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Heart Disease (Expert Forum)
Sarcoidosis and Tachycardia
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 Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
Sarcoidosis and Tachycardia
by lisa, Sep 18, 2000 12:00AM
I am a 39 yo overweight female who has had sarcoidosis since 1989. I was originally assumed to have myocardial sarcoid, along with lung, skin, and joint involvement. My original symptoms were chest pain and sinus tachycardia 120-140 resting. I had ST changes and an MRI with a suspicious area of sarcoid involvement. I also have a mild MVP with fibromyalgia syndrome which was diagnosed before the sarcoid. Currently, my heart rate is 110 resting, and I recently had a stress test that showed a very poor exercise tolerance with a heart rate of 170 within 2 minutes, and they only let me go 3 1/2 min. total due to hr, sob, and sever headache. The newest problem seems to be that I can not do any type of aerobic exercise without getting a severe headache, sob, and tachycardia. My resting bp is usually normal. I also have a constant low grade headache. I got a note from the cardiologist stating my stress test was normal or unchanged, and I certainly am not feeling normal when I try to exercise. I am
currently off on disability, as I am feeling very fatigued, and having constant headaches. I am wondering if my heart condition is worsening, or if there could be an excess of hormones in my body that make my heart beat so fast. I would appreciate your thoughts on this scenario. Thank You!
currently off on disability, as I am feeling very fatigued, and having constant headaches. I am wondering if my heart condition is worsening, or if there could be an excess of hormones in my body that make my heart beat so fast. I would appreciate your thoughts on this scenario. Thank You!
Doctor's Answer
by CCF CARDIO MD - DLB, Sep 18, 2000 12:00AM
Sarcoid can definitely involve the conduction system of the heart, sometimes needing a pacemaker placement. It is more unusual to lead to an isolated sinus tachycardia though; this could be due more to the overweight and poor exercise tolerance. You could see a cardiac electrophysiologist to further evaluate the tachycardia. If the headaches are bad, it might also be worthwhile to see a neurologist to make sure that you do not have any sarcoid involving the brain.
Member Comments (3)
by jan, Sep 18, 2000 12:00AM
I was hoping somebody would start a chat. Not knowing very much about such things, I couldn't. I had wanted to ask my son, who is very knowledgeable, but his weekends home are so busy. I think it will be great! Thanks.
by jan, Sep 19, 2000 12:00AM
Does it matter that the correct spelling is "arrhythmia"?
