Sunday, February 21, 2010

Little Eric is home and doing better

Little Eric is home and recovering from his cardiac caths. Yes plural, he had to have two, two days apart.

For those who do not know, my son Eric has a congenital heart condition that only shows up at puberty: PSVT's  : Paroximal Superventricular Tachacardia.  (From the  Merck website: http://www.merck.com/mmhe/sec03/ch027/ch027d.html )  My comments in red


Paroxysmal supraventricular (atrial) tachycardia is a regular, fast (160 to 220 beats per minute--Erics went into the 300's) heart rate that begins and ends suddenly and originates in heart tissue other than that in the ventricles.


  • Most people have uncomfortable palpations, shortness of breath, and chest pain.

  • Episodes can often be stopped by maneuvers that stimulate the vagus nerve, which slows the heart rate.

  • Sometimes, people are given drugs to stop the episode.

Paroxysmal supraventricular tachycardia is most common among young people and is more unpleasant than dangerous. It may occur during vigorous exercise.

Paroxysmal supraventricular tachycardia may be triggered by a premature heartbeat that repeatedly activates the heart at a fast rate. This repeated, rapid activation may be caused by several abnormalities. There may be two electrical pathways in the atrioventricular node (an arrhythmia called atrioventricular nodal reentrant supraventricular tachycardia). There may be an abnormal electrical pathway between the atria and the ventricles (an arrhythmia called atrioventricular reciprocating supraventricular tachycardia). Much less commonly, the atria may generate abnormal rapid or circling impulses (an arrhythmia called true paroxysmal atrial tachycardia). This is what he had--He actually three major, fully functioning areas where the electrical current generated, and they competed, resulting in a upward cycle of rapids beats)

The fast heart rate tends to begin and end suddenly and may last from a few minutes to many hours. It is almost always experienced as an uncomfortable palpitation. It is often associated with other symptoms, such as weakness, light-headedness, shortness of breath, and chest pain. Usually, the heart is otherwise normal. The doctor confirms the diagnosis by doing an electrocardiogram (ECG)."

He had a cardiac cath at 15 and again this last week (he is now 18). The one on Wednesday was not successful and he was sent to Emory for a more difficult and intensive cath. So now he has two puncture wounds in his groin/upper thigh- BUT he has not had an episode yet--YAY!! 
After Wednesday's, he left with a heart rate in the 130's--that was his resting rate, any movement, even shifting position shot it up to near 200--the adrenalin used, the hyper-excitability and the state if the heart made him very uncomfortable.  

Here are some visual aids:




 See the catheter crossing from the right atrium to the left? (the upper chambers)--Usually the cardiologist needs to make a hole--we found out that Eric's never closed from birth--it neccesitated a few more tests--the bubble test was VERY weird looking, but it confirmed the hole was small and did not need any surgery--see below for a link to a video of a bubble test--the sparkly little bits after the color?  that's the bubble passing from one atria to the other---http://www.youtube.com/watch?v=svUlNwtL-aM

So if I have not been in communication with you--this is part of the reason-->in between snow, ice, business trips to Dallas, more Snow and ice, and this, I have not been as communicative as I should have been.

6 Meow Backs:

Debbie Jo said...

I sure hope they can get this under control for your son. So hard to keep boys/young men down. Take care of yourself as well.

Emily said...

Oh my, how confusing and technical, hope they can help him as he gets older. Much love and prayers being sent your way.

Shelley said...

I hope that the 2 caths are a huge help and this problem doesn't plague your son through his entire life. Hugs...

Carolyn NC said...

Hope they can find just the right key to helping your son!

EvalinaMaria said...

My prayers go out for both of you. Thanks for the update.

踢人 said...

一定要保持最佳狀況呦,祝您開心 ........................................

 
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