Not sure which is more comforting; Dr. Gupta's knowledge or scrolling through the comments and seeing that I'm not alone. This is such a reassuring and comforting community, I always walk away from these feeling much more at ease and empowered. Thank you doctor!
You are an angel for bringing so much peace and calm to so many anxious people. You are gifted in many ways including your intelligence but also your compassion for others. Many doctors don't have the time or patience to sit here and explain these things to patients in terms that we can understand. But you do. And for that, so many of us are indebted to you. Thanks for all you do.
fair_shares I could not agree more, many doctors don't spent the time or are just in a rush to get you in and out. I typically hear you're fine and that's about it. While that's not bad it's still not enough for how aware some of us are of our hearts and there's no amount of thanks I can give that would show how grateful I am for the videos Dr Gupta :)
farrahcantdecide Yes Farrah; to what you just said about that Doctor, & my name is Oscar, & I'm a 49 yr old African American!! Who just wanted to say thank you also for your saying about this Doctor,
Thank you Farrah, for your saying about this Doctor, cause I, felt the same way after listening to his great video of medical advice I, to thank the Doctor, so Very much 💝
You are fantastic. So clear, so cogent, so calming!! I am 59 . I’ve had pvcs since age 18. A few years ago, I developed a run of NSVT on a Holter monitor. After doing unfortunate Google search I scared the crap out of myself expecting sudden death. I saw an electrophysiologist and he reassured me. I make sure to get echo and stress echo every 1-2 years. But now I can feel the episodes of Nsvt. This video really really helped me calm down and get perspective. Thank you so much!!!
God bless you for your kind & informative videos for the legions of cardiac patients who live with daily fears. I have a pacemaker the past 9 months after a lifetime of PVCs, palpitations & panic attacks. Congenital anomalous RCA. Now I’ve developed NSVT. Every day is a challenge mentally & physically. It’s exhausting. Living with these cardiac fears for the past 50 years-so tired of it but what else can I do but carry on. Thank you for your kindness & compassion for those you treat & the rest of us who are looking for help. 🙏🏻❤️
This was extremely useful and reassuring. Just met with cardiologist today and reviewed my results. Heart monitor had more than one 3 NSVT examples over a week. Stress test and echocardiogram the week after the monitor both provided excellent results. No family history. No exercise induced blackouts. Never could tell i was having the palpitations. I feel so much better now. Thank you so much
I know this is an old post but this was exactly what I needed to hear! I have had runs of 3-7 beats of VT with bi-Gemini, and couplets, but mainly PVC after PVC. Normal heart and history. The anxiety has most certainly caused the episodes to get worse when started but this message has for certain helped to put my mind at ease. Thank you Doctor!
I was finally put on Flecanide 50mg twice a day. 90% reduction of Pre Ventricular Complexes. It has been life changing. I started it about two weeks ago and it has worked wonders for me. Most if not all of my anxiety is gone. I still have PVC burden but I can barely feel them. I definitely do not have the issues that plagued me for so long. After a stress test and echo I started Flecanide. With Metiprolol if things get out of control. Thankfully I have not needed anything but the Flecanide and my anxiety meds. I am so grateful for this medicine. In the future I may have an ablation done but for now the meds are working. I wish you the best of luck.
This is a great topic - I have been “diagnosed” with NSVT - I have worn. monitors 6 times and each time I have had 3 to 7 beats of NSVT. I have felt it every time and indicated that with the button. THAT all said - never have I felt faint/dizzy or anything other than “oh…that felt weird” - I ride my bike (pedal bike) 100 to 140 miles a week. I am proof of what is said here. I did have tests to make sure this was not an indicator of heart disease as there is a ton of it on my dad’s side. But the great news is - no heart disease so this is just something I’ll have every once in a while and go on with a happy healthy life
Thank you once more. You are two for the price of one: an excellent cardiologist and an excellent psychologist. I listen to you and the calming effect is so amazing. Thank you again for your clear and " down to earth" explanations.
This is a wonderful video and has relieved much anxiety. We can only wish all Doctors would take the time, and have the give a darn to explain things as you have here, reassuring the patient. It helps to know WHY we shouldn’t be overly concerned. When your MD just says “don’t worry, it’s benign,” that’s not all that helpful when you are the type who is proactive in your healthcare and want to understand what is occurring and why. I’ll sleep better tonight. Thank you again
Thanks for very informative video. I am 66 years old and found out 4 years ago that I have NSVT condition but after watching your video, I can tell friends I have Non sustained Ventricular Tachycardia. Thank you once again.
Such useful information. My Ventricular tach only showed up on a treadmill stress test at 85% of my max heart rate. Only lasted 5 seconds. No other risk factors and other healthy, so I'm hoping this is nothing to worry about
Your videos have been very helpful. I have AVNRT F/S that goes on for days. It's just helpful to know that it isn't as dire as it feels. I've had cryo and rf ablation but the little area that locks the electrical loop into place grew back.
Thank you for these videos. I had a period of atrial fibrillation which lasted about 30 minutes and since then I've been so anxious. These videos are helping me so much.
I had two attacks, 12 months apart. First one lasted 30 mins or so, went to hospital and they brought it down. 2nd one lasted hour and a half whilst I waited for an ambulance, (uk). When ambulance arrived my heart went back to normal in a second with no treatment. I've had tests, and they revealed that my heart is, quote, "absolutely perfect". I have neck injury, and am now investigating vagus nerve connection that may be the trigger.
You explain things very well. And I can tell you know what you're talking about young man. I'm not a doctor but I do know a bit about this.A lot of doctors never talk and say enough. Listening to you was a big relief in my mind and I'm sure a lot of others too.
Many thanks for your understandable information! Going for my first echo and stress tests this month. My bro died unexpectedly last year at 61 and we had similar lifestyles and nutrition. When the coroner looked at his heart, he had 3 types of heart issues that I didn't know about. So after getting a holter for two days, BT was 1. Missed by the PA but 2. Found by the chief of cardio. So he did a brief EKG in the office and looked at the old test, and said we needed to find the cause. At no time did he mention the nonsustained VT so I've been anxious for a month and a half waiting for these next appts. But your ten minutes did me much good service, so thank you! No longer nervous about these milestone appointments :) God bless you ❤
You are just the absolute best! I just had an ekg show irregularity so my cardiologist had me wear a heart monitor for a week. It showed 92 episodes of brief VT lasting up to 6 beats. He put me on 25mg of metoprolol in the AM. I have been very stressed about some things like eye surgery that went wrong etc. I really don’t want to be on this beta blocker but he said it needs to be suppressed. Your video helped me feel much better. My echo was perfect and my CT Calcium score is 20 so that’s all good. I need to lose 30 pounds and exercise more as my cholesterol is high but has been for 24 years and no plaque build up so…..but at 64 I feel pretty good. Just don’t want to be on the BB. I had my gallbladder out 7 months ago and I’m also on Synthroid for Hypothyroidism. I know not having a gallbladder makes the meds metabolize differently. So need to find a metabolic doctor who can shed some light. Anyway, thank you so very much for your calming videos. I live in Los Angeles and if I lived in the UK I would want to come see you. Doctors over here are so quick to medicate. I guess it’s a large part of their income. God bless you Dr G🥰
Thank you! I was reading info on the internet and was fearful and I started having a panic attack. These articles that seemed peer reviewed was really scarring me
Thank you so much for your elaborate explanation. It is very comforting and helpful to hear and understand. While I haven't been diagnosed with this, I have times where I'm in a position sitting or laying where it seems my stomach or something else irritates my heart and it shoots out 3-6 fast beats. It doesn't happen too often but, I notice the flutter and feel my pulse and feel a few quick bounces. Thank you again!
Thank you for this. I've been having palpitations for over a year now. My echocardiogram and holter monitor came back normal, but I still get isolated palpitations which really bother me. Today though I had what felt like a ventricular tachycardia which lasted about 4 beats and that really scared me. I feel a lot better about it now, so thanks again.
Thank you so much for all that you do. You are soooo knowledgeable AND comforting. I am a 50 yr old female and recently wore a 2 wk zio heart monitor for palpitations. They called saying that in 2 wks it showed 3 runs of SVT with the worst being a 6 beat run that went up to 191 HR and told me that I could go on metoprolol if I wanted to maybe lessen palps or make them to where I might not feel them. I do have family hx, but not of sudden cardiac death of someone 40 or under. My dad had a heart attack at age 46 and passed away of a 2nd one at age 57. My anxiety about my heart is CONSTANT, especially now that I am having palpitations and ESPECIALLY NOW after hearing that I had 3 runs of SVT (they didn’t specify if NSVT but I guess so since it only got up to 6 beats). I will be having an echo and a coronary calcium score on Jan 10th. If the calcium score shows significant build up he said he’lll want me to do a stress test. I think I want to ask for a stress test anyway, regardless of the scoring results. Thank you again. I have watched so many of your videos and you calm me down and help me to think rationally again.
This was very reassuring as my heart monitor results showed one episode of NSVT. They followed up with a CT scan of the heart but it showed no disease but I was still concerned. After your explanation I'm OK with it now.
Thank you for so much clarity on NSVT. I had my first SVT episode Oct of last year (240bpm). 8 weeks later it happened again and I opted for ablation (SVT free since Jan of this year). roughly 4 weeks ago I started experiencing clusters of palpitations almost ongoing for a week before landing in hospital where they found nothing. I contacted my Electrophysiologist and was fitted with the Zio Patch, I was only able to wear it for 4 days due to an allergic reaction to the adhesive. At my follow up appointment, my nurse took some extra time to show me the VT on my read out. She explained that it was a whole different monster. But when my cardiologist came in he had no concerns about the VT on my print out and said that I was having normal PACs and PVCs. Although he was very reassuring, I was still left confused as to why the nurse made a point to tell me about the VT and dangers of it. It almost made me think she was trying to tell me something she knew he wouldn't. I've been having back to back panic attacks and fear of being alone due to the PACs and PVCs scaring me half to death. This video has helped me very much in understanding that I'm likely ok and need to let go a bit. I do have one question however, can I expect this to get worse with age? Thank you so much for your time and sharing all of these hopeful and helpful videos!
@@YorkCardiology I've been told by my cardiologist the opposite - that couplets, triplets, and NSVT etc. all suggest that there is a propensity for re-entry which significantly increases the risk of VT, VFib and SCD... and should be taken seriously and treated?
I had something like that the emergency doctor told me I might have wpw then got checked out by cardiologist and said everything was fine I get pvc a couple a day
Fantatic and well delivered! Thank you for making yourself available as a resource to help others help others! Certainly helps me feel better during a sleep study for sleep apnea!
Thank you for this video. I have had a year of PVC’s and recently (a week post partum) I experienced a run of 3 PVC’s which I was told was NSVT and I’ve been absolutely petrified since. My paternal uncle died of sudden cardiac death at 45 but otherwise no family history. I’ve had 2 normal echo’s except some trace/trivial regurgitation… I’m just petrified that I’m going to drop dead. These palpitations have well and truly taken over my life 😢 I feel every single palpitation too, I have no idea how to feel reassured, how to calm down or how to cope. It’s ruining my life
@@micheles3013 much better. I get them occasionally now particularly in high stress or around my cycle, but they’ve significantly reduced. I think they were largely due to huge shifts in hormones as well as blood loss, which made me iron deficient too. I would say if experiencing them, get an echo, get a holter monitor and see your burden. If clear you can do small things to help them, like supplements: coQ10, l-carnitine and magnesium taurate were really helpful for me. I also had blood tests at the GP, mainly your electrolytes, thyroid and full blood count will be looked at, but I specifically asked for them to check my ferritin which is when I found out I was iron deficient (which can cause palpitations too). I hope that helps. It does get easier. X
Thank you so much for all this great information and I especially enjoyed your video about things that cause irregular beats . You are such a kind teacher. I am a nurse but you have taught me so many things that I have never heard before. So helpful.
Wow good video. Very clearly explained. Thank you. I am 56 and had a quadruple bypass 3 years ago. I recently was diagnosed with VT during stress test (160HR) but they didn't keep me on the treadmill for more than a few seconds after seeing VT. I have never had any symptoms and exercise regularly and play tennis. I then had Angiogram, Echo test, EPS (Electrical) and MRI of the heart - all of which were clear. Next step is to repeat Stress test whilst on Beta Blocker.... but from watching your video I am hoping for NSVT.
What an amazing way of explaining nsvt I've just been diagnosed with this and I left the hospital worried to death I wish this was explained to me before I left the hospital 👍
@@الطفلالشجاعالاناقة when I have nsvt, it feels like every single heartbeat is a flutter with no normal beats in between. A rapid flutter. But remember that other rhythms can cause the same feeling. Rhythms that aren’t worrisome.
Hi I have severe anxiety and ecg caught 8 seconds of VT and now Im constantly scared of going into VF, I had an episode last night and its very scary , i feel a massive thump in the heart followed by very fast heart rate usually about 200bpm. its very anxiety provoking that you can die within 30 seconds because you couldnt even get EMT on the phone in that much time, your videos are great
I have ventricular palpitations for 3 seconds. Five consecutive beats. I am so afraid that it will happen for a long time and lead to death? What did they tell you? I have a normal echo
Many Thanks Dr. Gupta. You are a God sent angle for many of us. You may not realize.. your videos have educated millions and provided many a precious insight to what's going in their body. Please continue to educate us... if possible, on the causes of electrical disturbances such as ectopics, Afib, VT etc and how we can prevent our children from getting them.
Dr. Sir although I m a layman, I m sincerely listening to your valuable videos which contains vital information on heart related symptoms and your sincere advice on these symptoms thanks by heart and good wishes for such a good work being done by you inspire of your busy schedule as a cardiologist
Thanks doctor this relieved my Stress. I didnt sleep for nights. But they way you explain is much appreciated. I walk whole day at work but sometimes i get ectopics when i am stressed or excited. This makes me worry in Going to NSVT. but the beats you explained are very different from the beats i am getting. Thank you doctor. God bless you.
Thank you for this much needed information. You are an angel. I have NSVT as of Feb 2020 while spin biking. I had a few events while exercising and within an hour of exercising. They kept telling me nothing was wrong even after 3 ER visits until it happened on stress test. My cardiologist said "wow, I didn't see that coming". He gave me beta blockers that did not help in fact made it worse. Couldn't take a shower as raising my hands over my heard sent my heart on the war path. I now take Hawthorneberry Tincture at a fairly low dose and it has helped me tremendously no episodes in 3 months. I haven't tried any cardio but am doing yoga with no issues to date. My electrocardiologist was not enthusiastic about me having an ablation although he said he would but instead said "well it could heal". Have you ever heard of it healing? Also said that NSVT can come in cycles? Getting a loop monitor at the suggestion of my cardiologist. He said NSVT is not life threatening but we need to really see what's going on.
Hi! How do you feel now? I just got nsvt a few days ago . 24 hours holter it was once 10 beat.. they want make me coronarographia.. i dont know what the right way
thank you doc for this video, it's so reassuring comparing to what one can sometimes read on the internet...I've been experiencing lately what felt like complex PVC or maybe NSVT and I can tell it scared me to death. I wish I saw your video sooner !
Dr Gupta Thank you for that. it was a very informative video. it was very reassuring when you said it is impossible to know if a run is coming from the atria or ventricles without an ecg. I get a run of something, usually 5,6 or 7 beats. I have none of the risk factors which you alluded to, I have a normal echo etc. so I feel a bit more reassured now, Thank you once again. Regards Shane.
@@D4nielH I had this diagnosed (SVT-240 beats a minute for me) through a medical grade device able to record ECG which was only offered to me for purchase almost a year and a half later by my second cardiologist. A single PVC is different from SVT. SVT is much more dramatic. I had an ablation for the SVT once it was caught. Xo
@@sonjanoone4109 hope you are doing alright! I have a holter tomorrow. I keep having pvc couplets a lot at nights. :( keep me very afraid. Echo has been done 2 times and it is totally normal. Have a nice day. Xo. -Daniel
🤔I wish we could clone this doctor and have him across the world to help people that have heart conditions/concerns. ♥️🤣🤣 I've been to several cardiologist and he's explain things better in one short video than they have combined! 😢 That being said,. I hope anyone reading this message has all the best of luck. And remember that you are NOT ALONE! 🤗
I was wearing a Zio patch when I went into a nine-run of VT. I felt like I was dying terrible chest pain I could not breathe and my body started shaking and jurking almost passed out went to my knees..scarrest thing of my life I called 911.. they kept me in the hospital for two days.. had another run-in of it in the hospital..scares me because I have CAD and 15 stents in my ❤️ and have 2 blockages right now that they say they can't fix..I got a new cardiologist hopefully you can help me out.. that nine run of v-tach was the scariest thing I've ever had scarier than my heart attack. I pray I never get it again.i have PVCs and supraventricular tachycardia also.
Thank you! I was just informed I have ventricular tachycardia. I go in Monday to discuss with cardiologist. Based on your video I'm thinking it's non-sustained ventricular tachycardia. Guess I'll find out soon. Thanks again for the information!!
I seem to be having tachycardia that I notice on the regular now before I go to sleep. It used to be the thuds and feeling like my heart was going to jump out of my chest; by comparison, the tachycardia is way easier to miss. Wore the holter monitor two weeks ago for 48 hours; up to that point, I'd noticed no tachycardia. First time I did notice it was the night before I got the report. (So, the report did NOT give me the idea, make me start looking for it.) Monitor said 17 episodes of either VT or SVT, none longer than ten seconds, no more than 7 beats, HR 140 at max. But the last two nights, I've counted several multiples of 10 at once. (Counted 80 total the first night.) If I wasn't being quiet, I wouldn't notice them, and as they stop abruptly and my heart goes back to whatever "normal" is, I'm not worried. Non-cardiologist doctor said my 29% PVC burden was of no concern, so...I guess it's no concern. I am getting older, (63, have been a runner, can't run any more (brutal osteoporosis, fractured T8 on a run,) but still try to get a brisk as possible walk in with weighted vest and trekking poles, so I think my heart is still in decent condition,) maybe this is just what old hearts do? But, you can kind of understand why a person might feel concerned. Getting old isn't for sissies.
Thanks so much for this knowledgeable video it eased my concerns. I am 48 yrs old and just had a stress test today they mentioned VT but it was just a blip . I was told I have to go back for a 4 hour test. I have had Atrilfib twice and I also have MVP. it's scary cause I am athletic and I have a 9 yr old son . I would like to be around to see my son grow into a young man. Your video helped ease my anxiety. Thank You
Thank you very much for this video! It's very informative! :) I am still wondering how high the risk is to get from a NSVT to a SVT? Are there any numbers on the risk available?
hey doctor sanjay, thank you so much for this video, I was looking to know about this. and it was very well explained. your videos are definitely one of a kind well Don! and good luck! with everything you do. God bless you! ps. I'll most dfinietly share it.☺
But what Causes Nsvt in a normal healthy heart? I'm scared because I got one that lasted for 1 second 40 minutes after exercising. Please help. I felt a teenie bit like a head rush when it happened. 🙏😞
I am 70. I am in heart failure. I had 18 episodes of V tach. . Luckily I was in the hospital. My symptoms were drowsiness and feeling weak. I am home now with medications.
Thank you very much for posting this video. I am a very active young man who gets random bursts of alarmingly high heart rate after heavy and sudden exercise. This happens somewhat rarely (probably once every month or two) and Ive never timed it but seems to last about half a minute or so. Sometimes they seems to go on for a little longer (maybe a minute or so) and I start to get light headed almost like I'm hyperventilating but it makes me wonder if its due to panicking following the episode as it is fairly alarming. It is nice to find information on this and hopefully will help me reduce the anxiety invloved with attacks in the future
I knew it: of course iron affects electrical conductance of the heart. It's iron after all. Iron Overload Decreases CaV1.3-Dependent L-Type Ca2+ Currents Leading to Bradycardia, Altered Electrical Conduction, and Atrial Fibrillation, 2011 So this is my theory: I have this mode where the atrium acts as a little turbo on top of the ventricular contraction, not instead of. This requires good coordination of the two pulses. If there was too much iron, it would mess it up and combine the two, ie atrial fib. But since I've been iron chelating for a while, I don't have that problem. This has to be the design of the mode where the atrium is pulsing at high frequency. Not afib. It increases blood flow and feels great. It only lasts for a minute cause contrary to the ventricle, the atrium is a much smaller muscle and gets tired. But it's good for little spurts. Anyhow that's my working theory and why cardiologists have apparently never seen this, cause almost everyone has too much iron which has been my contention. Anyhow of course evolutionarily the heart carried on and afib is not a serious condition. But I think if you have afib you have waaaay too much iron 3:20 VT is a very regular pumping action. It can be reduced blood flow, but in a stable manner. So it can make you tired, but it's not going to progressively get worse, it really cannot given the fixed heart rate. The heart always gets the oxygen. Only if you have cvd, ie clogged coronary arteries, could vt be a prelude. The 4% of normal people having exercise induced nsvt but not higher mortality, the key there is, the paper says this after adjustment for risk factors. So exercise induced means you may have risk factors, eg cvd, but you can check for those.
I was just diagnosed with nonsustained SVT and my Doctor prescribed metatropol 25mg with a followup in 3 months. My echocardiogram came back 65% which they said was normal and my Holter monitor showed infrequent SVT with an extra 6 beats. I wore the monitor for 48 hrs. My question is, if I'm not feeling any palpations why am I on a beta blocker? Is it necessary? I have a history of anxiety so I'm wondering if that's the reason behind this treatment.
I was recently diagnosed with NSVT. I had symptoms several years ago and nothing showed up on holter monitor, just was treated for anemia. Got a new NP and I was telling her at my last physical that I was having symptoms again and she put me on a monitor. I had resting heart rate that got up to 160's. Went on a beta blocker two weeks ago and resting heart rate is now hanging in 60-80's range. Anxiety I was feeling is gone and I'm sleeping so well, so I'm thinking that was the cause of that too
Yes, I am very excited because Dr. Gupta is an awesome person and his expertise is so great! Hard to find someone with both of those things in one package!
I have so much anxiety since a 3 beat run of nsvt was found on my zio report. I felt better after watching this video but then I went to TikTok and saw horror stories, like how people have to get defibrillators implanted and how nsvt can become unstable very quickly
Can nsvt feel like a run of 3-5 fsster beats followed by a pause then return to normal? I've had this happen then return to normal for a few seconds then do it again, then return to normal then do it again. Very scary.
Same here , I wore a monitor for 2 weeks showed over 300 short runs of Atrial Tachycardia like 10-15 seconds at a time but ALOT of them. I feel every time to . Everyday All throughout the day 😢 but my cardiologist still tells me not to worry . Does yours do it everyday
I had been diagnosed with inappropriate sinus tachycardia...Ur words are really comforting ND reassuring...for me nd many anxious patients...I'm llnd proff mbbs student ...ND i wish that I could meet u ...sir...in my future career as cardiologist
I'm not really worried about my heart just really interested in the fascinating organ especially it's electrical system! I can't wait to get a used patient monitor and see my own ECG!
Hi. This is my experience: I am 50, overweight, but eat well with many veggies and fruits. I am under high stress because of a long-time disease of a family member. No risk factors as in the video. Former smoker. No alcohol. No drugs except for some nail topical cream. I had two medical grade Holter devices (12 and 5 lead) within 24 and 48 hours. Echo of the heart and carotid, blood tests, many X-rays of the heart, and quite a few cardiologist visits. The results are: good heart, grade 1 hypertension, some bradycardia at rest (55 beats per minute) all was fine. Good heart. I have about 5 NSVT episodes per week, mostly when I am bloated and hunched over on a chair. Never when making an effort. I also had some PAC and PVC, single and sometimes in couplets. The NSVT beats are 3 beats in a row and only one time it was 5 beats in a row. They appear on medical Holter as on my 1 lead wearable Holter. I also feel when I have an NSVT episode it feels like a rattle in my lower chest near the stomach. My doctors say I am fine just need to lose weight and exercise more. I am always concerned about how my heart works. I love your videos, Mr. Gupta. I am also thinking of Heliobacter Pylori and some other gastric causes because they look related.
Hello Doctor, for a few years now i have been having issues with my heart beat. It can go from 0 to 100mph for no reason. And the. Just beat normal with in a split second. This hasnt been picked up at all on any device used as its never happened with in the tests times. I get told its my anxiety but i k ow my own body and this isn't anxiety. My symptoms happen which then spark anxiety its hard to get some one to listen. Which advice could you give me please
I had an episode of 12 pvcs in a row during my 48h holter monitor, hence, NSVT. I didnt feel these and I was sleeping when it happened. However, that caused me huge anxiety since I read that more than 3 in a row can be more dangerous. Now I suffer from anxiety and insomnia because of that and every night my anxiety causes me pvcs, fainting feelings and chest pain which again trigger panic attacks... My cardiologist didnt really tell much since my echo was normal which just left me with more "???". Now I am here....
So if a young person is otherwise healthy and just having a 3-4 beat run of pvcs you wouldn't treat them or even run more tests? That's really reassuring. I've been having one or two 3-4 beat runs of pvcs almost every day and can't help but be worried about it. Single beat pvcs are one thing to deal with but the short runs of them are scary.
After suffering a run over around 30 fast beats for about 15 seconds went crazy looking for an answer. Thank you again for your comforting words. I would also like to ask you for a favor.I have come upon the words repetitive monomorphic ventricular tachycardia and found out it is related to an irregular flow of ions to the heart muscles, rather than an electric sidepath, also more related to women, severe stress periods and exercise...basically when adrenaline levels are elevated. What is the relationship btw this and PVCs?
Could you clarify - do both consecutive ectopics and tachycardia (less than 30 seconds) have to exist for the event to be considered NSVT? In other words, I have runs (consecutive ectopic) a few times a month, but my heart rate doesn't escalate, certainly not above 120.
Has to be 3 ventricular ectopic beats in a row, those 3 beats have to be at 120 beats per minute. That’s the minimum requirement for classifying NSVT. If those 2 things don’t happen, it’s not NSVT, it’s just PVCs, almost everyone throws off some PVCs from time to time. It’s only when you’re having say 20,000 or 30,000 per day, that would cause any concern. Although they are very scary, I have ectopics, I also have a horrible anxiety issue. It’s a vicious cycle.
Was diagnosed with pac and pvcs 5 years ago. And GAD. Never had it before then. What about anxiety vs more serious heart symptoms. I have had from normal beats to 163 racing out of nowhere for a bit. Struggle with over thinking I guess. Heart runs Less than a minute. No issues running. Always when still. How do I know if its anxiety or a heart problem?
Thank you for these videos. I appreciate the time you put in. What about consecutive short runs of VTAC, such as 10 second runs of 200BPM every minute for an hour in someone with a healthy heart? I was diagnosed with benign NSVT about a month ago. About a week ago, I experienced 5-10 second runs of VTAC that made me feel close to passing out. While I rarely have more than 2/day, this time I had 20 in an hour and required an IV of amiodarone in the ER to get me out of it. I've read conflicting comments about whether this can degrade into sustained vtach or vfib.
Sir will email you soon. Might need an appointment. Mine is exersize induced but at age 62 I over do it 2hrs a day. But not since May this started. Just completed 3rd ablation. The last ablation was because exercise was causing AFIB, sporadic heart rate or tachycardia. Now no AFIB. Thanks for your information
It is reassuring because I suspect I may have non sustained ventricular tachycardia there are times during or after exercise that I experience some dizziness followed by a brief tachycardia of anywhere from 160 to 215 beats per minute and I do get PVCs some times two in one minute but my heart is structurally normal
I recently had nsvt. I felt a strange heartbeat and there was a few in a row. I did the Istel 2000 test and I got 12 out of a row of ventricular contractions. Then it’s stops and again 6 in row. My heart is healthy that’s what’s says my doctor.
three skipped heart beats in a row are extra beats so 3 extra heart beats plus ur heart rate how can it be over 120 heart beats a min? reg heart rate 70 plus 3 extra heart beats total of 73 beats per min where does over 120 hbpm come from? i dont under stand
I had 2 runs of NSVT on 7 day holter monitor. 5 beats each time. I also have very short runs of SVTs. My dad died at 42 we think of a heart attack but not confirmed from autopsy. He had rheumatic fever as a child and it damaged his valve in his heart. I am so scared right now. I am doing another stress echo and may do a CTA.
Not sure which is more comforting; Dr. Gupta's knowledge or scrolling through the comments and seeing that I'm not alone. This is such a reassuring and comforting community, I always walk away from these feeling much more at ease and empowered. Thank you doctor!
You are an angel for bringing so much peace and calm to so many anxious people. You are gifted in many ways including your intelligence but also your compassion for others. Many doctors don't have the time or patience to sit here and explain these things to patients in terms that we can understand. But you do. And for that, so many of us are indebted to you. Thanks for all you do.
fair_shares I could not agree more, many doctors don't spent the time or are just in a rush to get you in and out. I typically hear you're fine and that's about it. While that's not bad it's still not enough for how aware some of us are of our hearts and there's no amount of thanks I can give that would show how grateful I am for the videos Dr Gupta :)
I couldn't have said it better fair_shares! I'm so thankful for the doctor and his generosity!
Thank you so very much:-) Your kind words make it all worthwhile. thank you!
farrahcantdecide Yes Farrah; to what you just said about that Doctor, & my name is Oscar, & I'm a 49 yr old African American!! Who just wanted to say thank you also for your saying about this Doctor,
Thank you Farrah, for your saying about this Doctor, cause I, felt the same way after listening to his great video of medical advice I, to thank the Doctor, so Very much 💝
You are fantastic. So clear, so cogent, so calming!!
I am 59 . I’ve had pvcs since age 18. A few years ago, I developed a run of NSVT on a Holter monitor.
After doing unfortunate Google search I scared the crap out of myself expecting sudden death.
I saw an electrophysiologist and he reassured me.
I make sure to get echo and stress echo every 1-2 years.
But now I can feel the episodes of Nsvt. This video really really helped me calm down and get perspective.
Thank you so much!!!
My Zio founds 3 NSVTs over 2 weeks and I'm having a panic attack since finding out. Thank you Dr Gupta for helping me calm down.
God bless you for your kind & informative videos for the legions of cardiac patients who live with daily fears. I have a pacemaker the past 9 months after a lifetime of PVCs, palpitations & panic attacks. Congenital anomalous RCA. Now I’ve developed NSVT. Every day is a challenge mentally & physically. It’s exhausting. Living with these cardiac fears for the past 50 years-so tired of it but what else can I do but carry on. Thank you for your kindness & compassion for those you treat & the rest of us who are looking for help. 🙏🏻❤️
This was extremely useful and reassuring. Just met with cardiologist today and reviewed my results. Heart monitor had more than one 3 NSVT examples over a week. Stress test and echocardiogram the week after the monitor both provided excellent results. No family history. No exercise induced blackouts. Never could tell i was having the palpitations. I feel so much better now. Thank you so much
I have never posted anything on TH-cam, but I really need to thank you for these videos. So thank you☺️☺️
I know this is an old post but this was exactly what I needed to hear! I have had runs of 3-7 beats of VT with bi-Gemini, and couplets, but mainly PVC after PVC. Normal heart and history. The anxiety has most certainly caused the episodes to get worse when started but this message has for certain helped to put my mind at ease.
Thank you Doctor!
Hello!im facing the same but did not catch on holter. Ru taking any meducine
I was finally put on Flecanide 50mg twice a day. 90% reduction of Pre Ventricular Complexes. It has been life changing. I started it about two weeks ago and it has worked wonders for me. Most if not all of my anxiety is gone. I still have PVC burden but I can barely feel them. I definitely do not have the issues that plagued me for so long.
After a stress test and echo I started Flecanide. With Metiprolol if things get out of control. Thankfully I have not needed anything but the Flecanide and my anxiety meds.
I am so grateful for this medicine. In the future I may have an ablation done but for now the meds are working. I wish you the best of luck.
@@zviper3915 but y wud they put u on flecainide????bec of the burden??
This is a great topic - I have been “diagnosed” with NSVT - I have worn. monitors 6 times and each time I have had 3 to 7 beats of NSVT. I have felt it every time and indicated that with the button.
THAT all said - never have I felt faint/dizzy or anything other than “oh…that felt weird” - I ride my bike (pedal bike) 100 to 140 miles a week.
I am proof of what is said here. I did have tests to make sure this was not an indicator of heart disease as there is a ton of it on my dad’s side. But the great news is - no heart disease so this is just something I’ll have every once in a while and go on with a happy healthy life
Thank you once more. You are two for the price of one: an excellent cardiologist and an excellent psychologist. I listen to you and the calming effect is so amazing. Thank you again for your clear and " down to earth" explanations.
This is a wonderful video and has relieved much anxiety. We can only wish all Doctors would take the time, and have the give a darn to explain things as you have here, reassuring the patient. It helps to know WHY we shouldn’t be overly concerned. When your MD just says “don’t worry, it’s benign,” that’s not all that helpful when you are the type who is proactive in your healthcare and want to understand what is occurring and why. I’ll sleep better tonight. Thank you again
Thanks for very informative video. I am 66 years old and found out 4 years ago that I have NSVT condition but after watching your video, I can tell friends I have Non sustained Ventricular Tachycardia. Thank you once again.
Nsvt life treating ?
Such useful information. My Ventricular tach only showed up on a treadmill stress test at 85% of my max heart rate. Only lasted 5 seconds. No other risk factors and other healthy, so I'm hoping this is nothing to worry about
It’s a year later now, you still kickin?
Beautifully explained. Thank you. You've helped my anxiety already!
THANK YOU! I wish the cardiologist who attended my stress test.had explained things this well. I feel much better now.
Your videos have been very helpful.
I have AVNRT F/S that goes on for days. It's just helpful to know that it isn't as dire as it feels.
I've had cryo and rf ablation but the little area that locks the electrical loop into place grew back.
Thank you for these videos. I had a period of atrial fibrillation which lasted about 30 minutes and since then I've been so anxious. These videos are helping me so much.
What did it feel like?
I have learned a lot about the heart from you. thanks for all your videos.
I had two attacks, 12 months apart. First one lasted 30 mins or so, went to hospital and they brought it down. 2nd one lasted hour and a half whilst I waited for an ambulance, (uk). When ambulance arrived my heart went back to normal in a second with no treatment. I've had tests, and they revealed that my heart is, quote, "absolutely perfect". I have neck injury, and am now investigating vagus nerve connection that may be the trigger.
Do you get pvs regular??
Thank you for explaining everything in a way that we can understand and for putting my mind and anxiety to rest! You are amazing!
You explain things very well. And I can tell you know what you're talking about young man. I'm not a doctor but I do know a bit about this.A lot of doctors never talk and say enough. Listening to you was a big relief in my mind and I'm sure a lot of others too.
Many thanks for your understandable information! Going for my first echo and stress tests this month. My bro died unexpectedly last year at 61 and we had similar lifestyles and nutrition. When the coroner looked at his heart, he had 3 types of heart issues that I didn't know about. So after getting a holter for two days, BT was 1. Missed by the PA but 2. Found by the chief of cardio. So he did a brief EKG in the office and looked at the old test, and said we needed to find the cause. At no time did he mention the nonsustained VT so I've been anxious for a month and a half waiting for these next appts. But your ten minutes did me much good service, so thank you! No longer nervous about these milestone appointments :) God bless you ❤
You are just the absolute best! I just had an ekg show irregularity so my cardiologist had me wear a heart monitor for a week. It showed 92 episodes of brief VT lasting up to 6 beats. He put me on 25mg of metoprolol in the AM. I have been very stressed about some things like eye surgery that went wrong etc. I really don’t want to be on this beta blocker but he said it needs to be suppressed. Your video helped me feel much better. My echo was perfect and my CT Calcium score is 20 so that’s all good. I need to lose 30 pounds and exercise more as my cholesterol is high but has been for 24 years and no plaque build up so…..but at 64 I feel pretty good. Just don’t want to be on the BB. I had my gallbladder out 7 months ago and I’m also on Synthroid for Hypothyroidism. I know not having a gallbladder makes the meds metabolize differently. So need to find a metabolic doctor who can shed some light. Anyway, thank you so very much for your calming videos. I live in Los Angeles and if I lived in the UK I would want to come see you. Doctors over here are so quick to medicate. I guess it’s a large part of their income. God bless you Dr G🥰
Thank you! I was reading info on the internet and was fearful and I started having a panic attack. These articles that seemed peer reviewed was really scarring me
Thank you so much for your elaborate explanation. It is very comforting and helpful to hear and understand. While I haven't been diagnosed with this, I have times where I'm in a position sitting or laying where it seems my stomach or something else irritates my heart and it shoots out 3-6 fast beats. It doesn't happen too often but, I notice the flutter and feel my pulse and feel a few quick bounces. Thank you again!
Best explanation ever on NSVT. Thank you.
I agree 💯
Thank you for this. I've been having palpitations for over a year now. My echocardiogram and holter monitor came back normal, but I still get isolated palpitations which really bother me. Today though I had what felt like a ventricular tachycardia which lasted about 4 beats and that really scared me. I feel a lot better about it now, so thanks again.
Hlo
How r u
This has been incredibly helpful! THANK YOU!
Thank you so much for all that you do. You are soooo knowledgeable AND comforting. I am a 50 yr old female and recently wore a 2 wk zio heart monitor for palpitations. They called saying that in 2 wks it showed 3 runs of SVT with the worst being a 6 beat run that went up to 191 HR and told me that I could go on metoprolol if I wanted to maybe lessen palps or make them to where I might not feel them. I do have family hx, but not of sudden cardiac death of someone 40 or under. My dad had a heart attack at age 46 and passed away of a 2nd one at age 57. My anxiety about my heart is CONSTANT, especially now that I am having palpitations and ESPECIALLY NOW after hearing that I had 3 runs of SVT (they didn’t specify if NSVT but I guess so since it only got up to 6 beats). I will be having an echo and a coronary calcium score on Jan 10th. If the calcium score shows significant build up he said he’lll want me to do a stress test. I think I want to ask for a stress test anyway, regardless of the scoring results. Thank you again. I have watched so many of your videos and you calm me down and help me to think rationally again.
So lovely genuine and so much empathy. Love your videos Dr Gupta.
You’re so calm and warm nice
This was very reassuring as my heart monitor results showed one episode of NSVT. They followed up with a CT scan of the heart but it showed no disease but I was still concerned. After your explanation I'm OK with it now.
Thank you for so much clarity on NSVT. I had my first SVT episode Oct of last year (240bpm). 8 weeks later it happened again and I opted for ablation (SVT free since Jan of this year).
roughly 4 weeks ago I started experiencing clusters of palpitations almost ongoing for a week before landing in hospital where they found nothing. I contacted my Electrophysiologist and was fitted with the Zio Patch, I was only able to wear it for 4 days due to an allergic reaction to the adhesive. At my follow up appointment, my nurse took some extra time to show me the VT on my read out. She explained that it was a whole different monster. But when my cardiologist came in he had no concerns about the VT on my print out and said that I was having normal PACs and PVCs. Although he was very reassuring, I was still left confused as to why the nurse made a point to tell me about the VT and dangers of it. It almost made me think she was trying to tell me something she knew he wouldn't. I've been having back to back panic attacks and fear of being alone due to the PACs and PVCs scaring me half to death. This video has helped me very much in understanding that I'm likely ok and need to let go a bit. I do have one question however, can I expect this to get worse with age?
Thank you so much for your time and sharing all of these hopeful and helpful videos!
nsvt if you have a structurally normal heart and no other red flags such a sa family history of premature death is nothing to worry about
@@YorkCardiology I've been told by my cardiologist the opposite - that couplets, triplets, and NSVT etc. all suggest that there is a propensity for re-entry which significantly increases the risk of VT, VFib and SCD... and should be taken seriously and treated?
I had something like that the emergency doctor told me I might have wpw then got checked out by cardiologist and said everything was fine I get pvc a couple a day
Are you okay noy?
@@deathbyteacup do you have nsvt regular???
Fantatic and well delivered! Thank you for making yourself available as a resource to help others help others! Certainly helps me feel better during a sleep study for sleep apnea!
Thank you for this video. I have had a year of PVC’s and recently (a week post partum) I experienced a run of 3 PVC’s which I was told was NSVT and I’ve been absolutely petrified since. My paternal uncle died of sudden cardiac death at 45 but otherwise no family history. I’ve had 2 normal echo’s except some trace/trivial regurgitation… I’m just petrified that I’m going to drop dead. These palpitations have well and truly taken over my life 😢 I feel every single palpitation too, I have no idea how to feel reassured, how to calm down or how to cope. It’s ruining my life
I feel the same way! The doctors just shoo me away.
@@chalottacox5898I feel the same. I have panic attacks because of this.
@jane6261 how are you doing?
@@micheles3013 much better. I get them occasionally now particularly in high stress or around my cycle, but they’ve significantly reduced. I think they were largely due to huge shifts in hormones as well as blood loss, which made me iron deficient too. I would say if experiencing them, get an echo, get a holter monitor and see your burden. If clear you can do small things to help them, like supplements: coQ10, l-carnitine and magnesium taurate were really helpful for me. I also had blood tests at the GP, mainly your electrolytes, thyroid and full blood count will be looked at, but I specifically asked for them to check my ferritin which is when I found out I was iron deficient (which can cause palpitations too). I hope that helps. It does get easier. X
Well said. I’ve felt the same and I’m sorry for this that you are going through. How are doing?
🙏
Thank you so much for all this great information and I especially enjoyed your video about things that cause irregular beats . You are such a kind teacher. I am a nurse but you have taught me so many things that I have never heard before. So helpful.
Outstanding doc from a paramedic.
Wow good video. Very clearly explained. Thank you. I am 56 and had a quadruple bypass 3 years ago. I recently was diagnosed with VT during stress test (160HR) but they didn't keep me on the treadmill for more than a few seconds after seeing VT. I have never had any symptoms and exercise regularly and play tennis. I then had Angiogram, Echo test, EPS (Electrical) and MRI of the heart - all of which were clear. Next step is to repeat Stress test whilst on Beta Blocker.... but from watching your video I am hoping for NSVT.
What an amazing way of explaining nsvt I've just been diagnosed with this and I left the hospital worried to death I wish this was explained to me before I left the hospital 👍
Can u discribe to me what u feel when nsvt
@@الطفلالشجاعالاناقة when I have nsvt, it feels like every single heartbeat is a flutter with no normal beats in between. A rapid flutter. But remember that other rhythms can cause the same feeling. Rhythms that aren’t worrisome.
@@MyLadyToria still feels like hill
How are you now
How many nsvts do you experience??
Hi I have severe anxiety and ecg caught 8 seconds of VT and now Im constantly scared of going into VF, I had an episode last night and its very scary , i feel a massive thump in the heart followed by very fast heart rate usually about 200bpm. its very anxiety provoking that you can die within 30 seconds because you couldnt even get EMT on the phone in that much time, your videos are great
Same here I had it 4 beats at 187 bpm it’s never showed up on a moniter I’ve worn and this has me scared so bad
Isn't it because of low potassium... And magnesium...don't over exert yourself
Dr. Gupta, Thank you! (Michigan)
Than you so very much for this. I’ve very recently been diagnosed with NSVT and this video has helped enormously with my levels of anxiety
I have ventricular palpitations for 3 seconds. Five consecutive beats. I am so afraid that it will happen for a long time and lead to death? What did they tell you? I have a normal echo
Is the heart beat strong?
Many Thanks Dr. Gupta. You are a God sent angle for many of us. You may not realize.. your videos have educated millions and provided many a precious insight to what's going in their body.
Please continue to educate us... if possible, on the causes of electrical disturbances such as ectopics, Afib, VT etc and how we can prevent our children from getting them.
thank you so much Safal.!!! I will try and do the topics that you have recommended. Thank you!
York Cardiology thank you sir
Thank you so much, Doctor! I am so glad I found you.
Dr. Sir although I m a layman, I m sincerely listening to your valuable videos which contains vital information on heart related symptoms and your sincere advice on these symptoms thanks by heart and good wishes for such a good work being done by you inspire of your busy schedule as a cardiologist
This is very helpful and your explanation is clear for a non-medical person. I enjoy you and thank you for sharing your knowledge.
Thanks doctor this relieved my Stress. I didnt sleep for nights. But they way you explain is much appreciated. I walk whole day at work but sometimes i get ectopics when i am stressed or excited. This makes me worry in Going to NSVT. but the beats you explained are very different from the beats i am getting. Thank you doctor. God bless you.
They sound the same to me
Thank you for this much needed information. You are an angel. I have NSVT as of Feb 2020 while spin biking. I had a few events while exercising and within an hour of exercising. They kept telling me nothing was wrong even after 3 ER visits until it happened on stress test. My cardiologist said "wow, I didn't see that coming". He gave me beta blockers that did not help in fact made it worse. Couldn't take a shower as raising my hands over my heard sent my heart on the war path. I now take Hawthorneberry Tincture at a fairly low dose and it has helped me tremendously no episodes in 3 months. I haven't tried any cardio but am doing yoga with no issues to date. My electrocardiologist was not enthusiastic about me having an ablation although he said he would but instead said "well it could heal". Have you ever heard of it healing? Also said that NSVT can come in cycles? Getting a loop monitor at the suggestion of my cardiologist. He said NSVT is not life threatening but we need to really see what's going on.
What does it feel like when you have an episode? Is like skipped beats feeling?
@@nicolekammwettle rapid fluttering. Every heartbeat feels like a flutter, with no normal beats in between. This is my experience with it
Hi! How do you feel now? I just got nsvt a few days ago . 24 hours holter it was once 10 beat.. they want make me coronarographia.. i dont know what the right way
@@ildikoszakal5419how you feel now? Was the nsvt episode harmless or so? What did your cardiologist say?
@@D4nielH dont know yet. I had CT it was neg next week i will go to cardiologist again. I had holter again but i dont know the results yet.. you??
thank you doc for this video, it's so reassuring comparing to what one can sometimes read on the internet...I've been experiencing lately what felt like complex PVC or maybe NSVT and I can tell it scared me to death. I wish I saw your video sooner !
Hi.. are you better? I just got nsvt a few days ago
Dr Gupta
Thank you for that. it was a very informative video. it was very reassuring when you said it is impossible to know if a run is coming from the atria or ventricles without an ecg. I get a run of something, usually 5,6 or 7 beats. I have none of the risk factors which you alluded to, I have a normal echo etc. so I feel a bit more reassured now, Thank you once again. Regards Shane.
So it’s okay to feel that many in a row?
So do I. Did you ever have this diagnosed ?
@@sonjanoone4109you have diagnosed nsvt from holter? What did your cardiologist say about it? Or is it as harmless as single pvc?
@@D4nielH I had this diagnosed (SVT-240 beats a minute for me) through a medical grade device able to record ECG which was only offered to me for purchase almost a year and a half later by my second cardiologist.
A single PVC is different from SVT. SVT is much more dramatic. I had an ablation for the SVT once it was caught.
Xo
@@sonjanoone4109 hope you are doing alright!
I have a holter tomorrow. I keep having pvc couplets a lot at nights. :( keep me very afraid. Echo has been done 2 times and it is totally normal.
Have a nice day. Xo.
-Daniel
Thank you so much doctor you are so wonderful
🤔I wish we could clone this doctor and have him across the world to help people that have heart conditions/concerns. ♥️🤣🤣 I've been to several cardiologist and he's explain things better in one short video than they have combined! 😢 That being said,. I hope anyone reading this message has all the best of luck. And remember that you are NOT ALONE! 🤗
You explain things beautifully...thank you, SO much!!
I was wearing a Zio patch when I went into a nine-run of VT. I felt like I was dying terrible chest pain I could not breathe and my body started shaking and jurking almost passed out went to my knees..scarrest thing of my life I called 911.. they kept me in the hospital for two days.. had another run-in of it in the hospital..scares me because I have CAD and 15 stents in my ❤️ and have 2 blockages right now that they say they can't fix..I got a new cardiologist hopefully you can help me out.. that nine run of v-tach was the scariest thing I've ever had scarier than my heart attack. I pray I never get it again.i have PVCs and supraventricular tachycardia also.
Thank you! I was just informed I have ventricular tachycardia. I go in Monday to discuss with cardiologist. Based on your video I'm thinking it's non-sustained ventricular tachycardia. Guess I'll find out soon. Thanks again for the information!!
How r u now
@@user-od5fg6hu9b I'm good, they said not to worry about it, I get it occasionally but no problems with it! Thanks for asking!
@@triciaskiles Do u have any ecptopic
@@user-od5fg6hu9b no
Tq tracia
I like you Dr. with such a outstanding presentatiion on V. Tach.
Thank you so much. You are truly a blessing ❤️
I seem to be having tachycardia that I notice on the regular now before I go to sleep. It used to be the thuds and feeling like my heart was going to jump out of my chest; by comparison, the tachycardia is way easier to miss. Wore the holter monitor two weeks ago for 48 hours; up to that point, I'd noticed no tachycardia. First time I did notice it was the night before I got the report. (So, the report did NOT give me the idea, make me start looking for it.) Monitor said 17 episodes of either VT or SVT, none longer than ten seconds, no more than 7 beats, HR 140 at max. But the last two nights, I've counted several multiples of 10 at once. (Counted 80 total the first night.) If I wasn't being quiet, I wouldn't notice them, and as they stop abruptly and my heart goes back to whatever "normal" is, I'm not worried. Non-cardiologist doctor said my 29% PVC burden was of no concern, so...I guess it's no concern. I am getting older, (63, have been a runner, can't run any more (brutal osteoporosis, fractured T8 on a run,) but still try to get a brisk as possible walk in with weighted vest and trekking poles, so I think my heart is still in decent condition,) maybe this is just what old hearts do? But, you can kind of understand why a person might feel concerned. Getting old isn't for sissies.
Thanks so much for this knowledgeable video it eased my concerns. I am 48 yrs old and just had a stress test today they mentioned VT but it was just a blip . I was told I have to go back for a 4 hour test. I have had Atrilfib twice and I also have MVP. it's scary cause I am athletic and I have a 9 yr old son . I would like to be around to see my son grow into a young man. Your video helped ease my anxiety. Thank You
I’m just watching this video now because my stress also showed a blip of NSVT. Just wondering how you’re doing and if they did anything about it?
Thank you very much for this video! It's very informative! :) I am still wondering how high the risk is to get from a NSVT to a SVT? Are there any numbers on the risk available?
I keep watching but I still get scared wish I could stop thinking
hey doctor sanjay, thank you so much for this video, I was looking to know about this. and it was very well explained. your videos are definitely one of a kind well Don! and good luck! with everything you do. God bless you!
ps. I'll most dfinietly share it.☺
thanks Sarah!!!
But what Causes Nsvt in a normal healthy heart? I'm scared because I got one that lasted for 1 second 40 minutes after exercising. Please help. I felt a teenie bit like a head rush when it happened. 🙏😞
I am 70. I am in heart failure. I had 18 episodes of V tach. . Luckily I was in the hospital. My symptoms were drowsiness and feeling weak. I am home now with medications.
You had 18 different episodes of NSVT in a single day? 🤔.... how long did they last per episode.
Thank you for the info.❤It makes me feel better.
Thanks for full explanation
Thank you very much for posting this video. I am a very active young man who gets random bursts of alarmingly high heart rate after heavy and sudden exercise. This happens somewhat rarely (probably once every month or two) and Ive never timed it but seems to last about half a minute or so. Sometimes they seems to go on for a little longer (maybe a minute or so) and I start to get light headed almost like I'm hyperventilating but it makes me wonder if its due to panicking following the episode as it is fairly alarming. It is nice to find information on this and hopefully will help me reduce the anxiety invloved with attacks in the future
thanks you!
How are you doing?
I knew it: of course iron affects electrical conductance of the heart. It's iron after all.
Iron Overload Decreases CaV1.3-Dependent L-Type Ca2+ Currents Leading to Bradycardia, Altered Electrical Conduction, and Atrial Fibrillation, 2011
So this is my theory: I have this mode where the atrium acts as a little turbo on top of the ventricular contraction, not instead of. This requires good coordination of the two pulses. If there was too much iron, it would mess it up and combine the two, ie atrial fib. But since I've been iron chelating for a while, I don't have that problem. This has to be the design of the mode where the atrium is pulsing at high frequency. Not afib. It increases blood flow and feels great. It only lasts for a minute cause contrary to the ventricle, the atrium is a much smaller muscle and gets tired. But it's good for little spurts. Anyhow that's my working theory and why cardiologists have apparently never seen this, cause almost everyone has too much iron which has been my contention. Anyhow of course evolutionarily the heart carried on and afib is not a serious condition. But I think if you have afib you have waaaay too much iron
3:20 VT is a very regular pumping action. It can be reduced blood flow, but in a stable manner. So it can make you tired, but it's not going to progressively get worse, it really cannot given the fixed heart rate. The heart always gets the oxygen. Only if you have cvd, ie clogged coronary arteries, could vt be a prelude.
The 4% of normal people having exercise induced nsvt but not higher mortality, the key there is, the paper says this after adjustment for risk factors. So exercise induced means you may have risk factors, eg cvd, but you can check for those.
Very informative!
What would you do fir NSVT if you had a patient getting 3-5 runs a day, but all tests showed normal structure?
I was just diagnosed with nonsustained SVT and my Doctor prescribed metatropol 25mg with a followup in 3 months. My echocardiogram came back 65% which they said was normal and my Holter monitor showed infrequent SVT with an extra 6 beats. I wore the monitor for 48 hrs. My question is, if I'm not feeling any palpations why am I on a beta blocker? Is it necessary? I have a history of anxiety so I'm wondering if that's the reason behind this treatment.
I was recently diagnosed with NSVT. I had symptoms several years ago and nothing showed up on holter monitor, just was treated for anemia. Got a new NP and I was telling her at my last physical that I was having symptoms again and she put me on a monitor. I had resting heart rate that got up to 160's. Went on a beta blocker two weeks ago and resting heart rate is now hanging in 60-80's range. Anxiety I was feeling is gone and I'm sleeping so well, so I'm thinking that was the cause of that too
Yes, I am very excited because Dr. Gupta is an awesome person and his expertise is so great! Hard to find someone with both of those things in one package!
awww thanks Dawn!
I have so much anxiety since a 3 beat run of nsvt was found on my zio report. I felt better after watching this video but then I went to TikTok and saw horror stories, like how people have to get defibrillators implanted and how nsvt can become unstable very quickly
Can nsvt feel like a run of 3-5 fsster beats followed by a pause then return to normal?
I've had this happen then return to normal for a few seconds then do it again, then return to normal then do it again. Very scary.
Same here , I wore a monitor for 2 weeks showed over 300 short runs of Atrial Tachycardia like 10-15 seconds at a time but ALOT of them. I feel every time to . Everyday All throughout the day 😢 but my cardiologist still tells me not to worry . Does yours do it everyday
Interesting.....for sure, not sure I understand it that much....but think some is sinking in.....
Actually u can feel if it is atrial or not. Atrial does not have compensatory pause after, correct?
I had been diagnosed with inappropriate sinus tachycardia...Ur words are really comforting ND reassuring...for me nd many anxious patients...I'm llnd proff mbbs student ...ND i wish that I could meet u ...sir...in my future career as cardiologist
Thanks RajeeV!
I'm not really worried about my heart just really interested in the fascinating organ especially it's electrical system! I can't wait to get a used patient monitor and see my own ECG!
thanks knuckles!
Hi. This is my experience: I am 50, overweight, but eat well with many veggies and fruits. I am under high stress because of a long-time disease of a family member. No risk factors as in the video. Former smoker. No alcohol. No drugs except for some nail topical cream. I had two medical grade Holter devices (12 and 5 lead) within 24 and 48 hours. Echo of the heart and carotid, blood tests, many X-rays of the heart, and quite a few cardiologist visits. The results are: good heart, grade 1 hypertension, some bradycardia at rest (55 beats per minute) all was fine. Good heart. I have about 5 NSVT episodes per week, mostly when I am bloated and hunched over on a chair. Never when making an effort. I also had some PAC and PVC, single and sometimes in couplets. The NSVT beats are 3 beats in a row and only one time it was 5 beats in a row. They appear on medical Holter as on my 1 lead wearable Holter. I also feel when I have an NSVT episode it feels like a rattle in my lower chest near the stomach. My doctors say I am fine just need to lose weight and exercise more. I am always concerned about how my heart works. I love your videos, Mr. Gupta. I am also thinking of Heliobacter Pylori and some other gastric causes because they look related.
Hello Doctor, for a few years now i have been having issues with my heart beat. It can go from 0 to 100mph for no reason. And the. Just beat normal with in a split second. This hasnt been picked up at all on any device used as its never happened with in the tests times.
I get told its my anxiety but i k ow my own body and this isn't anxiety. My symptoms happen which then spark anxiety its hard to get some one to listen. Which advice could you give me please
Awesome video!! This topic has caused me lots of concern. What would you say about runs (less than 10 beats) that happen hours after exercise?
How you doing now
Sadly he didnt make it Rob
@@noname-sq9pmHow do you know?
Would you be able to do a video on Fascicular VT and the fact it is often misdiagnosed as SVT with abherrancy and is usually a benign VT please?
I had an episode of 12 pvcs in a row during my 48h holter monitor, hence, NSVT. I didnt feel these and I was sleeping when it happened. However, that caused me huge anxiety since I read that more than 3 in a row can be more dangerous. Now I suffer from anxiety and insomnia because of that and every night my anxiety causes me pvcs, fainting feelings and chest pain which again trigger panic attacks... My cardiologist didnt really tell much since my echo was normal which just left me with more "???". Now I am here....
what ended up happening?
i had 8 in a row at cardiac rehab.
i don’t know the results of my holter monitor for another 30 days.
i get the anxiety
So if a young person is otherwise healthy and just having a 3-4 beat run of pvcs you wouldn't treat them or even run more tests? That's really reassuring. I've been having one or two 3-4 beat runs of pvcs almost every day and can't help but be worried about it. Single beat pvcs are one thing to deal with but the short runs of them are scary.
Dr do you happen to cover VT in children with a very bad immediate family history of strokes at young ages, sudden deaths in children and adults.
After suffering a run over around 30 fast beats for about 15 seconds went crazy looking for an answer. Thank you again for your comforting words. I would also like to ask you for a favor.I have come upon the words repetitive monomorphic ventricular tachycardia and found out it is related to an irregular flow of ions to the heart muscles, rather than an electric sidepath, also more related to women, severe stress periods and exercise...basically when adrenaline levels are elevated. What is the relationship btw this and PVCs?
I’ve had about 12 pvcs in a row but at less than than 120bpm, around 70. My doctor said I had slow VT?
Could you clarify - do both consecutive ectopics and tachycardia (less than 30 seconds) have to exist for the event to be considered NSVT?
In other words, I have runs (consecutive ectopic) a few times a month, but my heart rate doesn't escalate, certainly not above 120.
please clarify, i've had runs twice in the last month suddenly at rest and heart rate was normal
Does your heart speed up after ? Do you get scared?
I have the same questions
Has to be 3 ventricular ectopic beats in a row, those 3 beats have to be at 120 beats per minute. That’s the minimum requirement for classifying NSVT. If those 2 things don’t happen, it’s not NSVT, it’s just PVCs, almost everyone throws off some PVCs from time to time. It’s only when you’re having say 20,000 or 30,000 per day, that would cause any concern. Although they are very scary, I have ectopics, I also have a horrible anxiety issue. It’s a vicious cycle.
Nathan H so how do you deal with them? Do you get way more when you get super anxious say social anxiety?
Was diagnosed with pac and pvcs 5 years ago. And GAD. Never had it before then. What about anxiety vs more serious heart symptoms. I have had from normal beats to 163 racing out of nowhere for a bit. Struggle with over thinking I guess. Heart runs Less than a minute. No issues running. Always when still. How do I know if its anxiety or a heart problem?
Thank you for these videos. I appreciate the time you put in. What about consecutive short runs of VTAC, such as 10 second runs of 200BPM every minute for an hour in someone with a healthy heart? I was diagnosed with benign NSVT about a month ago. About a week ago, I experienced 5-10 second runs of VTAC that made me feel close to passing out. While I rarely have more than 2/day, this time I had 20 in an hour and required an IV of amiodarone in the ER to get me out of it. I've read conflicting comments about whether this can degrade into sustained vtach or vfib.
How does it feel like? Like flutterin
Any updates?
Sir will email you soon. Might need an appointment. Mine is exersize induced but at age 62 I over do it 2hrs a day. But not since May this started. Just completed 3rd ablation. The last ablation was because exercise was causing AFIB, sporadic heart rate or tachycardia. Now no AFIB. Thanks for your information
Thankyou, you just helped me. 🙏🏼
It is reassuring because I suspect I may have non sustained ventricular tachycardia there are times during or after exercise that I experience some dizziness followed by a brief tachycardia of anywhere from 160 to 215 beats per minute and I do get PVCs some times two in one minute but my heart is structurally normal
does anyone have double pulses?binegamy or what is called?a small one and big one?when i do something specific .. 4 in a row..what u think it is?
I recently had nsvt. I felt a strange heartbeat and there was a few in a row. I did the Istel 2000 test and I got 12 out of a row of ventricular contractions. Then it’s stops and again 6 in row. My heart is healthy that’s what’s says my doctor.
Means your case is benign and nothing to be worried?
three skipped heart beats in a row are extra beats so 3 extra heart beats plus ur heart rate how can it be over 120 heart beats a min? reg heart rate 70 plus 3 extra heart beats total of 73 beats per min where does over 120 hbpm come from? i dont under stand
I had 2 runs of NSVT on 7 day holter monitor. 5 beats each time. I also have very short runs of SVTs. My dad died at 42 we think of a heart attack but not confirmed from autopsy. He had rheumatic fever as a child and it damaged his valve in his heart. I am so scared right now. I am doing another stress echo and may do a CTA.
What if you have left axis deviation and nsvt ?
11:56 'fluttering'. I hear one second its pounding, the next, 'fluttering'. Which is it
Does it matter ?