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-   -   Supraventricular tachycardia (https://www.pprune.org/medical-health/618421-supraventricular-tachycardia.html)

Aviator_NZ 15th Feb 2019 08:50

Supraventricular tachycardia
 
Hi,

I was admitted to the emergency department this evening for about 4 hours due to elevated heart rate. At my GP (prior to googo to the ED) my BPM spiked at 216. At both the GP and the hospital I had an ECG taken, which came back as normal. It seems that my BPM is steady between 100-110, slightly higher than the normal 60-100. The doctors said that I likely have Supraventricular tachycardia which is a harmless heart condition. This means that I can sometimes have palpitations and high heart rate. I do experience palpitations, not regularly, but perhaps once or twice per week. They last no longer than a few seconds. With the high BPM (such as the 200+) I never felt the increase.

My question is, will I perhaps have trouble with a Class 1 medical?

FYI, I am 16.

Radgirl 15th Feb 2019 15:20

So you had a normal ECG with a rate of 100-110. The most likely reason for the reading of 216, given the lack of symptoms, is that the machine, whatever it was, was double counting. Unless a qualified doctor SAW an ECG trace

The next question is what is the rate when you have palpitations? I suspect it is higher than your 'normal' 100. You need a 24 hour ECG to produce a recording of what the palpitations are. A cardiologist can then advise you but often this can be treated by a daycase procedure, and after a period of review other regulators have granted a Class 1

So I would suggest you ask for a '24 hour ECG' which you may need to wear for several days to record a palpitation episode and then get to a cardiologist. You wont get a Class 1 without it and although the commoner cause are totally treatable, just leaving it might carry some risk.

RatherBeFlying 15th Feb 2019 16:35

Radgirl gives good advice. Mayo Clinic offers some basic information.

Aviator_NZ 15th Feb 2019 17:52


Originally Posted by Radgirl (Post 10390944)
So you had a normal ECG with a rate of 100-110. The most likely reason for the reading of 216, given the lack of symptoms, is that the machine, whatever it was, was double counting. Unless a qualified doctor SAW an ECG trace

The next question is what is the rate when you have palpitations? I suspect it is higher than your 'normal' 100. You need a 24 hour ECG to produce a recording of what the palpitations are. A cardiologist can then advise you but often this can be treated by a daycase procedure, and after a period of review other regulators have granted a Class 1

So I would suggest you ask for a '24 hour ECG' which you may need to wear for several days to record a palpitation episode and then get to a cardiologist. You wont get a Class 1 without it and although the commoner cause are totally treatable, just leaving it might carry some risk.


The doctors at the hospital manually checked my pulse and it was quite high at times too. The hospital got in touch with a cardiologist so they should follow up within the next week or so.

Jet A1 17th Feb 2019 22:18

I was diagnosed with SVT around 18 months ago suffering similar symptoms and managed to capture an event on a smart recorder. (AliveCor Device which hooked up to my phone)

CAA grounded me immediately and off I went for Cardiac Ablation which sorted it out at the first attempt. 3 months post op and without any further SVT events I got my a Class One back, albeit with an OML for 12 months.

ve3id 17th Feb 2019 22:55

I had a similar problem years back. The flight surgeon told me to get off coffee. That solved the problem. Now I drink three to five cups of tea a day and no problems. It was the oils in coffee, not the caffeine.
Not sure how valid his advice was, he died a year later of a massive heart attack. Probably something to do with the multiple child support/alimony demands being placed on him!


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