Sinus Tachycardia - arrythmias

[protea]

Recently I have been having a very fast heart rate with any amount of exericise.I am 36yrs old,female,5ft5 and weigh about 131lbs.
I also have episodes of dizzyness,fast hr when I stand up.I had a tilt table test and failed it.Now the cardiologist think it might be a neuro issue with possible vertigo. He is also wanting to put me on beta blockers. I had an echo done too and the only things that were found was a trivial MV leak and a mild TV leak.
Today I ate breakfast  and then went to put laundry in the washer.While I was loading the washer my hr went so fast I was feeling out of breathe.My head also started pounding cause my heart was going so fast.
I called the cardiologist and he said togo to the ER well I just did that 2 weeks ago and it cost $4000.00 and all they did was have me wear a holter and make an appointment with cardiologist for me.
He said well when I see you next week I will give you the RX for the beta blockers. I want to know if that is all that can be done.I have 2 children.1 has special needs and I cannot afford to be having these episodes of fast HR all the time.I also need to exrcise as I have Fibromyalgia and I need to keep myslef healthy.
After the holter I was told that I had I has sinus rates ranging from 49-150 bpm. I was tachy 13% of the 24hours and brady 2% of the 24hours.
PLease advise me as to what to do.Thanks.

[protea]

Thank you so mi for your reply. I did actually have a tilt table test and failed it. I was dx with sinus tachycaria and have been on beta blockers for 2weeks and ave been feeling much better. I am also  adjusting my life like not sitting on my legs. I am also eating more salt in my diet. Thank you

[madamebrianne]

Hello,

Please look into Postural Orthostatic Tachycardia Syndrome (POTS). It is a very unheard of nervous system disorder that prevents the body from being able to properly adjust to the pull of gravity. Therefore, symptoms arise, such as: rapid heart rate upon standing, low or high blood pressure, dizziness, fainting, fatigue, sweating, headaches, shortness of breath, inability to exercise, digestion problems, etc. The symptoms are endless and vary person to person day to day. The most common method of diagnosis is a tilt table test, but VERY few doctors are familiar with this illness.

Please feel free to contact me if you have any questions.

Best wishes,
Brandi

[Jerry_NJ]

I can't get a clear time-line form your post.  I'll guess you are saying "recently" to mean starting back before the time you went to ER and worked with the associated cardiologist.

A HR of 150 should not be a problem for a person in reasonable health at the age of 36, or even much older.  I used to run at 150-160 when I was in my early 60s.  Thus, I'd not go to ER myself (in past years) if I had a period of HR at 150.  But, the dizziness and other symptoms are worrisome I believe.  But, again, a jump in the HR when one changes their physical activity level suddenly can cause that, it does in me, but I'm much older and suffer from permanent AFib.  How is your blood pressure?  Low BP can also be the reason for dizziness.

I'd avoid the ER myself if it cost me $4K.  I think those high rates are because of all the free service hospitals dispense through the ER...but that's another problem not related to your question.  My wife has made many trips to ER over recent years, but we've always had health insurance an now we're on Medicare.  I believe neither Medicare nor my past insurance company paid that high a rate for a visit to ER.  To ER's credit, that is where my wife learned a couple years back that she may have cancer in the female organs.  She did and that has been treated elsewhere.  Thus, I am not minimizing the value of ER services.