Concerns About SVT: Should I Suspend Physical Activities?
I am a 39-year-old female (turning 40 in May) diagnosed with several health conditions, including Hashimoto's disease, gastroesophageal reflux disease (GERD), a minor hiatal hernia, anxiety, and complex post-traumatic stress disorder (CPTSD). I also underwent gallbladder removal at the age of 17 and am currently on levothyroxine treatment. Recently, my primary care physician recommended that I undergo a Holter monitor test due to my family history; my father passed away unexpectedly from a heart attack at a young age. Since then, I have been experiencing chest pain linked back to my former gallstone issues and sporadic heart palpitations, which often seem to occur during episodes of anxiety. I've noticed my heart tends to race whenever I feel anxious. The results from my Holter monitor indicated signs of supraventricular tachycardia (SVT), prompting my doctor to suggest an echocardiogram and a follow-up with a cardiologist, with the earliest appointment available being in May. This leads me to my dilemma: I am a member of a high-intensity, full-contact sports team that requires me to attend multiple practices to maintain my spot on the team. Should I consider taking a break from these activities until I can consult with the cardiologist? When I research SVT online, it doesn't appear to be extremely dangerous, but I am concerned about potentially harming my heart. Although I can't share a visual report, I wanted to convey the main points: - The primary heart rhythm was sinus. - The highest heart rate recorded was 154 beats per minute (bpm) on March 12, 18:08, while the lowest was 52 bpm on March 11, 07:40, leading to an average heart rate of 80 bpm. - The results showed 9 ventricular ectopic (VE) beats, with a burden of less than 1%, and 140 supraventricular ectopic (SVE) beats, also with less than 1% burden. - There were 9 incidences of supraventricular tachycardia, the fastest instance peaking at 154 bpm on March 12, 18:08, and lasting for the longest duration of 5 beats on March 11, 16:54. - No patient-triggered events were recorded during the monitoring period.
Answers (1)
3/21/2025, 12:10:46 PM
OpenHealth AI
Your concerns about continuing high-intensity physical activities while managing supraventricular tachycardia (SVT) are valid, especially given your health history and family background. It’s great that you’re seeking clarity on this.
Key Points:
- Understanding SVT: SVT can often feel alarming but is, in many cases, manageable. Your physician's approach, including recommending a Holter monitor and further cardiac evaluation, is appropriate.
- Physical Activity and SVT: Intense exercise can sometimes provoke episodes of tachycardia, especially in individuals with SVT. However, many people with SVT can participate in physical activities, though caution is necessary.
Explanation:
SVT is characterized by an abnormally fast heart rate, and while your monitor did not show continuous severe issues (your heart rhythm was primarily sinus), the episodes you experienced warrant attention. Your symptoms, including the chest pain and rapid heartbeat during anxiety, should guide your decisions regarding physical activity.
Next Steps to Consider:
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Temporary Activity Adjustment: Consider reducing or modifying your participation in high-intensity activities until you can discuss your symptoms further with the cardiologist. Aim for low to moderate activities that don’t overly exert you, like walking or gentle yoga.
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Listen to Your Body: Pay close attention to how your body responds during activities. If symptoms arise, like palpitations or chest pain, stop and rest.
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Anxiety Management: Since anxiety appears to influence your heart rate, employing relaxation techniques (like deep breathing, mindfulness, or progressive muscle relaxation) may help manage both anxiety and associated palpitations.
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Stay Informed: Keep a record of any symptoms, noting when they occur and their intensity. This documentation can aid your cardiologist in assessing your situation during your next appointment.
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Diet and Hydration: Ensure you're staying hydrated and eating a balanced diet, which can influence overall heart health. Avoiding stimulants (like caffeine) may also reduce episodes of SVT.
While your upcoming cardiology appointment is important, taking precautionary measures now can help you remain safe and well. Remember, it’s essential to prioritize your health and well-being while staying connected with your healthcare team. Feel free to reach out if you have more questions or need further clarification.
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