Common "Arrhythmias" queries answered by top doctors | iCliniq

Arrhythmias

When your heartbeats get irregular, it is known as arrhythmias. The different types of arrhythmias are premature atrial contractions, premature ventricular contractions, premature junctional contractions, atrial fibrillation, atrial flutter, paroxysmal supraventricular tachycardia, ventricular fibrillation, and ventricular tachycardia. The symptoms include palpitation, heart beats too fast (tachycardia), heart beats too slow (bradycardia), chest pain, and shortness of breath.

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Is heart rate above 200 normal during heavy workouts?

Query: Hello doctor,I am a 47-year-old female, 1.64 m and 147 pounds. My heart rate is 52 beats a minute when I wake up in the morning. During the day, my resting heart rate is 75 to 82 beats/minute. When I do a 5 km (37 min) walk, it is 195 to 200 beats per minute, and during a high-intensity exercise, it...  Read Full »


Dr. Vivek S Narayan Pillai

Answer: Hello, Welcome to icliniq.com. The whole picture is of exercise intolerance, as you should not have a rate of 200 plus when you exercise. The main cause is anemia here. So, you have to rectify that before commencing any sort of exercise program. Also, the muscle soreness you experience is probably...  Read Full »

I have hypothyroidism and my heart rate fluctuates. Why?

Query: Hi doctor, I am a moderately fit female (running 6.21 to 9.32 miles). My height is 5' 6" and weight is 149 pounds. I have hypothyroidism, and I am on Levothyroxine. My TSH is around 1.5 mIU/L. My question is about a fluctuating resting heart rate. According to my sports watch, my RHR can be between...  Read Full »


Dr. Vivek S Narayan Pillai

Answer: Hi, Welcome to icliniq.com. You have chronotropic incompetence (an inability to increase heart rate with exercise). This could be a consequence of hypothyroidism. However, I understand that it remains persistently high, possibly due to autonomic disturbances. My advice is to keep exercising at a l...  Read Full »

Why am I prescribed Xarelto for arrhythmia?

Query: Hello doctor, I have been diagnosed with heart arrhythmia and have been prescribed Xarelto and ACE inhibitor. I have had my heart re-booted via day procedure, so proper function has been restored. I would like to know why I have been prescribed Xarelto as ongoing treatment and the ACE inhibitor for ...  Read Full »


Dr. Vivek S Narayan Pillai

Answer: Hi, Welcome to icliniq.com. My guess is the cardiologist wants to reassess you after a month, especially regarding the response to Xarelto. Coming to the statement, in simple terms, you were assessed by the noninvasive echocardiography test i.e., TTE, after which they cardioverted your arrhythmia (m...  Read Full »

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