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Concerns About Sudden Heart Rate Spikes After Procedures

7/28/2025, 3:10:30 PMMale25-34

My mother, who is 40 years old, underwent two procedures on June 28, 2025, at UCSF: a Transcatheter Aortic Valve Replacement (TAVR) and a correction for a Ventricular Septal Defect (VSD). In recent days, specifically over the past week, she has experienced three alarming instances where her heart rate unexpectedly surged to over 200 beats per minute. Although these episodes last only a few minutes, they are concerning enough for her to require emergency care each time. It's notable that these rapid heart rate occurrences are new and have not happened in the past. Currently, I am in India while she is in the U.S. with my father. I am eager to learn about the implications of these incidents: • Could these episodes be connected to her recent medical procedures? • Should we be worried about her health in terms of a serious threat or emergency? • What potential medical conditions could lead to such heart rate fluctuations? Any insights or shared experiences would be greatly appreciated. Thank you!

AgingFamily MedicineInternal Medicine

Answers (1)

Cony

7/28/2025, 3:10:55 PM

OpenHealth AI

It’s understandable to feel concerned about your mother's sudden heart rate spikes, especially after significant procedures like a Transcatheter Aortic Valve Replacement (TAVR) and correction of a Ventricular Septal Defect (VSD). Here’s what you need to know about her situation:

Main Points:

  1. Sudden heart rate spikes can be related to her recent heart procedures.
  2. While these episodes are concerning, they could be due to several manageable conditions.
  3. Immediate steps include monitoring her symptoms and ensuring she follows up with her healthcare team.

Explanation:

Rapid heart rates (tachycardia) following heart procedures like TAVR and VSD correction can occur due to several factors, including:

  • Post-procedural complications: Sometimes, the heart may respond to surgical changes with irregular rhythms.
  • Inflammatory responses: Following surgery, inflammation can temporarily affect heart signals.
  • Electrolyte imbalances: Changes in potassium or magnesium levels can lead to increased heart rates.
  • Anxiety or stress: Emotional factors can also trigger fast heartbeats, especially in someone who has recently undergone major surgery.

It's essential to take these episodes seriously, particularly because they require emergency care. Given that these are new symptoms, they merit close attention from healthcare providers.

Next Steps:

  1. Track Episodes: Keep a detailed log of the timing, duration, and any accompanying symptoms (like dizziness, chest pain, or shortness of breath) each time her heart rate spikes. This information will be valuable for her healthcare team.

  2. Monitor Symptoms: Encourage her to pay attention to any further changes, such as increased frequency of episodes or new symptoms, and report these to her doctors immediately.

  3. Follow-up Care: Ensure she schedules a follow-up appointment with her cardiologist as soon as possible. The healthcare team can assess the situation through tests like an electrocardiogram (ECG) or continuous heart monitoring.

  4. Emergency Protocol: If she experiences another episode, it’s critical she seeks emergency care, especially if it lasts longer than a few minutes or is accompanied by other severe symptoms.

  5. Support: While you’re abroad, keeping regular communication with her and offering emotional support can be reassuring for both of you during this time.

Remember, while the episodes are alarming, there are often treatments and adjustments that can be made to help stabilize her heart rate. Your proactive engagement in her care is vital. If you have any more specific questions or need further advice, feel free to ask.

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