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What kind of doctor would you see if you suspected you had SVT


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You'll need to see a cardiologist eventually. Depending on insurance you might need to see a GP first to get a referral. Also, a lot of times if someone sees me first I can get them in faster with a specialist if it is needed than if they called on their own.

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You'll need to see a cardiologist eventually. Depending on insurance you might need to see a GP first to get a referral. Also, a lot of times if someone sees me first I can get them in faster with a specialist if it is needed than if they called on their own.

 

I did see my GP today and she did an EKG, thyroid test and ordered a halter test. Is this enough for now? What else would a cardiologist do at this point? She mentioned beta blockers and I asked for a referral but she didn't think I needed it...

Edited by Quiver0f10
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Depends on why you suspect it. My GP checked out my heart and would have sent me to a cardiologist if that had been the primary problem but he found out that it wasn't. Now he's exploring what might be the primary problem so that once he finds it he can send me to the right specialist. I said GP, but I actually go to an internal medicine Dr. so he's pretty knowledgeable.

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I did see my GP today and she did an EKG, thyroid test and ordered a halter test. Is this enough for now? What else would a cardiologist do at this point?

 

Well, the disclaimer is that since I'm a pediatrician we pretty much refer everyone to cardiology. We can't very easily order EKG's or Holter monitors without Cards so we just send them there. It's ultimately easier for the patients. I'm sure adult docs see these kind of things a lot more and order the tests more.

 

The tests they did sounds like a good start. The one thing I'd make sure is who is reading the EKG. Sometimes I've found that the machine automatically reads them and the reading can be inaccurate. I'd ask if a cardiologist reads the EKGs or if your doc reads it herself, how often she reads them. The Holtor monitor is pretty much the standard test for something like SVT. I would guess a cardiologist would have started with the same tests.

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Well, the disclaimer is that since I'm a pediatrician we pretty much refer everyone to cardiology. We can't very easily order EKG's or Holter monitors without Cards so we just send them there. It's ultimately easier for the patients. I'm sure adult docs see these kind of things a lot more and order the tests more.

 

The tests they did sounds like a good start. The one thing I'd make sure is who is reading the EKG. Sometimes I've found that the machine automatically reads them and the reading can be inaccurate. I'd ask if a cardiologist reads the EKGs or if your doc reads it herself, how often she reads them. The Holtor monitor is pretty much the standard test for something like SVT. I would guess a cardiologist would have started with the same tests.

 

Thank you. The doctor read it herself. I don't know how often she reads them though. I think I am going to do the halter test via my GP then see a cardio. I think I will feel better with a cardio.

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I did see my GP today and she did an EKG, thyroid test and ordered a halter test. Is this enough for now? What else would a cardiologist do at this point? She mentioned beta blockers and I asked for a referral but she didn't think I needed it...

 

That was what led to the diagnosis. The cardiologist offered me three treatment options: doing nothing, surgery or drugs. I have opted to do nothing for now, as my episodes are rare.

 

Laura

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I used to work in Triage. I'm a big believer in having all medical care begin with a family practitioner. If you self-refer to a specialist, you may miss out on more basic and widespread testing that will uncover an underlying/alternative cause.

 

For instance, I have problems with blood sugar, but my real problem is thyroid cancer. I'd hate to have missed the cancer because we were only looking at blood sugar.

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I used to work in Triage. I'm a big believer in having all medical care begin with a family practitioner. If you self-refer to a specialist, you may miss out on more basic and widespread testing that will uncover an underlying/alternative cause.

 

For instance, I have problems with blood sugar, but my real problem is thyroid cancer. I'd hate to have missed the cancer because we were only looking at blood sugar.

 

Unless you have a GP whom dimisses everything you tell them and when they finally listen to you and give you the refferals the specialist looks at you like :001_huh: and ask "why weren't you here earlier?" Or the ER doc is the one that has to call your pediatricians office and demand a refferal.

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I have SVT, and it took years to catch it. I would recommend starting with your GP, but if you are going specifically to look for a heart issue, I would get a referral to a cardiologist. It only makes sense. IME, it does matter who reads the tape. Mine were so sketchy, and short, that they were being dismissed.

 

That said, I have managed to live w/out surgery or meds. Once I found out what was causing the "episodes", found out they were benign, I was able to relax through them. I also can control them through lifestyle. I can't get rid of them, mind you, but when I can control stress and eat healthier, moderate exercise, I feel tons better and have fewer, milder episodes.

 

ETA: When you are wearing the holter monitor, hit the button if you even remotely suspect an episode. There were times when I thought I was having one, but almost didn't hit the button because they weren't extreme. When you've had this issue for a while, you get used to them, and it's harder to recognize "abnormal". So hit it whenever you even suspect, that helped SO much in diagnosing mine.

 

And as far as how long they last, they can be a few "blips" in a row, to 20 minutes or so constant. Those are harder to relax through.

Edited by Mallorie
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Mine are anything from fifteen minutes to four hours. That gave me time to get to the hospital for monitoring.

 

Laura

 

I can usually stop them myself and do so right away so I don't know. the few I had that didn't stop lasted @ 30-45 min.

 

I have SVT, and it took years to catch it. I would recommend starting with your GP, but if you are going specifically to look for a heart issue, I would get a referral to a cardiologist. It only makes sense. IME, it does matter who reads the tape. Mine were so sketchy, and short, that they were being dismissed.

 

That said, I have managed to live w/out surgery or meds. Once I found out what was causing the "episodes", found out they were benign, I was able to relax through them. I also can control them through lifestyle. I can't get rid of them, mind you, but when I can control stress and eat healthier, moderate exercise, I feel tons better and have fewer, milder episodes.

 

ETA: When you are wearing the holter monitor, hit the button if you even remotely suspect an episode. There were times when I thought I was having one, but almost didn't hit the button because they weren't extreme. When you've had this issue for a while, you get used to them, and it's harder to recognize "abnormal". So hit it whenever you even suspect, that helped SO much in diagnosing mine.

 

And as far as how long they last, they can be a few "blips" in a row, to 20 minutes or so constant. Those are harder to relax through.

 

 

My heart beats so fast and hard that I don't know if I'd miss an episod?

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