Quick question

[Mom2four85]

Anyone know what this is called?

When I went to my sleep specialist I hadn't felt good all day and had those squeezing crusing pains off & on.

I felt ok in the waiting room and when the nurse got me, I walked to the exam room and almost passed out.  The room was maybe 4 doors past the waiting room, certainly not enough for my HR to shoot from 72 to 147 in a few seconds time.

She took my vitals & my bp was normal but my HR was at 147 - she asked if I was ok and made me sit for a few minutes for it to lower back to 72 - it took 7 minutes total and she asked if that was normal?  I told her sometimes it's like that or even higher, but doesn't happen all the time like the pvc's.

After my appt I walked out the same hallway, down across the building and outside with no problem.

[Mom2four85]

I wasn't sure if that was specifically "sinus tachycardia" or something else - they didn't really explain much even when I questioned them.  My stress test said Sinus Tachycardia with no signifiant ST-T wave changes.

I've had my HR go from normal to beating out of my chest; with and without feeling like passing out, for years, but normally it's always accompanied by SoB.  Sometimes it's with exertion, at other times I can be sitting reading, watching tv or talking to someone and it does it.

On the day of my holter at 3:51 pm while driving and the next morning at 5:44 am while I was sitting reading - my HR shot to 170bpm.  I barely got my HR to 154  during my treadmill test, but during one of these episodes it may jump within a few seconds time.

I take my BP w/HR twice daily and haven't noticed my HR above 75, except for these "episodes".

I had another episode yesterday morning.  I woke up at 5:00 am and was talking to my husband before he left for work. About 5:30am, my HR went crazy and I got SoB with it that lasted about 5 -7 min with no dizziness.

It wasn't nerves or panick about the appt, but maybe anger...aggravation? can that cause Sinus Tachycardia?   hmmm... I really didn't want to be at that appointment. I'll have to start paying attention to when symptoms start.

[PikaPika88]

May be is anxiety or panic attack.  Many doctors said if palpitation can slow down by itself within certain timing is Ok or normal.  If I were you, I wish to catch it on the holter monitor and know what kind of palp it is.  Good luck to your ablation.  Don't forget to come back and post.  

[Mom2four85]

Thanks :) ptadvoc8  wasn't sure if this was the sinus tachycardia or something else - they didn't really explain much even when I questioned them.

I've had my HR go from normal to beating out of my chest  with and without feeling like passing out, but normally it's always accompanied by SoB.  Sometimes it's with exertion, at other times I can be sitting reading, watching tv or talking to someone and bam it does it.

That's the first time I've been at the dr when it happened, and I'm glad I have it documented now.   I don't get anxious over going to the dr - just another person to poke; prod and say hmmm lol  gotta love when they do that.

9 days till ablation then maybe I'll have some answers

[ptadvoc8]

I'm absolutely not sure about any of this, especially given all the health concerns you have and the symptoms of "crushing" chest pain, but I think what you might be thinking of with this experience of nearly passing out and having a resulting high heart rate upon standing and walking to the exam room could possibly be something like "vagally mediated neurocardiogenic pre-syncope with rebound compensating tachycardia" -- basically, your blood pressure drops when you stand up due to autonomic nervous system signals and to compensate for the drop in BP your heart rate increases by quite a bit and often you do have a normal BP by the time you sit down and take it! Depending on how hard you body has to work to keep your blood flowing while you stand and walk down the hall, your heart rate can stay increased for a few minutes because as a result of the "stress" on the body it releases catecholamines which take a few minutes to dissipate in the body.

But it could just as easily also be the result of being tired, coming down with something like a cold, or just "nerves" about your medical appointment as those bodily stresses can have the same result as the complicated sounding syncope syndrome. However, with all your history and other health challenges, these symptoms and your upcoming ablation, I would definitely talk to my doc about it -- especially if you have any more episodes.

Hope you are feeling better soon and good luck with the upcoming ablation!