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Extreme elevated heart rate with normal exertion - standing, walking

My daughter-in-law is experiencing unexplainable extreme heart rate elevation with normal exertion such as walking or standing from a seated position.  Emergency room personnel recorded a jump from 98 BPM to 130-150 BPM upon standing from a seated position.  Subject is 20 years old and in good health.  Symptoms started shortly after eating breakfast on a cruise ship. Cruise ship medical personnel diagnosed anxiety as a possible cause, but hospital ultrasound and CBC discovered nothing significant.  Yet the condition persists even when subject is under influence of doctor prescribed Xanax.  What conditions might be causing this problem?
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Avatar universal
We have a family member with POTS (Postural Orthostatic Tachycardia).  It goes with being hypermobile.  Apparently when you stand up quick or stand too long the blood pools in your legs, your blood vessels are too stretchy and you get light headed.  Our 20 yr old daughter was told to increase her salt and water and that you can outgrow it.  There is hypermobility and aneurysm in the family because of the stretchy connective tissue .  She was told she will need a hospital delivery if she has a child because of risk of uterine rupture.  So get it diagnosed and be careful.
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My heart rate would go from normal range to about 188 beats pm instantly. Test showed I was only getting blood and oxygen to half of my heart. I had a triple bypass and have had no more rapid rates. I do have skips from afib and had a maze proceed done but it didn't help.Now they are talking about burning a few spots on my heart to try to get the electrical spark to travel a different path and see if it works. Right now I just have to stay on blood thinners.
Avatar universal
It is Postural Orthostatic Tachycardia Syndrome.(pots) Pots is diagnosed by a Tilt table Test. Diagnosis is based on a rise of HR 30 beats per minute or more upon standing. I have it.
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I experience very similar symptoms. I have just left the ER and they were unable to help me. For six weeks I have been having vision changes. Four weeks ago started rapid heart rate and headache. When I stand, my heart rate rises to 130. When I'm laying down it is anywhere from 80-93. My pulse has always been 69-75. My blood pressure has also been low during this time. Normally I run 113/75 and these past few weeks it's been as low as 80/58. Today in the ER they told me that my blood sugar had dropped to 45. The scary thing is that I had eaten an hour before it was taken in the ambulance and it was 95. In only 3 hours after eating it dropped to 45. I've never had low blood sugar before. I spent three days in the hospital two weeks ago and did not even eat and my blood sugar was 85. I'm seeing a cardiologist who is putting me on a 30 day monitor and scheduling a sleep study because I have episodes of tachycardia happen while I'm asleep and wake me up. After waking I shake for a while. I've been experiencing tremors where my teeth will chatter as if I'm cold.
I am always asked if I want meds for anxiety, but I know this is not anxiety as my bilirubin level is increased, too. I don't like taking meds for things that won't solve the problem. I just want someone to fix this and get me back to my healthy self I was six weeks ago. I have two young children and I'm terrified of something happening to me while I'm waiting weeks for answers.
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I have very similar symptoms, including having either a fever or hypothermia (at all times). please, let me know when/if you find out the cause(s). I have lupus and no insurance. Thank you.
Avatar universal
This sounds like POTS syndrome which is what doctors say I have to a certain degree just not with fainting. My heart can be 70 but sitting then go up to 150 by standing. With pots your blood pressure drops too when standing as well as having tachycardia so many faint
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Avatar universal
When you start to get that feeling just start praying and take deep breaths for at least 2mins it brings calmness to the mind and then the brain tells the heart to stop beating so fast and it regulates your pulse
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Avatar universal
When you start to get that feeling just start praying and take deep breaths for at least 2mins it brings calmness to the mind and then the brain tells the heart to stop beating so fast and it regulates your pulse
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Avatar universal
Any answers? I am 36 years old and have a resting heart rate of 60-65. I stand up and it immediately jumps to 120-130. I take a shower or a flight of stairs and so much faster. I have had ekg, ultra sound, 24 hr heart moniter. They say I have inappropriate sinus tachycardia and pacs and pvcs. But otherwise no worries. But I am worried. It does not feel good to have your heart double in rate every time I stand and then sit down and it goes down.
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17401082 tn?1456350772
Could be mitral valve prolapse. I am currently experiencing that fast beat for the slightest movement. Put on procardia, and waiting on a heart monitor to wear for 2 weeks. See a cardiologist. Xanax is not the answer.
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Avatar universal
I have genetic markers for low activety MAO and COMT which gives norepinephrine a long half-life.
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My heart rate has recently shot up as high as 160 when I walk around for 5 seconds and pick up something that i can easily lift. When i stand up immediately after being in a seated position without doing any physical activity my heart beat reaches anywhere from 110 to 130. The only difference is that i think i may have an enlarged heart or some type of pulmonary problem. This has been a problem for me ever since I overexercised from cycling. I also experience shortness of breath and i have an increase in abdominal girth. But for me I experienced the following symptoms in order
(1)Odor or Smell in my room with not enough air circulating through
(2)Developed Migraines and other headaches occured
(3)Problem with shortness of breath
(4)Increased abdominal girth (belly) felt full and bloated even when i did not eat or drink anything
(5)Hearing like a static type sound in one or more of my ears
(6)A month later seeing flashes in both eyes
(7)Getting more fevers that come and go throughout the year
(8)I have had rapid/irregular heartbeats that come and go anytime with or without doing anything
(9)Recently having rapid heartbeats shootup suddenly after immediately standing up after a seated position while after sitting straight up and not doing or saying anything
(10) but my heart beat shoots up even more when i start walking around even for 5 seconds. even gets worse if i have to pick something up.
(11)harder to breath when i lay down on my side, when this happens feels like air is restricted and am feeling pressure in both my belly and chest, but never a sharp pain.
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Avatar universal
I have no advise,but to say that I have had premature ventricular contractions for years  and 6 weeks ago during surgery/recovery I had tachycardia and my premature contractions/flutter as you say has disappeared and have had ongoing heart rate of 80/90's sitting and emediately upon standing goes instantly 125-166 for 6 straight weeks non stop.your condition sounds similar.I have chest pain shortness of breath and frequent head pain when rising.I'm having echo-cardiagram/nuclear stress test and halter monitor this week.Hope your condition gets better.
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Avatar universal
Yes, it is possible.  Tell you doctor or go to a neurologist that can do the testing.  Not diagnosing you, but it seems like a good idea.
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Avatar universal
I have been suffering from chronic diarrhea since April. It has been so bad that I thought I had fecal inconvenience. When I went to the hospital, my heart rate was 170 standing and 145 sitting However, my blood pressure was kind of  low. The symptoms in the past two weeks now include shaking weekness and labored breathing. When i got my lab results from my hospital visit. There was a note at the bottom regarding my gfr being 60. I dont know what is going on but i haven't been out of bed in two weeks, cause to taking a shower  leaves me winded and dizzy.
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1 Comments
Try taking an iron pill. Had same symptoms from taking laxatives. It also gave me panic attacks.
Avatar universal
How are you doing now? I am 2 months post ablation and experiencing higher standing HR and skipped beats. Had 6 a-fibs during the first 2 weeks but nothing since " Knock on wood"
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I am a 41 year young female....I experienced a perforated bowel about a year and a half ago, which required an emergency small bowel resection.  Since then I've had continuous abdominal pain.  My doctors started to notice my heightened heart rate within the past four months....My GI specialist performed a colonoscopy and concluded that I have IBS, and says the pain of my IBS is increasing my heart rate...Does this sound normal? My resting rate is almost always 100-110...immediately rising as I get up to anywhere from 120-145....my GI has referred me to UCSF, I'm just completely nervous
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My heart rate goes from 60 sitting to 99 standing ,or 70 sitting to 109 standing  and I feel heavy palpitations in my chest.  My physical therapist said it should only go up about 10 points. I am 63 and have diastolic dysfunction stage 1 but the heart dr didn't say the diastolic dysfunction was causing the high high rate. I do have atrial fibrillation but that only happens once every 4 days. I also get shortness of breath when I stand. I was low on morning cortisone level 2  yrs ago but my afternoon level was ok. I ad shortness of breath then but now it's getting worse. If I walk around it goes up to 132 or higher. Then the nurse practitioner at my heart dr office tells me I have to get down my heart rate but doesn't tell me how to do that. I have been on a low cal diet for 5 months. Could that make my fast hr worse? I work out on an exercise bike 2 hrs a day getting my heart up to 115. If I walk on a treadmill the hr goes  too high which is why I switched to the bike. I am really struggling with this. It is affecting my whole life. I couldn't keep taking the prescription medicine cuz I couldn't tolerate it's affects of making me feel like I had been run over my a truck. It lowered my heart rate to low.
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6391792 tn?1380884627
My heart rate read 115bpm when standing, my husband pointed out I had the blood pressure machine on the wrong way, oops!!! When re-corrected, my heart rate was 99bpm!! slightly better.:)
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6391792 tn?1380884627
My heart rate read 115bpm when standing, my husband pointed out I had the blood pressure machine on the wrong way, oops!!! When re-corrected, my heart rate was 99bpm!! slightly better.:)
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Avatar universal
I've been having these same tachycardia episodes upon standing  I'll go from 55 to 120+ on a good day.  A bad day will push 170+ .  If I lay down it's right back down to resting rate.  I've had every test you can imagine , tilt table , EP,  numerous stress/ echos.  64 slice ct.   I'm on .25 atenolol / x 2 daily & Xanax as needed.  

I'm on my 2nd 30 day cardiopal savi recorder (in 2yrs) and I just recorded a tach event so ill be waiting to find out if I was sinus tach or if I had some afib that started that.  Also: I was diagnosed with moderate sleep apnea 2yrs ago & do not use my cpap.

I usually go months without any of these symptoms, but now i've had several in a week. 3 years and 200k worth of tests.  My Stress level is moderate & life was good untill these episodes started happening.  Please believe me when I say that I feel your pain folks.  I live with the daily anxiety of the next episode.  
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Avatar universal
I am a diabetic patient. Due to skipping meal, Diamicron and metformin harmed me. At the start blood pressuring falling ans heart rate was increasing. Later only heart was going high on standing and walking.
My blood sugar was high with ups and downs.  When sugar was settled.\, it improved after six months.

After that I started taking Insulin Lantus and Humalog. It was working well for me for a year. After that lantus was not working that well. But it was late in prescribing another one(LEVEMIR) and fixing the dose. IN the mean standing and walking  heart rate started to go high.. It is making lot of stress on eyes

About 2 months blood sugar was high. Now sugar is almost fixed.  In another weak it will be OK. But still I have lot of symptoms.  Can any body help?  Resting heart rate is 64, If I wak it goes to 100
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Avatar universal
I am a diabetic patient. Due to skipping meal, Diamicron and metformin harmed me. At the start blood pressuring falling ans heart rate was increasing. Later only heart was going high on standing and walking.
My blood sugar was high with ups and downs.  When sugar was settled.\, it improved after six months.

After that I started taking Insulin Lantus and Humalog. It was working well for me for a year. After that lantus was not working that well. But it was late in prescribing another one(LEVEMIR) and fixing the dose. IN the mean standing and walking  heart rate started to go high.. It is making lot of stress on eyes

About 2 months blood sugar was high. Now sugar is almost fixed.  In another weak it will be OK. But still I have lot of symptoms.  Can any body help?
Helpful - 0
Avatar universal
Have you checked about POTS?postural orthostatic tachycardia syndrom?
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Avatar universal
hi my daughter had the tilt table test as she showing all signs of pots becuase her blood pressure did not drop they said it was negative how do i challenge this result as heart rate was v high
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Avatar universal
yeah all of this is causing you there anxiety attacks or panic attacks i have them all day too and it ***** iam always checking my pulse rate and blood pressure and my blood pressure is perfect but my pulse rate goes up i've been done alot of test and they all come back negative the doctors says nothing is wrong with me i told him that my pulse would  go up to 180 bpm when this happens but he said that for me not to worry that iam not going to die the ambulance used to come like for two weeks straight but they said everything is fine just that my heart rate is high due to panic since then if been better just in the morning when i wake  up i wake with a high pulse rate of 100 - 110 i take xanax .50 two times a day doctor told me to take them 4 times a day but iam good with 2 a day hope this help
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