Biz biz, as a frequent episoder, I have a few pieces of advice. I don't drive if my rate gets over 120, because after that happens, I often get another surge or drop in rate that can cause loss of consciousness. I don't want that to ever happen driving. Just a thought. Not a fun one, but one that should be considered. I've never had luck with the val salvo move, but laying down with my head and legs level for a good half an hour tends to get things headed in the right direction when I'm svt'ing. If it doesn't after that, or keeps increasing, I call for help or at least company to wait out the episode. If you keep up the episodes you might want to talk to your EP about looking for the extra pathways. My doc said that ablation isn't all that successful with POTS pathways in the long run, but it worked for about 5 years for me, before I was diagnosed with primary POTS so it might be a good thing to address. It is an awful feeling to have the heart out of control, so just make sure that when it happens you put yourself into a safe situation as soon as possible. Don't stay at the barn alone, or go driving somewhere too distant that if something happened you couldn't be found. Triggers - I have found that lifting things over 20 lbs or so can trigger an episode, as can frequent stooping and lifting smaller amounts. Also, not getting fluids and rest can do it to me. Sweating is a big no no in me. When I get too hot and start to sweat too much, I lose fluids and the rate increases too quickly so I have to avoid overheating. Trying to keep yourself well hydrated and not too warm may help with episodes. Track the things that youare doing when your heart takes off, so that in the future you might be able to find your triggers. It could help prevent them in the future! Good Luck Liz