HomeAnswersCardiologyecgPlease explain my EKG report taken for fast heartbeat during rest.

Can anxiety or infection cause an increase in heart rate?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At February 2, 2019
Reviewed AtMay 10, 2024

Patient's Query

Hello doctor,

I am a female, 28 years old. I do not smoke or play sports or have alcohol. I have BP borderline (130/85) at rest, I suffer from tachycardia at rest. I often have ventricular extrasystoles, frequent bigeminy, and couples of VT. My heart is mad and begins to beat very fast and loud at rest without exercise with chest pain. When I was a child I got echocardiography done that diagnosed a mild mitral regurgitation but I never have done other exams. I got EKG done some days ago, the heartbeat is very very fast at rest. I would like to have an opinion on my EKG, what is it showing?


Welcome to icliniq.com.

Your EKG shows sinus tachycardia and probably left ventricular hypertrophy (attachment removed to protect patient identity). As you said you had mild valvular leakage, there might be some other problem as well. Therefore I advise you to have echocardiography done. If your heart rate is high at almost all the times then also have ambulatory EKG (electrocardiogram) done for 24 hours. Sometimes this tachycardia is due to anxiety, pain, anemia, infection, and hyperthyroidism. So, ruling out these entities is a must. Follow up after having done the advised tests within 10 days, so you can be guided better and proper.

The Probable causes

The probable causes are anxiety, anemia, hyperthyroidism, pain, and infection.

Investigations to be done

Do CBC (complete blood count), TSH (thyroid stimulating hormone), echo (echocardiogram), 24-hour Holter monitoring, and ESR (erythrocyte sedimentation rate).

Treatment plan

Tablet Atenolol 50 mg daily (only after having Holter monitoring done and ruling out other causes of fast heart rate).

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq


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