Questions posted in the
Heart Forum have been answered by doctors from The Cleveland Clinic Foundation.
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Subject: Re: chest pain/tachycardia Topic Area: TachycardiaPosted by Kathleen on May 07, 1999 at 21:41:56I am a 27 year old female and I to aerobics 3 times a week. I noticed that my heart rate was increasing much more rapidly than the other people in the class and was advised by a trainer at the gym to see a cardiologist. My heart rate races ONLY upon exercise. Could it be exercise induced ventricular tachycardia? My resting pulse is 70-80 and my resting heart rate is low 90-100/55-65. The cardiologist did a stress test and my heart rate was 150 in less than a minute. He then stopped the test. Then he had an ultrasound of my heart done which came back normal. He tested me for thyroid problems and that was normal. He also did a tilt table test with isoprol and it was abnormal. My heart rate went up high and my p wave disappeared. It then dropped to 90 fast after the test was stopped. I was diagnosed with "inappropriate sinus tachycardia." I spoke to an electrophysiologist on the telephone and he advised me not to have an ablation proceedure done. IPosted by CCF CARDIO MD - DLB on May 09, 1999 at 20:22:47 Dear Kathleen I would suggest that you actually see an electrophysiologist to make a diagnosis, not for an ablation. The tilt table test results are difficult to interpret. The real question is what is your heart rhythm when you exercise. I hope this has been useful. Feel free to write back with further questions. Good luck. Information provided here is of a general nature. Specific diagnoses and treatments can only be made by your doctor. If you would like to be seen at the Cleveland Clinic, please call 1-800-CCF-CARE for an appointment with a cardiologist at Desk F15.
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