Hi Everyone. I think I may have posted in the past--anyways I hope it is ok to be here as I am in USA. I am wondering how many people with svt have what feels like a vagal trigger? My episodes are usually at 220 BPM. Before every episode that I feel, my super sternal notch always feels like there is pressure. I can feel cartilage maybe compressing for a few seconds and a feeling of circulation being cut in the area before every attack. I feel very strange and then I put my finger up to my carotid pulse to check the pulse as I can't really detect it in my heart area(thankfully). I then put on the finger monitor to check see the number. I feel as I age the vagal feeling may be worsening. I have recently found a new trick to get the pulse down and that is ice over the neck area around the SS notch. Also, lately I feel a lot of vagal symptoms without the svt. I am 65. Thanks!