35 years as a Club runner ads sportsman, but before this experience reduced to just jogging and park runs, which I would like to contimue. Thanks in advance! .
4 Comments
Have Similar Problem
by MathTeacher - 2019-08-26 22:50:17
I have a similar problem with beta blockers (metoprolol). I already have low blood pressure, so I react to this medicine. I think I'm a little different from you, since my tachycardia is more of a sinus problem. Instead of taking the medicine, I was given a catheter ablation which worked for three years. However, I'm now having a ton of SVT episodes. My EP had told me years ago that if it didn't work, we'd go in for a cryoablation. Should be getting my surgery date soon.
P.S. I already have a pacemaker.
More explanation of my JET problem
by Jefficus - 2019-08-27 06:08:01
Many thanks for both replies so far received. Sorry if my post was not clear but I am finding the terminology very confusing. My JET was not caused by open heart surgery. According to the notifying documentation my recent appointment was for an 'SVT Ablation', although the cardiologist / electrophysiologist concerned referred to it as an 'EP Procedure' in his letter to my doctor. I did have a successfull ablation of my atrial flutter by him last summer.
In the same letter he said, 'His reveal download demonstrated a tachycardia which suggests a SVT tachycardia more akin to AVNRT than atrial flutter. It is possible that he has both AVNRT and atrial flutter preceded by atrial salvoes which are very common to this gentleman. He has significant Raynaud's so there is no possibility of using beta blockers'.
AgentX86 -You are probably correct in saying that the low dosage beta blockers prescribed are stop-gap..What is the PM you referred to?
You know you're wired when...
Your electric tooth brush interferes with your device.
Member Quotes
In fact after the final "tweaks" of my pacemaker programming at the one year check up it is working so well that I forget I have it.
JET
by AgentX86 - 2019-08-26 07:55:52
I think there is some information left out here. Your JET was caused by, or after, open heart surgery? Your cardiologist has attempted to ablate the JET? Is he discussing an AV node ablation? Are you seeing an electrophysiologist? Exactly what does your doctor intend a pacemaker to accomplish (note that a pacemaker is a go-faster box, it can't slow the heart rate down)?
Bisoprolol is a beta blocker, similar to metoprolol, so if your heart rate is already low, because of your conditioning, a pacemaker will raise/stabilize it. This seems like a stopgap rather than a solution, however. My EP was considering a similar approach, though with an antiarrhythmic, for my flutter but I ended up with an AV ablation and PM instead.
Some more information would be useful.