Tachycardia episode - further testing and possibilities

[jmcruz]

37 y cauc. man, BMI=22,5. 2 years ago had BMI=29 and episode of  HBP 160/100 (2 days). Did, then, an echocardiogram, EKG and very detailed blood and urine tests that came all fine. Started a diet and lost weight that now is fine, as well my BP that is controlled (2x/month) with average under 140/90, without meds.
Do annual checkups including blood and urine testes and EKG that are good (This year also did thyroid analysis that were at normal range).
Sometimes, have episodes of tachycardia up to 120

[CCF-M.D.-RCJ]

josecruz,

Thanks for your questions.

You need evaluation by a thoughtful physician to determine if the fast heart rate was an SVT or sinus tachycardia.  Between the historical clues and rhythm strips, a good cardiologist should be able to make the distinction in most instances.

If the diagnosis of the fast heart rate is not "diagnosable" based on the available information, then an event recorder would likely be the next step.  These devices monitor your heart rate and rhythm; when you experience symptoms you press a button that records the information.

I am not sure what you mean about "Is there a hope that this event is not of cardiac origin?"  Your heart was going fast; this can be caused by many things: anxiety, hyperthyroidism, pheochromocytoma, cocaine ingestion, exercise, or a primary rhythm disturbance.

Hope that helps.

[sk_uae]

First accept my sincere thanks for putting up a wonderful informative site like this.

I am 32 years old. Around 3 months backs, I had severe pain in left chest and was admitted to the hospital. The following tests were peformed. ECG, ECHO, Blood Tests, CK-MB, Trponin - I, Thyroid tests, Chest X-Ray etc. My pulse rate was 163. The cholestrol level was - overall 240 mg/dl, Tryglycerides - 150 mg/dl, HDL - 46 and LDL 164 mg/dl., The CK-MB was 2.5ng/ml and Tronin - I was negative. The Creatine Phosphokinase Serum (CPK) was at 235 U/L. The doctor informed that this is not a cardiac related one. Its only SINUS TACHYCARDIA. He precribed Tenormin 50 mg/day. However the pain continued and twice I had pain on my left arm, Left shoulder blades and back. Besides I had pain in the jaws for almost 2 months.I also had the feeling of numbness on left fingers and left leg for around 1 week. Besides I had severe headaches and at times felt dizziness and fatigue. The doctor told that there is nothing abnormal. The pain normally occurs twice a day and lasts for more than 2 hours. The pain in the chest continued at different places in the chest region. The pain mostly occurs near the left armpit and below the left nipple and exactly below the middle region of the breast bone. The pain normally increases with the increase in heart beat. At times while working in the computer or while standing, I get the pain. This was informed to the doctor. He said nothing to worry and prescribed the CPK test once again last week. The CPK levels was 235 U/L.The pain is now in both the sides of the chest. The pain can felt while pressing with fingers in the region. Pressing with fingers will bring some comfort from the pain. Besides at times I feel that the breast region is chocked and feels taking antacids. Yesterday also, the middle portion of my chest was choked as if gas formation. I tried antacids,water, milk, soda to get rid of the chocking. But nothing worked and after around 3-4 hours the gas came out giving a bit of relief.The Doctor kept on telling that this is only SINUS TACHYCARDIA and nothing to worry and asked me to continue with TENORMIN 25 Mg/day (reduced to 25 mg/day). However of late I am having severe heartburns ocassionally which is not releived by taking antacids. The pain will continue for around 3-4 hours and feels life some lump is present below the middle region of the breast bone. At times I have dierheas and my stool is loose and colouish , mostly like muroon colour. Of late the stool looks tarish and black. Doctor please let me know what exactly is my desease?? I did GI endoscopy and it was found that I have severe Deuodenitis & antral gastricis with multipile bleeding spots & non erosive mild oesophagaitis.

Is it Sinus tachcardia or gastritis or cardiac problem. Is the digonse by my doctor is correct?? Is there anybody experiencing similar syptoms??

Thanks & Regards

SK_uae

[Ianna]

Hello SK,

You may look under the Question-post "INCREASE IN PVC's?" by 'skippintime'.
There is a comment by MikeB d.d. 11-23-2002 about stomach-esophagus-heart-related complaints+problems and (his) solutions.
Worth reading I think!
-
Bey,     ***Ianna***