The doctor may suggest a “wait and see” approach if your symptoms aren’t causing major problems. Try to avoid triggers like nicotine, alcohol, or caffeine. Exercise and eating well can help keep your heart strong.
At-home treatments. The doctor can show you movements that may help lower your pulse during an episode. They include:
- Dive reflex. This is when you quickly put your face into water, especially cold water.
- Valsalva maneuver. This is kind of like straining during a bowel movement: You attempt to push air out of your lungs while you block the flow at your throat or nose.
- Carotid sinus massage. This is gentle pressure on your neck, where the carotid artery splits into two branches.
- Eyeball massage. You press gently on your eyes while they’re closed.
Medication. Your doctor may prescribe drugs like ivabradine, beta-blockers, or calcium channel blockers to lower your pulse.
Catheter ablation. If your symptoms don’t get better, your doctor might suggest a procedure called catheter ablation. It’s also known as radiofrequency ablation. This is when doctors use small radio waves to destroy a tiny bit of heart tissue in the area that might trigger your PSVT. It takes 2 to 4 hours. You usually go home the same day.
Catheter ablation is typically safe. But like any invasive procedure, it does have some risks that you should discuss with your doctor.