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Heart Disease (Expert Forum)
another opinion for fast heart rate?
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve, Pacemaker, PAD, Stenosis, Stress Tests
another opinion for fast heart rate?
by AK, Oct 01, 1999 12:00AM
I'm a 19 year old female with inappropriate sinus tachycardia and mitral valve prolapse with at least moderate regurgiation. The first cardio. was an electrophysiologist who said that my heart rate, which he said was atrial tach. was of the degree where it should be treated with either flecinnide or an ablation. My family physician disagreed with this diagnosis and said that she wouldn't give flecinide. She asked me to go in for a second opinion. The second cardio. said that since i'm only feeling palpiations a few times a week this is something that can be left alone.
Here is the situation: I have a fast heart rate at most times, it can usually range from 100-140/160 but many times it can go up to 200 -230 with exertion (running up stairs etc.). The second cardio. says that this isn't a problem because these rates don't bother me and the Holter shows that for a 24 hour period the rates average out (while i sleep rates are in the 60-80 range). Who is right about this? Would you treat this or leave it alone. Thank you for your help.
Here is the situation: I have a fast heart rate at most times, it can usually range from 100-140/160 but many times it can go up to 200 -230 with exertion (running up stairs etc.). The second cardio. says that this isn't a problem because these rates don't bother me and the Holter shows that for a 24 hour period the rates average out (while i sleep rates are in the 60-80 range). Who is right about this? Would you treat this or leave it alone. Thank you for your help.
Doctor's Answer
by CCF CARDIO MD - CRC, Oct 04, 1999 12:00AM
The two opinions represent different ends of the spectrum in the range of treatments for this condition. One is more agressivea (i.e. medication or ablation) and the other conservative (i.e. do nothing). The option that is best for you is up to you and your doctor. I think either option would be OK depending on how much this is bothering you. If it bothers you alot then more agressive management may be in order. If this is not that big of a deal to you then conservative treatment is probably appropriate.
