SUPRAVENTRICULAR TACHYCARDIA (SVT) – SYMPTOMS & TREATMENT

Supraventricular Tachycardia (SVT) refers to a heart rhythm abnormality that originates from the atria (upper chambers of the heart) and causes a racing heartbeat.

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Kin
6 days ago
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I recently saw Dr. Francesco Lo Monaco after experiencing chest pain and worrying it could be heart-related. He was attentive, thorough and highly efficient, quickly reassuring me through the appropriate tests that my heart was healthy and the pain was not cardiac-related. I would highly recommend him. A special mention also goes to Alessandra, his assistant, who is an absolute gem. She was incredibly efficient, responsive and kept me informed throughout the entire process. An excellent team and a very reassuring experience from start to finish.
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Martin
7 days ago
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I went to see Dr Lo Monaco after having an unsatisfactory appointment with a different cardiologist, I cannot recommend Dr Lo Monaco enough, his attention to detail was unparalleled and he took the time to go into my history and ensure that he had every detail of my health covered, he was very very pleasant, calm, reassuring and made sure I had a comprehensive and detailed picture of my heart health, I cannot stress enough that no matter how unsure you are about your heart health, this is definitely the place to go, it was comforting to know that any worries I had, no matter how slight or great, they were all met with the same high level of attention, I feel so much more relaxed about my heart health after my appointments with Dr Lo Monaco, he is an absolute gentleman and a shining example of what the medical profession should be
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Pesydon Pesydon
17 days ago
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I cannot recommend Dr. Francesco Lo Monaco highly enough. From my initial consultation regarding concerning chest pain, his level of care, professionalism, and expertise were truly outstanding. What immediately sets Dr. Lo Monaco apart is his incredible attention to detail and active listening. During our meeting, he asked all the right questions and took note of every single detail of my medical history and symptoms without missing a single thing. He made me feel completely heard and valued as a patient. When it came to investigating my chest pain, his approach was methodical, targeted, and refreshingly ethical. Rather than ordering a blanket of unnecessary procedures that would only drive up costs, he carefully selected the exact diagnostics needed for an accurate diagnosis. His care was seamless across both The Clementine Churchill Hospital and The National Heart Clinic on Harley Street, where I underwent an ECG, an angiogram, a 72-hour heart monitor, and stress tests. Throughout the testing process, Dr. Lo Monaco explained every procedure clearly, ensuring I felt completely at ease. He is deeply personal, deeply caring, and represents the absolute gold standard of what a consultant cardiologist should be: brilliant clinically, transparent with costs, and wholly dedicated to his patients' well-being. If you are looking for a top-tier heart specialist in London, look no further.
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Alexander Smith
21 days ago
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The most positive experience with Dr Francesco Lo Monaco and team. Punctual and flexible call hours, extremely astute and efficient learn health history, cover/test a very wide range of variables related, and confident/ making me confident in the diagnosis. All of which was accomplished within a short period (some of which was done remotely as well). Equally, Dr Francesco Lo Monaco‘s team of doctors and nurses were professional, knew exactly what they were doing and polite/welcoming the whole time. My most “heart” felt thank you to the Doc and team, and can only offer my highest recommendations!
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Amir Blogs
31 days ago
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I saw dr monaco yesterday And I will recommend him to anyone He makes you feel relaxed and he is very professional and knowledgeable and puts you at ease And his diagnosis was at the office quick efficient and the technician Roby was also Amazing and so comforting Can’t praise them enough Amir
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Ian McNicol
39 days ago
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Dr Lo Monaco is very patient focused and clearly explains the results of tests and what he recommends as the next steps. His calm demeanour and clear explanations are very reassuring. He also has a very efficient and friendly support team.
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Magdalena Hamya
47 days ago
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I thoroughly recommend dr Lo Monaco. Excellent cardiologist with great approach to patients, reassuring, with lots of empathy and very thorough. Whilst my particular concern has been cleared, I will be returning to dr. Lo Monaco annually for a check up.
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Julie Stevens
52 days ago
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Dr Francesco Lo Monaco care and expertise has been outstanding The level off attention and understanding has been exemplary I place my absolute trust in this remarkable Doctor
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Saleh Mahmood
52 days ago
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I simply cannot put into words how grateful I am for Dr Lo Monaco. When I was worried and unsure about my heart health and DCB procedure, he didn’t just treat my condition he truly cared for me. He listens with such kindness, explains everything until I understood, and gave me the courage and reassurance I so desperately needed. His skill, patience and gentle nature have made such a huge difference to my recovery and my life. He is not just an outstanding doctor, but a truly wonderful human being. I feel blessed to be under his care , thank you from the bottom of my heart.
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Francesco De Curtis
57 days ago
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Dr. LoMonaco is an exceptionally caring, attentive, and knowledgeable cardiologist. From my very first appointment, I felt truly listened to and cared for. He takes the time to explain medical terms and treatment options clearly and patiently, which makes a real difference. His team is equally kind, responsive, and attentive to every detail. I feel incredibly fortunate to have found Dr. LoMonaco and would wholeheartedly recommend him to anyone looking for a cardiologist who combines outstanding expertise with genuine compassion.

WHAT IS SUPRAVENTRICULAR TACHYCARDIA (SVT)?

Supraventricular Tachycardia refers to a heart rhythm abnormality that originates from the atria, the upper chambers of the heart, and causes the heartbeat to increase (150-220 times a minute). However, unlike Atrial Fibrillation, the heart rate in SVT often remains steady and regular. Most SVTs are not harmful, but prolonged and frequent episodes need proper evaluation to prevent long-term cardiac issues.

SYMPTOMS

The symptoms of SVT can be intrusive and may feel similar to other heart conditions. Therefore, proper diagnosis through cardiac tests and wearable technologies is essential to rule out more serious conditions. Common symptoms may include:

  • Palpitations
  • Shortness of Breath
  • Dizziness or Even Fainting due to a Drop in BP
  • Chest Tightness
  • Sometimes Panic Attacks

WHAT CAUSES SUPRAVENTRICULAR TACHYCARDIA?

An SVT is caused by an extra electrical connection in the heart. This abnormal connection disrupts the normal rhythm and leads to episodes of rapid heart rate.

  • Present From Birth

    In some cases, an extra electrical pathway is present from birth, either between the atria and ventricles or within the atria. When this leads to SVT, the condition is known as Wolff-Parkinson-White (WPW) syndrome. Although present at birth, WPW is not typically hereditary and is not always linked to other heart abnormalities.
  • Develop With Age

    SVT can also develop later in life. As part of the natural ageing process, electrical pathways near the centre of the heart may stretch or change. This can lead to a common type of SVT called Atrioventricular Nodal Re-entry Tachycardia (AVNRT). AVNRT is more frequently seen in women and typically occurs between the ages of 40 and 60.

HOW IS SVT DIAGNOSED?

Diagnosing SVT can sometimes be challenging because episodes often start and stop suddenly. In many cases, the heart rhythm returns to normal before medical assessment takes place.

To diagnose supraventricular tachycardia, the doctor takes a detailed medical history, including your symptoms, how often episodes occur, and how long they last. The main test used is an ECG, which records the heart’s electrical activity and can confirm SVT if performed during an episode. 

In some cases, further tests like an Echocardiogram, an ECG Holter, or an Event Recorder may be recommended for a more detailed assessment.

WHAT CAN TRIGGER THE SYMPTOMS OF SVT?

Although SVT symptoms can occur at any time, certain factors may trigger or worsen episodes. Common triggers include caffeine, alcohol, emotional stress, and lack of sleep, all of which can affect the heart’s electrical activity. Identifying and managing these triggers can help reduce the frequency of SVT episodes and improve overall heart rhythm control.

IS SVT DANGEROUS?

SV Tachycardia is usually not dangerous in people with a structurally and functionally normal heart. However, if SVT occurs due to an extra electrical connection between the upper and lower chambers of the heart, it may lead to serious complications.

SUPRAVENTRICULAR TACHYCARDIA TREATMENT: HOW TO MANAGE SYMPTOMS?

Treatment for heart SVT depends on the underlying cause, how often episodes occur, and how severe the symptoms are. In many cases, SVT settles on its own and may not require immediate treatment. However, if symptoms are frequent or more severe, further evaluation is needed.

Dr Francesco Lo Monaco, a leading preventive cardiologist in London, largely focuses on identifying triggers early and guiding patients on lifestyle changes to reduce the frequency of episodes.

Treatment may include simple lifestyle changes, medicine, or specialist procedures, such as an EP study or cardiac ablation. An electrophysiology (EP) study can help identify the exact cause, and cardiac ablation is often recommended as a first-line treatment for long-term control. 

BOOK A CARDIOLOGY APPOINTMENT ONLINE

If you’ve recently had a specialist heart checkup and feel unsure about the diagnosis or treatment plan, getting a second opinion can provide the clarity you need. Schedule a consultation with Dr. Lo Monaco, an expert private cardiologist in London, or book your heart test/scan today for fast, specialist cardiac care.

Cardiologist Dr Francesco Lo Monaco in a face-to-face consultation with a patient during a private heart assessment