All of the tests, no diagnosis yet.
Hello there and thanks for taking a look. I’m 41/f a history of what I’ve been told are panic attacks since I was a teen. The most significant one from that time I was taken by ambulance from high school to the hospital with a heart rate near 200 with no real trigger besides caffeine in my blood.
I had preeclampsia twice. My first baby, everything basically resolved as soon as I delivered him (37 weeks). My last child was also born 3 weeks early due to preeclampsia emergency C section but I stayed hypertensive for two years until I lost 100 pounds. BP remained normal for 6 years afterwards, until recently.
I suspect I crossed into perimenopause territory over the winter and that could be what’s exacerbated this chain of events: I was just watching a movie with my kids one day and got a tachycardia alert on my watch (HR over 130 for more than 10 minutes while inactive)
Got sent to the ER for cardiac work up: EKG said poor R wave progression and my blood pressure was 155/110. They said it was time to have a cardiologist.
Saw him, we did a two week MCOT: showed episodes of symptomatic PSVT. High hr was 165, lowest was 44 bpm which was while I was asleep. Next appointment was the other day, I had an echocardiogram which is the picture I attached. After that scan I did a stress test: lasted 7 minutes, target HR was 150 but I reached peak of 180. BP reached 200/ 100 before I couldn’t breathe so we stopped. There was right atrial enlargement immediately after stopping but I think everything came down normally. I waited for results and was hoping to hear what is happening to me but I got my doctor’s partner instead and he said everything looks good, blood pressure is too high, keep doing what you’re doing (taking propranolol) and maybe lose ten pounds 🤦🏼♀️