My scare on 9/11

Published

Went to work that morning and everything seemed to be going well: had 3 patients who were stable, was cought up on charting and etc. We had a magnet fair we had to go to sometime during the day (Our hospital is in the process of becoming magnet) so my friend and I go down to the auditorium. About half way through I feel palpitations, clammy, my heart was racing and felt it pounding in my chest. Told my friend something wasn't right. Went outside for a few minutes sat down thinking it'd go away, it didn't. Walked upstairs and told my manager but didn't think it was a biggy. Took my blood pressure and it was around 139/87, which is high for me, sat 100% but HR was 170!! Blood sugar was 113! Charge nurse sent me to the ER, they're checking my vitals and my HR goes up to 213!! Doctor said it was supraventriuclar tachycardia obviously. WOW...I was scared at this time because people were on me like flies: starting my IV, drawing labs, hooking me up to the monitor, EKG etc. Doctor ordered to give me 12 of adenisine and the nurses told me i was going to feel like an elephant was sitting on my chest and to breathe through it...my arms felt tingly and I felt as if I was almost numb feeling. Initially brought my heart rate down to 80's but creeped back up to 140's or so. Moved me to another floor and monitored me for an hour or so and was discharged. At that time my heart rate was in the low 90's. Went to a cardiologist the next day and said everything appeared ok but going to get an echo done just to be sure. Did an EKG in the cardiologist office, one spot showed I had a PAC (never heard of), but doctor never mentioned it when he examined me.

I'm afraid this is going to come back at any time. I was standing still when it began! They told me ways to prevent my heart rate from going up even more if I feel it coming on: drink cold water, valsava maneuver, carotoid massage etc.. So i've been taking it easy this week-end but still afraid of it coming back...:confused:

Specializes in ER/Trauma.

I had an episode of SVT last year. My BP was 160/105 and HR was 165 and climbing (my baseline is usually 120/75, HR: 60)... Curiously, my episode occurred at work as well (some folks thought I was having a panic attack).

I ended up in my ER (so embarrassing! :imbar) I was Dx. with Benign Sinus Tachycardia and followed up with my PCP - all my lab levels including my Thyroid checked out ok.

I'm just a little more cautious now. I drink caffeine in moderation and make sure I drink enough water. I also eat more fruits and a little less meat (esp. red meat).

I remember thinking throughout that episode "I'm too young for this! I'm too young for this! This can't be happening! This can't be happening!"

Nope, SVT is not a pleasant experience to go through. You heart hammering away, feeling extremely short of breath, uncomfortable squeeze/pressure in your chest. Not my idea of a good time!

Specializes in Orthopedics.

When I saw the cardiologist last week, he mentioned something about ablation or a cath of some sort, meds and so forth but I think that's if it continues to happen. This was my first episode I had ever had and hoping it doesn't reappear. I've kept a water bottle near me since the incident, only drank sips of caffiene but when I'm at work we arn't allowed to have drinks at the nurses station, so I'm a little nervous about going back to work tomorrow on what I know's going to be a crazy monday. It'd be awesome if I could only work an 8 hr shift tomorrow but don't see that happening. Maybe they'll look out for me at work and take my back and let me have an easy day. I'll be making a dr's appointment to see my PCP hopefully tuesday. I'll keep everyone updated!! Suppose to be getting an echo done as well this week.

Specializes in ICU, Agency, Travel, Pediatric Home Care, LTAC, Su.

You are probably going to think that this is a silly question, but how has your sleep been lately? Are you getting enough good quality sleep on a regular basis? And are you always working the same shift?

Reason being that I ask this, is when I was chronically sleep deprived, working all 3 shifts in one week, I had massive issues with SVT. To the point that my HR would go around 300, my SBP would be in the 60s and I would black out. Until my sleep got off kilter from working nights, I had never had this problem. It was so bad that they wanted to do an ablation. Well, I decided to get off nights to see if that would help. And working a straight non-night shift, and getting more rest did the trick thankfully. Just something to think of.

Oh and the only thing that would break me out of the SVT was immersing my face into a pan of ice and water.

I agree with what everyone else has said, make sure they do a full work up and follow up, ECHO, stress test, etc. Good luck to you and please keep us posted!

Wow, this discussion is very interesting. I've also been having weird cardiac issues lately. I had some episodes of elevated heart rate with that weird adreneline feeling, clammy, unwell, etc. Been to the ED twice and my was BP high (160/?) but heart rate wasn't really that elevated, labs were normal, and symptoms faded on their own after a few hours (no meds, no IV). On my 2nd visit the doc dianosed anxiety/panic attacks and perscribed Ativan, however I totally disagree with this. I don't believe you can suddenly start having spontanous anxiety attacks with no stress or precipitating event and my PCP agreed with me. She was more worried about a cardiac issue and put me on BP meds since my pressure is borderline high and both my parents have slighly high BP.

After much thought and research I realized that both times I had ingested a fair amount dark chocolate and I was reacting to a chemical in the chocolate. I stopped eating dark chocolate but had some other episodes, though much milder. I was terrified of a cardiac issue because I'm overweight even though I'm mid-30's with low cholesterol and no family history. I started to wonder if I was having some type of sudden caffeine sensitivity so I have stopped all caffeine/stimulants even though I don't consume a lot. No chocolate of any kind, no Sudafed/Excedrin, no tea, no coffee, no Diet Coke, etc. I am also avoiding sugars even though I ate a piece of birthday cake the other day without incident. I'm also well hydrated and eating healthy.

Most importanly, I'm also making sure I am well rested and sleeping 8 hours per night!! I noticed that most of my "episodes" seem to come on when I was tired!

I still don't know for sure if I'm having some type of cadiac issue but will definitely per persuing this further with my PCP. I have a follow-up appt later this month to see how the BP meds are working and I will also ask her if she's ever heard of someone suddenly having an extreme caffeine sensitvity/allergy.

Specializes in Orthopedics.

I would definately say I get enough sleep. I usually go to bed around 10 or a little after on work nights as well as non-work nights. I work the same shift, 12 hr days so no problems there. I worked 4 days back to back last week (worked 12 hr sat and sunday, 8 hr monday and tuesday) had one day off for rest and was suppose to work a 12 hr when the incident happen on thursday. Already called in work for the a.m. and going to see my PCP in the morning, then unfortanetly back to work. Every little discomfort I feel in my chest is going to be scary for me now. What labs should I have my PCP check tomorrow? I'm going to ask about my thyroid and cholesterol, any others I should be concerned about? I saw when they drew labs in the ER they checked my CPK/Troponin to R/O heart attack, appears everything came back ok besides the slightly low potassium I mentioned earlier. I dont feel as if i'm stressed, I finished nursing school back in may that was a big stressor to me but now things are going well. Just working 3 12 hour days and of course doing housework on my days off....

Specializes in Community Health, Med-Surg, Home Health.

Go to your doctor, pronto! Let him draw labs and do referrals.

This has happened to me 10-12 times since I was 17 years old. In fact, the last time was just a little over a week ago, and I ended up being admitted for 3 days on one of our tele units. (at the moment, I'm hyperthyroid for an unknown reason, I've been hypo for 20 years)

I have had the full work-up- echo, stress test, holter, etc, etc. The cardiologist says it's a simple form of SVT (in my case, an atrial tachycardia) that can be triggered by a number of factors: caffeine, decongestants, my thyroid levels being off, albuterol, or most commonly, by a drop in my K+. It's very, very scary the first few times it happens- but I'm getting used to it now, LOL.

You definitely need to follow up with your PCP for further testing, but the good news is, for many people, it never does come back. For me, I've gone 5-7 years in between episodes and been fine. If it DOES happen frequently, you could always discuss meds for rate control with your PCP- I didn't need them for 12 years, but I'm on them now. What you should do either way is really avoid caffeine and any other stimulants as much as you can.

Good Luck!

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
Oh and the only thing that would break me out of the SVT was immersing my face into a pan of ice and water.

Mammalian diving reflex! :up:

Specializes in Orthopedics.

Had my ECHO done on tuesday and got the results back today, everything came back normal! Went to my PCP monday and drew labs checking my thyroid, potassium (since they said it was a little low when they checked it in the ER) and cholesterol. Still yet to hear from my PCP or gotten any mail with my lab results. Will be calling the office and leaving a message monday a.m.

Guess it was just a freak thing and hope it doesn't happen again. With work being as crazy as it is hope I can avoid another situation!! :no: Thanks for all your support/comments!

I wouldn't worry about SVT. The first time I went into SVT was about 3 years ago. I had just started working in an ER as a tech. I felt my heart rate get really high so I checked with the o2 sat, it was 217!!! I didn't really know what to do and since I knew nothing then I just tried to walk it off so I worked for 2 more hours! I told a couple of people about it and they said oh it's not a big deal. Finally I told the triage nurse and she freaked out and put me in a room.

The MD came in and I did the valsalva and it was gone. He gave me 1 liter of NS and then I worked for about 8 more hours! Went to the cardiologist and he did an echo and said to just watch it.

Over the next 3 years I went into SVT a bunch of times all of which went away with the valsalva. 2 months ago I had just gotten to work and I felt it come on so I did everything I normally do and it never went away! I splashed cold water on my face, vagal, carotid massage, everything and nothing worked so I checked in. They gave me 6 of adenosine and my HR actually went up 15 beats! The next 12 of adenosine did the trick!

So my cardiologist suggested getting an EP study done. This is alot like a heart cath where they go in your femoral and ablate whatever stimulus is causing it!

I had this done 1 month ago and I haven't had any significant problems yet!

Good luck!

I spent my entire life with SVT. It is definitely scary and can hinder your lifestyle. When I was a little girl I would tell my mom that I "jump-started" my heart. At first laying down very still would make it go away, but as time went on I developed a lot of little tricks to make it stop. My bag of tricks ranged from ice water on my face, valsava, laying on my side and squishing my chest together, coughing hard, holding my breath (this one I tried when I was about 8 or 9 and it didn't do much but make be get woozy), and as an adult...keeping my stress level down (easier said than done), no caff., no sudden movements--getting startled always brought on a crazy episode. However, at about the age of 38 I was "jump-starting" my heart 6-10X a day! My HR rate would reach 225 bpm and it was no longer just uncomfortable--it was accompanied by a great deal of pain. I was also no longer able to stop it on my own (ER here I come...again!). And yes... I had every test run that the cardiologists could think of and they could find nothing wrong. I finally forced my cardiologists hand and demanded an ablation (I had read about it on-line). It took me 12 months to find a surgeon in our area to do the ablation, but it changed my life. The surgery was a piece of cake and I no longer have to worry about "jump-starting" my heart! Having said all of that...I did take different medications the last year and many of them helped a lot, but I didn't like the way they made me feel so I really felt like the ablation was the way for me to go.

+ Join the Discussion