undiagnosed, any suspicions/advice welcome

[Jordana88]

sorry I know no one can advise diagnosis as not clinical but just looking for suggestions and advice for when I see the cardiologist team.

For two weeks I’ve been breathless, feeling unwell with lightheadedness when my heart rate goes too high, feeling sick, extremely exhausted.

I’m asthmatic and I have confirmed endometriosis. I thought it was my asthma initially starting to flare up so saw my Gp and obvs were okay and prescribed steroids. I couldn’t collect them until the evening but by lunch time I felt my heart rate was very rapid and I felt awful. I took six puffs of ventolin spaced out that day. By 6pm my heart rate was 130, 111 advised A&E. In A&E it went to 160 so I was brought to resus. They did nothing told me I had taken too much ventolin (totally untrue) my heart rate went to 100 after five hours so I was sent home.

After the visit the increase continued, I tried to carry on but felt awful and exhausted, saw my GP on Thursday and told to present at A&E again as it was at 120 with high blood pressure.

A&E were confused, said my bloods show infection (I had a sinus infection and took amoxicillin) but didn’t understand why the erratic bp and heart rate continued. They didn’t treat me with anything, discharged me with a heart rate still between 100-120 and advised to see a specialist in a palpitation clinic within a week.

Symptoms have continued, on rest I’m around 96, shoots up when moving around the house ect.

My discharge states suspected SVT but any ideas on this and is there anything I should ask ect when I see them in clinic?

Thanks so much

[Homely2]

I get your confusion my asthma can send my blood pressure up to 220 over 110, with heart rate in the 120 area and ecg randomised.

However this is when I am having a full on asthma attack, so cannot talk, walk or anything else.

So I would have initially like you blamed the asthma, but from your description is your asthma bad enough to be the cause.

So it sounds like you are going to the right place, to look for a cardiac cause, where I would expect their first reaction to be an ecg. At my hospital they give you an ecg before you even see the consultant, who then decides on how to investigate it all.

[Tos92]

Do you know what checks they carried out at A&E? Usually, bloods to check for raised troponin, an ECG and a chest x-ray are protocol.

An R Test can be conducted if your symptoms don’t improve where you wear a device for a certain amount of time which records all your heartbeats. The cardiologist can then review this and make a diagnosis. An echocardiogram may also help but again, you would have to be referred for these tests by either your GP or a cardiologist if you are under this team at your local hospital.

Keep an eye on whether you have any triggers and make a log of them. It is also useful to make a log of the frequency of these heart palpitations, what time of day they happen and what you are doing at the time. Also check your BP if you have a monitor at home to see if this rises or drops during these episodes as you said you feel lightheaded.

[Yumz199725]

Hi jordana88

So sorry to hear what you going through at the moment.

From my experience when I had my asthma attack just from coughing sent my heart rate to 180 in a few seconds but this was when I was in hospital I was kept in for 2 weeks so much going on won't go into detail.

Are you on any medication to control the suspected SVT or are you still waiting for a consult to confirm???

Hope they can get to the bottom of what's making you feel like that I have and its not nice 😢😞😳💔

Take care and all the best.

[Ewloe]

a side effect of even a little too much ventolin can be an increased heart rate. I know you said you hadn’t taken too much but over how many hours did you take what you did? I would ask for a 5 day ecg monitor then you can also log how much ventolin you’ve taking to see if there’s a link or not. That would provide evidence if it’s not the ventolin for them to listen, as well as showing what’s going on. Good luck

[Ewloe]

If the person I replied to has an issue I’ll listen. But I’ll leave you with your advice thank you. I’m not interested with a debate with you which some on here yern for so that’s me done. Bye.