NSVT and VT

Treatment depends on cause

by crustyg - 2019-08-30 17:37:53

Short runs of VT - non-sustained - can be caused by a number of things.  Treatment will depend on how many, how often, primary underlying condition(s), etc.

VT isn't good for you.  Lots of VT really isn't good for you.  NSVT can become sustained VT which is bad for you, and can become really bad for you.

pm and vt readings

by islandgirl - 2019-08-30 19:15:25

My Medtornic PM didn't.  I had something really, really bad happen to me (gee, I like crustyg's response).  My EP spent almost all day on the phone after the really bad thing (I miraculously survived out of hospital event) and found I had been having numerous runs of sustained VT the ~15 months I had the pm for sick sinus syndrome.  Mine couldn't be programmed for those rhythms, and Medtronic had to dig deep into the PM to find the history for my EP.  I now have an ICD and meds have recently reduced the 270-280 bpm sustained vt.  My ICD has been able to correct the VT without a shock (paced out).

If you're concerned, ask to wear a holter for a month.  Be an advocate for yourself.

VT episodes on PM

by IPGENG12 - 2019-08-30 19:27:44

Yes, my PM did indeed catch a short 10-15 sec run of VT at 210 bpm.  I definitely felt the episode and notified my EP's office. They were able to see it on the Home Monitoring transmission that night.   No change in treatment or PM setup as a result of this one event in the 4 years I've had my device.  If it becomes a more frequent occurence,  a change will be needed- I don't want a VT event converting to Ventricular Fib!  Hope you don't have these any more!

NSVT or VT

by AgentX86 - 2019-08-31 00:25:42

My Medtronic will find these, or so I'm told but it won't find bigeminal PVCs of any kind.  It needs a minimum run of five errrant beats to even notice what's going on.

The "treatment" for VT is an ICD.  A pacemaker can only stand by and watch.

Ignored

by jennifer3444 - 2019-08-31 04:05:13

So heres. The thing. I had a loop recorder for 2 years and nothing was e ever mentioned but it did find asystole so I had my PM. But then at my check 2 years ago I thought I heard my nurse say non sustained ventricular tachycardia to the student nurse but she never said anything to me. Anyway. At my most recent check my nurse said all is fine but then as I was leaving I thought I saw the words NSVT on screen. I phoned her later that day and she said no no your heart just goes abit fast sometimes. So i feel like i-m going mad. I go to the gym ajs now i'm scared. I only get checked once every 12 months and my loop recorder has now ran out. Nurse was happy to see me again in 12 months

Demand a copy of your reports - every time

by crustyg - 2019-08-31 09:38:24

Hi:

Time to start demanding a copy of your reports - *everything* that the box can produce and download to the interrogation system - and get the data written to a USB-stick (==thumb-drive) and take it away with you, and start comparing the data.

It's your body, your heart, your PM and potentially, your life at stake here.

Take control.  Polite, firm, but unyielding.  Get your EP doc to mandate that the tech / nurse does as you have asked - otherwise find a better EP doc.  I won't tolerate being talked over - it's not the 1950s.  Anything that they feel the need to say to other care-givers should be said to you, and first, if they have any manners.

Just being in control makes it easier to accept where you are and what the future might hold.  Try not to focus too much on what *might* happen, but be aware of what may well happen without you taking charge.

NSVT, etc

by donr - 2019-09-03 01:21:00

I have a Medtronic PM, vintage 2010.  Critical to know what device you have to understand all that you hear.

Two weeks ago I had just what you are talking about.   I had two pages of "High Rate Episodes."  Some were Atrial, some were Ventricular.  Now I knew the escalating dangers of NSVT, but I also knew that My Cardio defined the lower level of HR to be called "High."  He defined it as 150 BPM - not even than a good runner's pulse while stressed out.   MOF, my HR got there under exercise.  One day my download showed 3 or 4 HVR runs of 7 or 8 beats.  I also had several AFIB episodes.  Dropped the HR threshold to 130 BPM & the next download showed  2-1/2 pages of A & V HR's.    Also salted in there was 9 hours of AFIB.   Now he got excited.  He did not realize the drop in threshold, which dramatically increased the number of events.  He nodded & grunted, but was still excited enough to slap me into ther hosp directly from his office. 

Finally he explained his great interest - I was taking Sotalol, which was causing me to have a documented elongated QTc interval over 500 milliseconds.  That can cause VTACH.   Changed Sotalol back to Metoprolol & QTc was back under 500 in about 12 hrs & back to noral in 36 hrs.  Apparently no further VHR's, either.  That remains to be seen at my next download.

SO... Meds can cause VTACH.   Ablation is not a first choice.  An ICD is.  Especially the neewer versions that try to pace you out of trouble before administering the Jolt.  I also have a lot of PVC's that little beast will also show up next download & help determine the next step.  The next exciting chapter in this novel is being written as I write!

Donr

ect

by DavidRoss - 2021-10-12 08:51:19

Thanks for the info.

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