Dr. Sagar Ramesh Makode
MBBS., MD, GENERAL MEDICINE ., DM, CARDIOLOGY(SENIOR RESIDENT
Cardiology, General Medicine, Internal Medicine
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This can be cardiac arrhythmia like PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases.
- How much is your hemoglobin?
- Have you ever counted your pulse rate during the episodes?
- Have you undergone Holter monitoring?
Usually, ECG is normal as it is usually done between the episodes. ECG done during episodes will show abnormality. It is better if you can upload your ECG and echo reports for an opinion.
Is there any stress or anxiety associated with or prior to the increase in heart rate.
Until the time your evaluation is complete, you can continue Concor (Bisoprolol). If none of the above is successful then last option is an electrophysiological study which is an invasive test which can diagnose and treat the arrhythmia permanently in most of the cases.
Hope this helps you and get back with some more information.
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