stufoonoob

Cardiac ablation rep here. Palpitations/chest pain could be a million things. The first thing that comes to mind mind when I hear that a young woman (if that's what you are) has palpitations is AVNRT (basically a short circuit in the heart), which is the most common form of tachycardia and is most prevalent in women. I had honestly never heard of POTS until now and I have been working in the industry for 4 years.

My advice to you is to see someone called an electrophysiologist in your area. They will run an EKG while you are having symptoms and diagnose you fairly easily. If it is AVNRT (or almost any other kind of tachycardia), there is something called a cardiac ablation to safely and permanently fix it.

300 bpm?! Do you understand that is fatal? If you don't mind me asking, what's your age and sex?

Have you seen an electrophysiologist or only a cardiologist? That really is a dick move and "assuming" SVT is malpractice. SVT is not a specific arrhythmia - it could be a number of things (WPW, atrial tachycardia, AVNRT, etc), and some of them can be fatal.

Please, please, please find and see an electrophysiologist as soon as possible. Don't be discouraged by one bad cardiologist. In general, cardiologists deal with the plumbing of your heart, while electrophysiologists deal with the electrical (which cause your arrhythmias). An EP will easily diagnose and cure your arrhythmia so you never have it again.

I'm not sure what your condition could be if you heart is getting up to 300 bpm. I would advise you to read up on all of this and learn more. Definitely see an EP before you go somewhere where the standard of care isn't as high.

Are you absolutely sure you have POTS and not AVNRT? I know I'm a little late here, but I'm cardiac ablation rep. It sounds like you are happy with your diagnosis, but the first thing I thought of when you said young woman with sustained tachycardia ~130 was AVNRT, not POTS (which I had honestly never heard of until now and I have been in the industry for 4 years). I know it seems like you are happy with your diagnosis, but if you haven't already I would strongly advise you to see an electrophysiologist as well. The electrophysiologist can diagnose you 100% and not base it simply off the results of a tilt. If it is AVNRT or a tachycardia other than pots, you can get a cardiac ablation (to essentially burn the short circuit) to permanently and safely eliminate your problem forever.

I'm sorry but I'd prefer to not say. But I have been doing ablations daily for the past four years and have seen hundreds of AVNRT ablations. Also I'm CEPS (cardiac electrophysiology specialist) certified.