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Heart Disease (Expert Forum)
Constant Tachycardia-Safe?
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Constant Tachycardia-Safe?
by kate1987, May 17, 2007 12:00AM
Hi,
I am a 19 yr old female.About 6 months ago I started having episodes of my heart racing and terrible nausea and a heart rate of up to 200 bpm , after these attacks all of my limbs ache terribly. I went to my local Dr. and was ent for a ECHO which came back normal, and a thyroid function test showed normal thyroid function with minimally decreased TSH. After these test this DR. fobbed me off so i let it go but the attacks continued 3 or 4 times a day till one day i passed out during a attack and fell down a flight of stairs, i went to the emergency department and was referred to a cardiologist who put me on a 24 hr holter monitor, the monitor came back with 3 episodes of sinus tachycardia with a average of 180 bpm during the attacks. The cardiologist said that he didn't want to put me on beta blockers because of my age, and he pretty much said i would have to live with it, he has booked a cardiac revel to be implanted but apart from that he said there is nothing he can do. but my problem is that these episodes are happening 3 to 4 times a day and are really diblitating, is there really nothing than can be done? Are these episodes safe?
Thanks, Kate
I am a 19 yr old female.About 6 months ago I started having episodes of my heart racing and terrible nausea and a heart rate of up to 200 bpm , after these attacks all of my limbs ache terribly. I went to my local Dr. and was ent for a ECHO which came back normal, and a thyroid function test showed normal thyroid function with minimally decreased TSH. After these test this DR. fobbed me off so i let it go but the attacks continued 3 or 4 times a day till one day i passed out during a attack and fell down a flight of stairs, i went to the emergency department and was referred to a cardiologist who put me on a 24 hr holter monitor, the monitor came back with 3 episodes of sinus tachycardia with a average of 180 bpm during the attacks. The cardiologist said that he didn't want to put me on beta blockers because of my age, and he pretty much said i would have to live with it, he has booked a cardiac revel to be implanted but apart from that he said there is nothing he can do. but my problem is that these episodes are happening 3 to 4 times a day and are really diblitating, is there really nothing than can be done? Are these episodes safe?
Thanks, Kate
Doctor's Answer
by Forum-M.D.-MJM, May 17, 2007 12:00AM
Hello,
These can be hard to work up. The question is what is causing your heart rate to increase -- there are many possibilities. It depends on the circumstances when this happens, how it initiates, how it terminates, among others. This could be inappropriate sinus tach, atrial tachycardia/flutter, and a host of other things. If you already have a recorded copy of the rhythm, I do not think a reveal will help.
As to whether or not it is safe, it depends on how long you are in the tachycardia. If it is intermittent, it will not cause any harm. You need a diagnosis. If this is inappropriate sinus tachycardia, a beta blocker is a reasonable medication to try. If you have symptoms with beta blockers, a calcium channel blocker is an alternative.
I hope this helps.
Thanks for posting.
These can be hard to work up. The question is what is causing your heart rate to increase -- there are many possibilities. It depends on the circumstances when this happens, how it initiates, how it terminates, among others. This could be inappropriate sinus tach, atrial tachycardia/flutter, and a host of other things. If you already have a recorded copy of the rhythm, I do not think a reveal will help.
As to whether or not it is safe, it depends on how long you are in the tachycardia. If it is intermittent, it will not cause any harm. You need a diagnosis. If this is inappropriate sinus tachycardia, a beta blocker is a reasonable medication to try. If you have symptoms with beta blockers, a calcium channel blocker is an alternative.
I hope this helps.
Thanks for posting.
Member Comments (4)
by CollegeGirl143, May 17, 2007 12:00AM
Whats causing the attacks? are you anxious? is it random? does it start and stop suddenly? i would get a second opinion concerning the beta blocker.. if you are having trouble tolerating these episodes, "live with it" isnt a very good answer.
by kate1987, May 17, 2007 12:00AM
nothing causes them, i can be sitting watching tv or eating dinner or reading a book and it will happen, no I am not an anxious person by nature.
by oneil420, May 17, 2007 12:00AM
To: kate
I would have to agree that if your that symptomatic and your quality of life isnt improving then a beta blocker is resonable and should be consider a second opinion. I am interested what the doc thinks? I hope you get some answers but remember we as patients must take responsability for our quality no one can or will do it for us. good luck i hope you get some answers and some much needed relief. oneil420
