Jeni

Jeni was diagnosed with supraventricular tachycardia (SVT) after a major palpitation episode last year lasting 1.5 hours. Adenosine was used to regulate her rhythm. She is now taking beta-blockers (bisoprolol) while waiting for an ablation.

Jeni’s heart was really pounding out of my chest and going really fast’ soon after arriving at work one morning. She felt dizzy, hot and sweaty. With chest pain, a heart rate of 211 beats per minute, and her body shaking, she was rushed to hospital where, after trying every other option’, doctors injected her with adenosine. Although unpleasant, the treatment was successful. An ECG identified arrhythmia. Jeni was diagnosed with supraventricular tachycardia (SVT) and referred to an arrhythmia cardiologist.

Ironically, Jeni and her husband were both extremely happy’ with this news. For a number of years, Jeni had been experiencing palpitation episodes while walking the dog, lying in bed or even just talking to someone. On one occasion she was admitted to hospital. Yet despite having ECGs, including 24 hour monitoring, her arrhythmia failed to show up. For Jeni, finally catching the issue on ECG’ meant that she had a definite diagnosis and treatment plan.

Jeni felt wiped out’ after the adenosine and took a week off work to recover. She still had the odd palpitation’, felt constantly breathless, very tired and occasionally dizzy. Contacted by her arrhythmia nurse, she was put on the list for an ablation and prescribed the beta-

blocker bisoprolol to regulate her heart rhythm. Although initially reluctant, I don’t like taking drugs, Jeni was soon persuaded to take the medication because of continuing palpitation episodes which left her feeling drained. She describes how she felt drugged and dizzy, like being drunk’, the first few days as her body adjusted to the drugs. However, while she still feels tired and dizzy and has a bit of a hacking cough’, her pulse is much slower, her palpitations have eased, and she’s not as breathless.

Jeni is unsure what caused her AF. A genetic predisposition is possible. Born prematurely with a heart murmur, Jeni recalls having palpitations when very young. She also has an aunt with ventricular tachycardia (VT). Her consultant feels that she may have had an episode in the past during surgery. Jeni remembers two major palpitation episodes soon after operations for unrelated conditions. Work stress, as a teacher, may also have contributed as Jeni had worked a 15 hour day just before her major attack.

A diagnosis of AF has had a considerable impact on Jeni and has made her reassess her life: I feel like I’m a little old granny, like I’m 71′. She maintains a healthy low fat diet, exercises every day, drinks decaffeinated tea and little alcohol, and sleeps well. She carries a bottle of water, something I can blow into’, and a fully charged mobile while out but otherwise tries to just get on with life’. Since going on beta-blockers she has more energy and feels a bit more like myself I don’t feel like the strange person that was inhabiting my body’.

Jeni’s experience of care has been very positive. She has felt in control of her treatment choices they didn’t force anything on me’. Although yet to meet her consultant and on a

waiting list for an ablation*, she is satisfied with the standard of care she has received. She speaks very highly of her arrhythmia nurse who is just on the end of the phone’ for advice, support, and to allay any fears. She describes the relationship as invaluable’. She urges people with AF to be proactive in their treatment and to ask questions to ensure that they’re not seen as a number, but rather as a human being with a personality and fears and questions and thoughts and aspirations.

*Jenny had her ablation end January 2012

Interview held 20/12/11

Jeni talked about how frightening an AF attack can be for others.

Age at interview 41

Gender Female

Age at diagnosis 40

Jeni stressed the need to recognise the human’ side of AF and to treat each person differently.

Age at interview 41

Gender Female

Age at diagnosis 40

Jeni, a teacher, explained how her body gradually became accustomed to beta-blockers after experiencing side effects in the early stages of treatment.

Age at interview 41

Gender Female

Age at diagnosis 40

Jeni, who has supraventricular tachycardia (SVT), readily agreed to having adenosine to stop uncontrollable palpitations. She explained the process.

Age at interview 41

Gender Female

Age at diagnosis 40

Jeni refused to take beta-blockers initially but changed her mind later after discussions with her arrhythmia nurse.

Age at interview 41

Gender Female

Age at diagnosis 40

Jeni pointed out the need for good communication between patients and health professionals.

Age at interview 41

Gender Female

Age at diagnosis 40

It was not until she was admitted to hospital after a suspected heart attack at work that Jeni’s AF was finally recorded on ECG.

Age at interview 41

Gender Female

Age at diagnosis 40

For Jeni, palpitations could be uncomfortable and painful.

Age at interview 41

Gender Female

Age at diagnosis 40

After initially resisting going on medication, Jeni found that beta-blockers helped her.

Age at interview 41

Gender Female

Age at diagnosis 40