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Avatar universal

210 beats per minute on stress test

Im 26 years old, i had a stress test done, before getting on the treadmil i was at 97 bpm. After 2 minutes i was around 170.. The treadmill started inclining and it got much harder, a minute or 2 after that i was in the 208 210 region,fluctuating a bit. The tech said to keep going if i can, i was out of breathe but kept going. Then i stoppedand it took maybe 7 minutes but my heart rate went back down to about 94 bpm after resting. My Dr looked at the results a few weeks later and said everything looked fine. He wasnt even in the room with me. Should i do another stress test? Holter monitor showed everything was ok, everything looks good aparantly except for this unexplained tachycardia. Heart rate is constantly over 100
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Avatar universal
Honestly im not sure, he nor the cardiologist never told me what i had, just that my heart rate was fast. Im probably going to try and see someone else.
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1807132 tn?1318743597
Did the EP state what he wanted to zap?  There are different issues in the heart that can be ablated.  Some come with higher risk of making things worse and some can be easily fixed.  Did he give your condition a specific name?  SVT, IST, Afib, something like that?  If you don't know I would either ask the office for clarification or get your records to see what they put down.
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Avatar universal
propranolol 10 mg once daily. but to tell you the truth i often forget to take it.  and ill take it when my heart starts pounding or i get chest pains
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1423357 tn?1511085442
What beta blocker and what amount do you take daily?
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Avatar universal
so up until the point where i started getting chest pains and shortness of breathe, i did play alot of basketball and soccer and hiked atleast once a week. i was reffered to an electrophysiologist who did blood work. thryoid and electrolytes were all ok. i did have elevated liver levels and my overal cholesterol was 225 or something. hemacrit was 36.5% hemoglobin was 12.1 g/dl and RDW was 16.1% all of these are off by a percentage but doc said its all okay.

so he said i can get a surgery done to zap something in my heart that can slow it down, but it carries the risks of making things worse. or if its not causing me too much trouble i can keep taking the beta blockers. problem is i miss being able to play ball with my friends, or join them at the gym or go on a simple hike without hitting 200 plus beats a minute while theyre all walking comfortably around 80

ive never been very active, i took dance classes and played sports a few times a week, but that was the extent of my physical activity. now i walk half a mile and my hearts hitting 150bpm as if im running a marathon, and it would be fine, exept i can feel my veins in my neck and head pumping, and i can feel a tightness in my chest and i know my heart is working double time
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Avatar universal
ok so to answer you big question ive been complaining to my doctor about chest pain and my heart pounding after playing 5 minutes of basketball or going hiking with my friends. before i was 25 i would play basketball atleast twice a week, id go hiking once a week with my friends and i could keep up. then i noticed that on easy hikes, my friends who are the same age, and in more horrible shape than i am made to to the top of the trail while i had to stop every 500 feet to catch my breathe. i went to my dr who ran an EKG and said i had tachycardia according to what she saw. i didnt have insurance so i couldnt see a cardiologist this was at a free clinic she put me on beta blockers and sent me on my way.

when i got insurance my new dr did an EKG and also noticed the tachycardia and sent me to a cardiologist, they did an ultrasound, holter monitor, put somekind of tube in my throat to ultrasound my heart and finally did the stress test..

im 5'3 and currently 138 pounds when the symptoms started i was actually skinnier than that. i havent been very active not in the least, but i never had my heart pound and struggle to breathe so much. i dont always take the beta blockers because im 26, i dont want to take heart meds my entire life, so i keep a beta blocker with me at all times and if i start getting chest pains or im walking around the mall and my heart hits 150 or above ( always does) then i take a beta blocker.
Helpful - 0
1807132 tn?1318743597
A few things aside from what Tom said about stress tests is do you work out?  It could be that your heart is not conditioned and as such will run higher with exertion than those who do cardio on a regular basis.  Also have you had a recent blood panel done to check your electrolytes and thyroid levels.  Anything under a 100 is considered normal.  You may simply have a heart that runs faster than others but it isn't out of range but that said, if this is different than how it use to be.  If it ran slower before and is now elevated you may want to get your thyroid levels checked because thyroid issues can cause the heart to run fast.  But as for your stress test your heart responded appropriately so that is why they assessed it as normal.  
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1423357 tn?1511085442
Big question:  Why did you have the test.  I'd think it's a bit unusual for someone your age to have that done unless it was for a job physical or something like that.

While you indicated your age, you left out some things that would help form an opinion, and that's what they are here, just opinions.  You physical conditioning, and you weight would have a bearing on how you did on the stress test.  These tests by the way usually the standard Bruce Protocol tests.  So the one administered to you is the same on administered to me.  They just don't say, "Ok.. I think we're going to crank things up a bit here..."  There's a standard to speed and incline.  I've taken this test many, many times in the hospital for an actual stress test, as well as for physical training, so I know a little bit about them.

For most people, the test is set up to fail.  Everyone "punches out" eventually before the speed and incline is maxed out.  Normally, the test is run long enough just to get adequate data to make an informed diagnosis on the condition of your heart.  The technician or cardiologist will look at the date as well as your comfort level to decided when enough is enough.

The last test I had was a few years ago.  I was a fairly well conditioned 60 year old man then.  I made it to just a couple seconds over the 13 minute mark before I punched out, ending the test.  I was exhausted, drenched in sweat. and my 60 year old heart was pounding along at 215bpm.

You have to take a few of these and mentally recall how you did on the last one to get an idea of how well you did on the current one.  Remember it's not a contest, but merely a way of stressing your heart in a consistent fashion.  I'm sure the cardiologist has a profile of the typical 26 year old male when he tests you. So he has a mental idea of how you compare to someone else of your age.  My cardiologist chuckled at me and said, "Not bad for an old guy...."  But generally, I'd say that if he told you that you were fine, then I'd take his word for it.
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