In order for the heart to do its work (pumping blood throughout the body), it needs a sort of spark plug or electrical impulse to generate a heartbeat. Normally this electrical impulse begins in the upper right chamber of the heart (in the right atrium) in a place called the sino-atrial (SA) node. The SA node is the natural pacemaker of the heart. The SA node gives off electrical impulses to generate a heartbeat in the range of 60 to 100 times per minute. If you are exercising, doing strenuous work or you are under a lot of stress, your heart rate may be faster. When you rest or sleep your heart rate will slow down. If you take certain medications, your heart rate may be slower. All of this is appropriate.
From the SA node, the electrical impulse is relayed along the heart’s conduction system. It spreads throughout both the right and left atria causing them to contract evenly.
When the impulse spreads over the right atrium it reaches the atrio-ventricular (AV) node. This is a very important structure in the heart because it is the only electrical connection between the top chambers and the bottom chambers. It is therefore the only way in which an electrical impulse can reach the pumping chambers (the ventricles). The impulse spreads through the AV node and down into the lower chambers or ventricles of the heart. This causes them to contract and pump blood to the lungs and body
There are 3 main types of SVT. It will not always be obvious which type of SVT you have prior to the electrical study of your heart.
This is the most common form of SVT. An abnormal short circuit (circular conduction) occurs near the AV node. Instead of a single AV node between the top and bottom chambers, there is a second connection that is abnormal. This extra connection has been present since birth. As a result of having 2 connections a short-circuit can occur.
Abnormal circular conduction utilising the AV node and an “accessory pathway” connecting the atria and ventricles. This extra connection has been present since birth. As a result of having 2 connections a short-circuit can occur. This condition is sometimes termed the Wolff-Parkinson-White Syndrome or WPW.
There are 2 main options for people with SVT.
-Senior Consultant Cardiologist & Electrophysiologist
-Chief, Cardiac Pacing and Arrhythmia Services
-Department of Cardiac Pacing and Electrophysiology
-Apollo Hospitals, Greams Road, Chennai.