Rapid heart rate

[sunshine5]

I am 37 and have been having issues of very fast heart rate120 resting just walking around slowly 140-148. I get really lightheaded and feel flushed in the face. My chest also hurts with this. I do have tachycardia but dont know what type. Should I be worried? These happen at least 4 times a day. Should I go to the Er or what I know you are not doctors but I did see my doctor and she ordered a holter monitor again but didnt advise me as to what to do when I get these attacks

[marg3]

- i my name is marg, i am going to get a echo gram, and a hoilter for two days, mine has been taking off, and then it scares me so bad, and i get short of breath, this just started since i have been in menopause, is that verapamil a blocker, and how much do u take a day, i also take something for anxity, so what are u taking now, my normal heart rate sitting down is 65, but when it takes off to 125, wow then i know i have a heart ha, but it really does scare me, and some time when i am just about to fall a sleep and get a one thump like a bang in my heart, do u get that, did the heart doctor say whats makes your heart do this,

[rockchalk76]

Your symptoms sound similar to mine.  I was finally diagnosed with inappropriate sinus tachycardia by an electrophysiologist ( a cardiologist who specializes in diseases of heart rhythm).  I wore a 30 cardiac event monitor rather than a one day Hoilter monitor because this didn't happen everyday.  It caught several "events" over the course of the 30 days.  Each time I stayed in sinus rhythm but the heart rate went up to 126 at the highest, and this was while I was on a calcium channel blocker, diltiazem, started by the internist who caught the rapid heart rate.  The cardiologist switched me to verapamil and so far I haven't had any more episodes.  I have kept track of my heart rate and BP for the last two months to see if there was a trend and because I'm trained as a scientist and we thrive on data!  My internist told me to go to the ER if I ever went over 130 heart rate, but that is fairly low compared to what I've read with other posters on this board.  When the diltiazem wasn't controlling the episodes and I was experiencing quite a bit of shortness of breath afterwords, I insisted that my internist refer me to a cardiologist and I glad that I did because I feel much better a month later.  Will your insurance cover a referral to an EP cardiologist ?
I hope you can see an electrophysiologist and get your problem under control. - Kay