Friday, August 30, 2013

explain it to my heart

With the last few sappy posts I bet you are expecting this post to be about missing my hubby or something like that.  He was in training all day yesterday and went to the movie with my sister and her hubby last night so there is nothing of a significant Alaskan nature (no pun intended) to report...

So I'll tell you what I did yesterday.

I took my son to the pediatric cardiologist.

He has SVT.  It, and other weird, but not uncommon, heart problems run in my dad's side of the family.  Mine and my dad's heart "skips a beat", but my son's heart "races".

Here, let Web.MD do the talking...

What is supraventricular tachycardia?

Supraventricular tachycardia (SVT) means that from time to time your heart beats very fast for a reason other than exercise, high fever, or stress. Types of SVT include:
During an episode of SVT, the heart?s electrical system doesn't work right, causing the heart to beat very fast. The heart beats at least 100 beats per minute and may reach 300 beats per minute. After treatment or on its own, the heart usually returns to a normal rate of 60 to 100 beats a minute.
SVT may start and end quickly, and you may not have symptoms. SVT becomes a problem when it happens often, lasts a long time, or causes symptoms.
SVT also is called paroxysmal supraventricular tachycardia (PSVT) or paroxysmal atrial tachycardia (PAT).

What causes SVT?

Most episodes of SVT are caused by faulty electrical connections in the heart camera. What causes the electrical problem is not clear.
SVT also can be caused by certain medicines. Examples include very high levels of the heart medicine digoxin or the lung medicine theophylline.
Some types of SVT may run in families, such as Wolff-Parkinson-White syndrome. Or they may be caused by a lung problem such as COPD or pneumonia.

What are the symptoms?

Some people with SVT have no symptoms. Others may have:
  • Palpitations, a feeling that the heart is racing or pounding.
  • A pounding pulse.
  • A dizzy feeling or may feel lightheaded.
Other symptoms include near-fainting or fainting (syncope), shortness of breath, chest pain, throat tightness, and sweating.

How is SVT diagnosed?

Your doctor will diagnose SVT by asking you questions about your health and symptoms, doing a physical exam, and perhaps giving you tests. Your doctor:
  • Will ask if anything triggers the fast heart rate, how long it lasts, if it starts and stops suddenly, and if the beats are regular or irregular.
  • May do a test called an electrocardiogram (EKG, ECG). This test measures the heart's electrical activity and can record SVT episodes.
If you do not have an episode of SVT while you're at the doctor's office, your doctor probably will ask you to wear a portable electrocardiogram (EKG), also called an ambulatory electrocardiogram. When you have an episode, the device will record it.
Your doctor also may do tests to find the cause of the SVT. These may include blood tests, a chest X-ray, and an echocardiogram, which makes a picture of the heart.

How is it treated?

Some SVTs don't cause symptoms, and you may not need treatment. If you do have symptoms, your doctor probably will recommend treatment.
To treat sudden episodes of SVT, your doctor may:
  • Prescribe a medicine to take when the SVT occurs.
  • Show you how you can slow your heart rate on your own. You may be able to do this by coughing, gagging, or putting your face in ice-cold water. These are called vagal maneuvers.
If these treatments don't work, you may have to go to your doctor's office or the emergency room. You may get a fast-acting medicine such as adenosine or verapamil. If the SVT is serious, you may have electrical cardioversion, which uses an electrical current to reset the heart rhythm.
If you often have episodes of SVT, you may need to:
  • Take medicine every day to prevent the episodes or slow your heart rate.
  • Try catheter ablation. This procedure destroys a tiny part of the heart that causes the problem.

Okay, now that you are all up to speed, we decided to have the catheter ablation procedure to fix this.  We have it scheduled for 10 days from now.  In Salt Lake City.  At Primary Children's Hospital.  I don't know, I've kind of grown accustomed to my hubby being here to help with the difficult stuff.  So, I'm going to have to suck it up and do this.  By  myself.  It's ok.  I've got this.

I told Ian's doc that we are moving to AK and she told me that there are "outreach" doctors there that can do the follow up treatment.  When she said "outreach", I knew we were going to the outermost parts of the world...  The three and a half hour drive to get the procedure done will be the easy part. 

Oh what an adventure...

For some reason, this song came to my mind.

Enjoy  ;)

Take out of it whichever meaning you want...

I just needed a reason to post this video... heh heh heh

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