Dr. Lessmeier believes that one of the main problems in correctly diagnosing PSVT is the use of inappropriate detection techniques. Specifically, many doctors use a Holter monitor which monitors the patient's heart rhythms for only one day. However, PSVT may occur as infrequently as once every three to six months in some patients. Therefore, he suggests that an event monitor or loop recorder be used which monitor heart rhythms for three to four weeks at a time. In many cases, the causes of recurrent palpitations can be determined and, if necessary, treated.
Medication often does the trick, but occasionally a catheter ablation is required.
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