I'm a 27 years old male, dealing with palpitatons/tachycardia/flutters for about three years. I've had Echocardiograms, ekgs, Holters and blood tests. Cardiologist tells me of relax because I just "have a sensitive electrical syatem". What is that suppose to mean?
This year I have been living a pretty sedentary life style because most times, if I excercice, I will get palpitations. This has been going on for a long time and I've felt no other symptom except for dizziness once.
Now, lately, I've been feeling other things like vertigo but I must admit that I've been obsessing over my palpitations and that has made me anxious.
I've been taken beta blockers and they have help with the svt and palps I get with posture changes but I still get them with excercice, especially if such excercice is sudden.
Should I try to excercice despite the palpitations?
What can I do to manage my health anxiety?
Thanks for reading.
Hi 👋 You’ve been through the mill! I have very mild supra ventricular tachycardia where the electrical patterns from the vagus nerve misfire and my heart beats out of sync. So the blood doesn’t get around my system efficiently and I would gradually ‘white out’. It started when I was 18 and a cheerleader and it was pretty scary, I thought I was having a heart attack!
So the first thing I learned was the vagus nerve has something to do with ‘fight or flight’ - and the more worried I was the longer the tachycardia would go on for. The next thing I did was keep a note of when I would trigger the episode. At first it seemed quite random but as the years went on I realised that it would happen when I was suddenly physically active and raising my heart rate too quickly. I used to do taekwondo and our ‘warm up’ would be jumping on the spot on a hard wooden floor, whiletrying to get both knees up to chest. Never failed to trigger an episode!!!! So then ‘warm up slowly’ became my norm and the episodes reduced.
So then I had to figure out how to stop the tachycardia if it happened. If I laid flat on my back, closed my eyes and focussed on my breathing, my heart would eventually stop racing. The hardest thing for me during that would be everyone else panicking. So any time I would do something new I would explain SVT to people around me and tell them that they shouldn’t panic if it looked like I suddenly needed to start meditating!! That in itself helped me to relax and the episode numbers dropped to maybe twice a year.
In time, when I was triggered, I’d just think ‘oh, here we go!’ And one time I was on a horse. I couldn’t lay down. So I just bent forward and pretended to cuddle the horse’s neck, while I shut my eyes and did a few deep breaths and the episode ended before anyone else realised.
So last year I started running for the first time in my life (I’m now 50) and I did ‘Couch to 5k’ with no trouble at all. I ran Parkrun yesterday with an average HR of 186bpm over 31 minutes. No problem. I also swim, no problem. And just started cycling too. There are a couple of people I know at Parkrun with heart conditions and some are under strict pace orders and others have to be more careful than me as they’ve just been diagnosed.
So, I would try to understand as much as possible about your condition and work with it. You will have to be mindful of exercising alone and ensuring someone knows where you are at all times. Also be mindful that if you do have a problem, any stranger can easily find what might be the problem. I have a Parkrun wristband that has ‘SVT’ and an emergency contact phone number printed on it. Anyone can register for Parkrun and order one - even if you never ever run!
Anyway, I am off for a ‘long run’ this morning - hoping to do a 10K today. Good luck!!!
Thanks for your message! It's always good to know about stories like yours. I admire how you have confronted your issues and kept living your life.