HomeAnswersCardiologysinus tachycardiaI have tachycardia, mild chest pain, and am easily fatigued. Please help.

How to deal with sinus tachycardia with normal blood pressure and blood tests?

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

Answered by

Dr. Isaac Gana

Medically reviewed by

Dr. K. Shobana

Published At July 2, 2023
Reviewed AtAugust 9, 2023

Patient's Query

Hi doctor,

I have tachycardia with average heart rate between 110 to 130 beats per minute while standing. On the other hand, while lying down it is just 80 to 100 beats per minute. I am easily fatigued and have mild chest pain. ECG shows sinus tachycardia, abnormal depolarization nonspecific, poor R progression in right pericardial leads, QRS within normal limits, and prolonged QT interval. My blood pressures are normal. I have been experiencing it for the past seven days. My blood tests are all normal.

Answered by Dr. Isaac Gana

Hello,

I appreciate you signing up on icliniq.com. You now have exclusive access to expert medical opinion. Having gone through all that you have written, you have 'long QT syndrome', which is the cause of your rapid heartbeat. This could be genetic or could be caused by certain medications like diuretics, etc. Since your blood tests are all normal, I will not advise any medication for now. But I would like you to always be aware of changes in your body like sudden arousal from sleep or fainting. Avoid overstressing yourself, especially with strenuous exercises. Tell people around you of your condition (friends and family) in case of an event of seizure or fainting.

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

Dr. Isaac Gana
Dr. Isaac Gana

Cardiology

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