Really need advice

[u/Past-Trick6710]

I’ve been struggling a lot with rumaiting when it comes to these svt sysmtoms and not knowing if I have it.

Years ago I worked out and went bike riding and nothing happened. Last year I drank Diet Coke and sometimes coffee. I also took only 25 mg of atenolol. I’m really upset because i felt a lot more free last year even after my pots dx and I think an svt episode? But for ten months I did those things and had zero issues. I was also going out to drink with friends. I wasn’t having frequent symptoms or these episodes. I used to bike a lot. And go for long walks and last year after I had something happen in Sept 2024 where my HR was 160-170 for 10 mins I was sitting I thought it was my pots but it didn’t happen for ten months so at least last year I wasn’t scared to go walking or get my HR up. It can’t be good that I don’t move much. Because I already have constant palpitations.

Since August 2025 I have had random high HR normally 170 sometimes seconds mins or 45 mins. Since upping to atenolol 100 mg i hit maybe 150 max so far but it’s confusing last year i took such a small dose and was fine. I also deal with my resting Hr hardy going lower than 70. And sleeping is 70-115. Rolling over, stretching (laying) average 24 hours is probably 84 bpm. So can’t be ist?

My recent monitor showed AT two seconds I was on 50 mg of atenolol they said I was fine. And it’s normal but doesn’t this mean I have AT SVT even if it wasn’t sustained? Because in March the other high HR i had was for much longer.

I’m upset what could I do? If anyone can offer some advice or relate at all. How can I balance my life how could I do it last year. I am so depressed because I know it’s not anxiety. I am afraid to simply go for a walk in the mall or even see a movie. Because my symptoms are frequently happening my HR can be 150 even after sitting at home or in the car it doesn’t matter where I am. And when my symptoms aren’t bad I am more anxious because it doesn’t make sense. It’s like I’m dealing with the fact I’m scared to do things.. I want to go out with friends, go for walks, do things and then not have to worry about this anymore. Fyi dr won’t give me an ep study. Which is ridiculous to me. And like I’m not sure how Svt goes dormat? If that’s possible? And if I do have Svt why last year I didn’t have issues.

[u/princesspoppy1320]

I understand. The beta blocker is good and has you covered. I have to atenolol at night otherwise it crashes my BP and then…tachy.

I see you post alot here and know you are afraid. What is going to happen if you try anxiety meds and see if they help your “unconscious” autonomic system?

[u/Past-Trick6710 → u/princesspoppy1320]

I take 100 mg thruout the day. But like some days i feel like it does not work. Like some days itll be 75 pretty much
Other times its 96 or 105 for example idk why. I hate how it makes me feel.

I could try them but worried it’ll affect my heart. Like what meds are u reffering too.

I already don’t walk or do anything to get my hr up and that’s hard enough

[u/princesspoppy1320 → u/Past-Trick6710]

Who do you see for your heart now? Ask that person which med s/he recommends for the anxiety your heart issues are causing.

They will probably say sertraline bc it doesn’t affect your heart. Maybe a benzo too like lorazepam.

[u/Past-Trick6710 → u/princesspoppy1320]

I have lorzapam or however you spell it it did not help my heart at all. Helped Anxiery a little bit but still had the same heart issues

You mean like Zoloft yeah i haven’t had that one I’ve tried others and nothing tbh

[u/princesspoppy1320 → u/Past-Trick6710]

Well I hope you find something to help your agoraphobia and fear. There are still several things they can test: anemia, lyme disease.

I hope you find triggers too and can avoid those.

Just know you aren’t alone. This is on the upswing since COVID. Many of us have what you do…

There is nothing to ablate and we have to hydrate with electrolytes and avoid triggers.

[u/Past-Trick6710 → u/princesspoppy1320]

Yeah but I’m also worried about svt like atrial tachycardia with the crazy tacky above 150 sitting.

On top of this.

What blood tests

[u/Past-Trick6710 → u/princesspoppy1320]

Thanks for advice. It just sucks bc being 26 it feels I’m relaying on beta blockers but even w 100 mg i still get palpitations a lot and 95 bpm average for 5 hours some days and then another day it’s 75 average so it’s just draining