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Understanding SVT on an ECG: What It Looks Like and How to Detect It

Supraventricular tachycardia (SVT) is a condition that causes an abnormally fast heart rate, originating from above the ventricles. It can lead to symptoms such as palpitations, dizziness, and chest discomfort. One of the most effective ways to diagnose SVT is through an ECG (electrocardiogram), which records the heart’s electrical activity. For individuals experiencing recurrent symptoms, it is essential to consult a heart specialist in Dubai, such as those at Theheartae, for expert diagnosis and treatment.

What is Supraventricular Tachycardia (SVT)?

SVT is a type of rapid heart rhythm that exceeds 100 beats per minute (BPM) and often ranges between 150-200 BPM. It occurs due to abnormal electrical impulses in the atria (upper chambers of the heart), either from an extra electrical pathway or an overactive focus in the heart tissue. While some individuals are born with this condition, others develop it over time due to various triggers.

Common Triggers of SVT Episodes

Several factors can trigger an episode of SVT, including:

Stress and anxiety

Caffeine and alcohol consumption

Certain body positions

 Excessive physical exertion

Hormonal changes

Stomach bloating or acid reflux

Some individuals may experience SVT infrequently, while others may suffer from frequent episodes that significantly impact their quality of life.

Symptoms of Supraventricular Tachycardia

SVT symptoms vary from mild to severe and may include:

- Palpitations (a racing or fluttering heartbeat)

- Light-headedness or dizziness

- Shortness of breath

- Fainting (syncope)

- Chest discomfort or tightness

- Fatigue and weakness

In some cases, SVT may not cause any noticeable symptoms and is only detected incidentally during a routine supraventricular tachycardia ECG test.

How to Detect SVT on an ECG

An ECG (electrocardiogram) is the primary tool used to diagnose SVT. However, since SVT episodes can come and go, it is crucial to capture the ECG recording during an active episode. The key ECG findings for SVT include:

Narrow QRS complex (less than 120 ms)

Absence of visible P waves (or abnormal positioning of P waves)

Sudden onset and termination of tachycardia

Heart rate between 150-200 BPM

If an ECG is taken between episodes, the results may appear normal. In such cases, long-term monitoring using Holter monitors or smartwatches may be required to detect supraventricular tachycardia ECG abnormalities.

Advanced Diagnostic Tools

When an ECG does not capture an SVT episode specialists may recommend:

- Holter Monitoring: A continuous ECG recording over 24-48 hours.

- Event Monitors: A wearable device that records heart activity when symptoms occur.

- Electrophysiology Study (EPS): A procedure that maps the heart’s electrical activity to identify abnormal pathways.

Treatment Options for SVT

The treatment approach depends on the frequency and severity of symptoms. Common options include:

1. Immediate Maneuvers for Stopping SVT

Valsalva Maneuver: Bearing down as if having a bowel movement.

Cold Water Technique: Splashing cold water on the face or placing an ice pack on the neck.

Carotid Sinus Massage: Gently massaging the carotid artery (performed by a doctor).

2. Medications

For patients with frequent SVT episodes, doctors at Theheart.ae may prescribe beta-blockers, calcium channel blockers, or antiarrhythmic drugs to help regulate heart rhythm.

3. Electrical Cardioversion

In severe cases, where SVT causes significant symptoms or hemodynamic instability, electrical cardioversion is performed. This procedure involves delivering a small controlled shock to the heart to reset its rhythm.

4. Catheter Ablation – A Curative Option

For patients with persistent or recurrent SVT, catheter ablation is a highly effective procedure with over 95% success rate. This minimally invasive technique involves threading a thin catheter into the heart and using radiofrequency energy to eliminate the abnormal electrical pathway.

Why Choose Theheart.ae for SVT Diagnosis and Treatment in Dubai?

Patients receive top-tier cardiac care from highly experienced heart specialists in Dubai. The center is equipped with state-of-the-art ECG monitoring, electrophysiology labs, and advanced treatment options for managing SVT and other heart conditions.

Conclusion

SVT is a manageable heart rhythm disorder that, although concerning, is rarely life-threatening when treated properly. If you experience symptoms like palpitations, dizziness, or chest discomfort, it is essential to undergo a supraventricular tachycardia ECG to confirm the diagnosis. Seeking expert care at Theheart.ae in Dubai ensures accurate diagnosis, effective treatment, and long-term heart health management.

If you or a loved one experiences recurrent episodes of SVT, book a consultation with a heart specialist in Dubai today!

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