I am a mental health therapist working with a 50yo female. She lost her eyesight in her right eye 1 year ago. Pt had eye surgery 6-21-12 and then 9-8-12 she began to have a rapid heart beat 24/7. She has been to a cardiologist and had numerous tests that are all negative for cardiac disease. March 2013 she went to an Emergency Department and it was discovered that she has a benign brain tumor. This pt has been evaluated by several psychiatrist who all say this is not a psychiatric issue. Is it possible that a brain tumor could cause a phantom rapid heartbeat? What should her next step be? Let me add that she is seeing a neurologist who is uncertain of what to do and does not believe removal of the tumor would have any impact on the rapid heartbeat. This problem has left pt. unable to work and has devastated her life at this point. It seems that there is no help for this woman's problem.
I'm not aware of any brain tumors causing phantom tachycardia. Certainly many medical conditions including anxiety can cause an actual rapid heart rate, but that should be picked up on cardiac evaluation.
If she hasn't already had one, a Holter monitor would be a good place to start. It will monitor her heart rate and rhythm for 48 hours and see if she has any acual tachycardia during that time frame. If her symptoms don't happen every day, then a Holter might miss them, and she may need an Event Monitor, which does the same thing but for a month.
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