Sinus Tachycardia

Sinus tachycardia is a rise in the heartbeat caused due to signals sent by the body. Hard exercise, anxiety, medications, fever, etc., are causes for the body to send signals. They cause difficulty in breathing, chest pain, headache, anxiousness, etc. Treatment is done by treating the symptoms.

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I usually have low blood pressure. Can I still take Propranolol for sinus tachycardia?

Query: Hi doctor, I have a doubt. My blood pressure is usually 90/60 mmHg. I went to my doctor, and he prescribed me Propranolol for sinus tachycardia which has happened to me over the last week. The tachycardia is not persistent and lasts for minutes, then resolves (for example, in the mornings, or when I...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hi, Welcome to Considering your blood pressure and Holter report where there are pauses, beta-blockers like Propranolol should be used cautiously or avoided. Propranolol may lower blood pressure, so even if it has to be used, it should be in the lowest dose, like 10 milligrams, and wi...  Read Full »

I was having palpitations, so I took an ECG. Could you help me interpret it?

Query: Hello doctor, I was having palpitations so I had conducted an ECG. I now need to interpret the ECG reports. Kindly suggest.  Read Full »

Dr. Prashant Valecha

Answer: Hello, Welcome to According to ECG (electrocardiogram) reports (attachment removed to protect the patient's identity) - sinus tachycardia and nonspecific ST wave changes. Explanation - Heart rate is more than 100 (approximately 115 bpm) and because of the high rate there are some non...  Read Full »

Is CAG necessary for ST depression with shortness of breath?

Query: Hello doctor, My cousin has shortness of breath while climbing stairs for three months. We got a lipid profile where LDL is 210 and triglycerides were 320. He has elevated homocysteine levels as well. EKG showed sinus tachycardia and ST depression in 2, 3, AVF. 2D echo showed aortic sclerosis, norm...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to All the prescribed medicines are fine. Shortness of breath is not due to systolic heart failure as LVEF (left ventricular ejection fraction) is normal. Yes, there may be diastolic heart failure. Please send me a full echocardiography report so that I may comment on it. Th...  Read Full »

I have difficulty in breathing. Is it due to my heart condition?

Query: Hello doctor, I am taking medicines for the heart. Now, I have difficulty in breathing. So, I decided to see cardiologists. Here are the findings: the study is done using standard transthoracic 2D echocardiographic views. Normal left ventricular internal diameter with left ventricular mass index (LV...  Read Full »

Dr. Talapatra Ritendra Nath

Answer: Hello, Welcome to By reviewing your clinical symptoms and medical records (attachment removed to protect patient identity), here are the salient findings with explanations. In your echo report, you are having concentric LVH (left ventricular hypertrophy), means you are hypertensive f...  Read Full »

I am a 24-year-old female with chest pain, increased heart rate, and abnormal EKG. Please help.

Query: Hi doctor, I had an abnormal EKG during ER visit this week. I am a 24-year-old female who has been experiencing chest pain, tightness, fainting, and tachycardia for the last few months. It got so bad this week that I went to the ER. I will include the notes from my EKG below. I have also been seein...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to I understand your concern. Apart from a fast heart rate, ECG (electrocardiogram) is normal. Causes of a fast heart rate can be anxiety, fever, dehydration, anemia, and thyroid disorder, especially if the heart rate remains that high even at relaxed and calm times. C...  Read Full »

Does anxiety cause sinus tachycardia?

Query: Hello doctor, I have been suffering from hypertension & immunoglobulin A (IgA) nephropathy for the past many years, which is being treated with tablet Cardace 10 mg, tablet Stamlo 5 mg, tablet Lipitor 10 mg, and fish oil capsules. In addition, I have had a benign prostrate (Grade 2) for the last...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to I read your query and can understand your concern. Sinus tachycardia is usually due to anxiety or physical activities before taking an electrocardiogram (ECG) and is usually not a cause of concern. Your previous and current electrocardiogram (ECG) (attachments remo...  Read Full »

I was diagnosed with sinus tachycardia 11 years back; I also have Hashimoto's thyroiditis. What is the recommended treatment?

Query: Hi doctor,I was diagnosed with sinus tachycardia after E.coli poisoning 11 years ago. I was not fit to undergo ablation. Medications like beta blockers did not help. My pulse rate is 85 to 120 beats/minute. Please help.  Read Full »

Dr. Divakara. P

Answer: Hi,Welcome to your condition related to idiopathic sinus tachycardia? What are the investigations done and why are you not fit for ablation? I suggest tablet Ivabradine 10 mg twice daily.  Read Full »

What are the causes of sinus tachycardia?

Query: Hi doctor, I have an EKG report from yesterday. I was in the emergency room with vomiting, high blood pressure, chest pain, and tachycardia. I have tachycardia for almost four years, but it always comes back to normal, and recently I have started seeing a cardiologist. Can you please review it and ...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome back to Your EKG (electrocardiography) report (attachment removed to protect the patient's identity) shows sinus tachycardia only (which is a reflex form of tachycardia and not a primary cardiac abnormality) and no other abnormalities. So EKG-wise, there is nothing ...  Read Full »

What could be the reason for my strong feeling in chest at this young age?

Query: Hello doctor, I am a 21-year-old female. Lately, I have been feeling very anxious with a strange chest feeling, no pain or pressure, just a feeling of something is not right in there, a nervous hollow feeling maybe. I did an EKG and need to know if it is normal. My current medications are Euthyrox...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to Your ECG (electrocardiography) is fine. It just shows sinus tachycardia, which is a normal form of elevated heart rate. So nothing to worry about it. Now considering your age and symptoms, it is unlikely to be a cardiac issue. It is probably anxiety and maybe some g...  Read Full »

Are my irregular heartbeat and palpitation due to sinus tachycardia or stress?

Query: Hello doctor, I have consulted two different cardiologists now and they both have gave me a different opinion and prescription. I have been told I have an irregular heartbeat and a high heart rate. The 24 hours Holter test concluded that I have ventricluar extrasystoles 1000/24 hour, but the day a...  Read Full »

Dr. Isaac Gana

Answer: Hello, Welcome to I understand your worry, but no need for you to worry. What you are having is palpitations. They often are due to benign causes. I advise you to continue with Concor and also make sure to get six to seven hours sleep at night. Stop smoking, alcohol or coffee if you ...  Read Full »

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