Is my high heart rate due to anxiety?

Hi,

Welcome to icliniq.com.

I understand your concern. Sudden episodes of fast heart rates and sudden cessation with normal echocardiography are most commonly supraventricular tachycardia (SVT). To confirm this rhythm, you have to have an ECG done when you have palpitations or fast heart rates. Alternatively, you can have Holter monitoring in which ECG (electrocardiogram) will be continuously recorded for 24 hours or more, recording such rapid heart rate episodes. This is not a life-threatening or dangerous thing. I suggest you continue tablet Propranolol. Despite this medicine, if you still have paroxysms of SVT, I suggest electrophysiologic study and catheter ablation procedure be done to cure it permanently. First, you have to confirm whether it is SVT (most probably) or another problem. I hope this helps.

Hi,

Welcome back to icliniq.com.

I understand your concern. Anxiety can be a reason, but we will label anxiety after excluding possible organic causes. At this age, 20 to 40 years, SVT is common. Sudden onset and sudden offset of fast heartbeats can be SVT. This usually occurs in paroxysms and occurs for a few minutes so getting ECG done is difficult. Sometimes, the episode lasts longer, so ECG is recorded, and cardiac rhythm is captured and diagnosed. SVT is not dangerous. I suggest you get an ECG done, especially when you have such an episode. Do you have a thyroid issue, diabetes, hypertension, or kidney issue? I hope this helps you. Kindly follow up with the answer.

Hi,

Welcome back to icliniq.com.

I understand your concern. Anxiety rarely causes the heart rate to rise to 165 beats per minute. However, a panic attack, that is an extreme attack of sudden anxiety, may cause a high heart rate. Your fast heart rate episodes last for around an hour, so doing an ECG is possible. When you have such an episode, get an ECG done. This will tell whether it is SVT, sinus tachycardia, atrial fibrillation, or others. I hope this helps.

Hi,

Welcome back to icliniq.com.

I understand your concern. Atrial fibrillation has an irregular pulse, and SVT (supraventricular tachycardia) and sinus tachycardia have a regular pulse. ECG (electrocardiogram) is indicated in any fast heart rate cases. Echocardiography is also normal, so it is not severe in your case. Do not take stress, and be relaxed. What is your heart rate when you are relaxed? I hope this has helped. Kindly follow up with the answer.