Supraventricular Tachycardia (SVT) is a type of abnormal heart rhythm originating in the upper chambers of the heart. It is characterised by a rapid heartbeat that can last from a few seconds to several hours. Although it can occur in anyone, SVT is more common among young adults, especially women, and can be triggered by factors such as stress, exercise, or certain medications. While SVT is typically not life-threatening, the symptoms can be unsettling, and treatment is often necessary for individuals experiencing frequent episodes. Understanding SVT, including its causes, symptoms, and treatment options, can empower those affected to manage the condition and improve their quality of life.
What is Supraventricular Tachycardia?
Supraventricular tachycardia (SVT) is a condition where the heart beats unusually fast, originating in the upper chambers. When this rapid heartbeat occurs at rest, it can affect the heart’s ability to pump enough blood throughout the body. Episodes may last from a few seconds to several hours.
During SVT, the heart doesn’t get enough time to fill with blood before each contraction, which can reduce overall circulation.
If you experience symptoms, you might sense something unusual in your chest. While it may be uncomfortable, paying attention to your symptoms and their duration can help your doctor make an accurate diagnosis.
Types of SVT
There are several forms of supraventricular tachycardia (SVT), each with distinct characteristics. These include:
- Premature Atrial Contractions (PACs)
- Paroxysmal Supraventricular Tachycardia (PSVT)
- Accessory Pathway Tachycardias, such as Wolff-Parkinson-White (WPW) Syndrome
- AV Nodal Reentrant Tachycardia (AVNRT)
- Atrial Tachycardia
- Atrial Fibrillation
- Atrial Flutter
Each type originates above the ventricles and can affect the heart's rhythm and efficiency.
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What are the symptoms of Supraventricular Tachycardia?
SVT symptoms can range from mild to severe, depending on factors like the heart rate during episodes and the individual’s overall health.
Rapid heartbeat: The primary symptom of SVT is a noticeably fast heart rate, which may feel like a racing or pounding sensation.
Chest discomfort: Many people experience a feeling of tightness or pain in the chest during an episode.
Shortness of breath: A faster heart rate can make breathing feel labored or shallow.
Dizziness or lightheadedness: Reduced blood flow to the brain during SVT can cause sensations of dizziness or faintness.
Sweating: Many people experience excessive sweating during an episode due to the heightened heart rate.
Anxiety or panic: The sudden onset of SVT symptoms can often induce anxiety or a feeling of panic, which may further worsen symptoms.
Fatigue: An episode of SVT can leave individuals feeling tired or drained after it subsides.
What causes Supraventricular Tachycardia?
The causes of SVT are multifactorial, ranging from structural heart issues to lifestyle-related triggers. In some cases, the exact cause is unknown, while in others, it may be linked to specific health conditions or behaviors.
- Structural heart abnormalities: Certain congenital heart defects or scar tissue from a previous heart surgery can lead to SVT.
- Excessive caffeine or alcohol consumption: High intake of stimulants can trigger SVT episodes in susceptible individuals.
- Certain medications: Over-the-counter decongestants, asthma drugs, or medications containing stimulants can sometimes cause SVT.
- Stress and anxiety: Emotional stress and anxiety can exacerbate SVT by stimulating the body’s “fight or flight” response.
- Electrolyte imbalances: Low levels of essential minerals like potassium, calcium, or magnesium can lead to abnormal heart rhythms, including SVT.
- Thyroid disease: An overactive thyroid can increase the likelihood of developing SVT.
- Smoking: Smoking or exposure to nicotine can cause heart irregularities, including SVT.
- Genetic predisposition: Some people may have an inherited tendency toward arrhythmias, including SVT.
What Are The Risk Factors Of Supraventricular Tachycardia?
SVT can affect both children and adults, but certain factors may increase your risk of developing this condition:
- Being female
- Experiencing anxiety or high stress levels
- Consuming excessive alcohol beyond recommended limits
- Using tobacco products
- Drinking too much caffeine
- Engaging in intense physical training or exertion
- Having underlying conditions like lung disease, heart problems, thyroid disorders, or diabetes
- Being pregnant, which can increase heart strain due to hormonal and circulatory changes
Managing these risk factors may help reduce the frequency or severity of SVT episodes.
What are the complications of Supraventricular Tachycardia (SVT)?
In severe cases, SVT can lead to serious health complications, including:
- Heart failure, due to the heart's reduced ability to pump blood efficiently
- Loss of consciousness (fainting), caused by insufficient blood flow to the brain
- Cardiac arrest, a life-threatening emergency where the heart suddenly stops beating
Prompt diagnosis and treatment are essential to prevent these complications.
How Is Supraventricular Tachycardia diagnosed?
Diagnosing SVT usually involves a comprehensive assessment, including a physical examination, discussion of medical history, and several diagnostic tests to identify the specific type of arrhythmia and rule out other potential causes.
Electrocardiogram (ECG):
An ECG is the primary tool for detecting abnormal heart rhythms by recording the electrical activity of the heart.
Holter monitor:
A portable device worn for 24 to 48 hours, a Holter monitor records continuous ECG readings to catch intermittent episodes of SVT.
Event monitor:
If SVT episodes are infrequent, an event monitor may be used to record heart activity only when symptoms occur.
Electrophysiology study:
In cases where the cause of SVT is unclear, an electrophysiology study may be conducted to map the heart’s electrical activity and pinpoint the area causing the irregular rhythm.
Echocardiogram:
This imaging test uses sound waves to produce images of the heart, helping doctors identify structural heart issues that may be linked to SVT.
Blood tests:
Blood tests are sometimes performed to check for electrolyte imbalances or thyroid dysfunction, both of which can trigger SVT.