At rest, if the heart beats faster than usual, it is known as tachycardia or tachyarrhythmia. In adults, resting heart rate over 100 beats per minute is considered as tachycardia. Tachycardia can lead to heart failure, cardiac arrest, or stroke.

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What causes persistent tachycardia in me without chest pain?

Query: Hi doctor,I have persistent tachycardia of 90 to 110 beats per minute. I do not have chest pain. Before five months and last month, I did EKG and went to the emergency. The results showed nonspecific T wave abnormality and tachycardia in the reports.  Read Full »

Dr. Isaac Gana


Answer: Hi, Welcome to icliniq.com. There is a possibility of having plaque build up in the inferolateral part of the heart. It can cause reduced oxygen supply to that area of the heart causing tachycardia. This does not confirm the presence of ischemia. Please mention whether you have done a fasting lipi...  Read Full »

Why do I have sodium blockade in heart after taking Amitriptyline and Diflucan?

Query: Hi doctor, I am concerned about the sodium blockade in my heart after using Amitriptyline and Diflucan. I am experiencing tachycardia, bradycardia, and shortness of breath. My heart rate is elevated upon standing. It increases up to 135 beats per minute. It settles down on sitting. At midnight, I w...  Read Full »

Dr. Ahmad Mustafa


Answer: Hi, Welcome to icliniq.com. Changes in the heart rate can occur due to a physiological cause. But to be more authentic to know whether it is physiological or pathological, it is necessary to do some investigations. Serum electrolyte, ECG (electrocardiogram), 24-hour Holter monitoring, renal functi...  Read Full »

What causes fast heartbeat and chest pain?

Query: Hi doctor, I have been having fast heartbeat and severe chest pain. When I consulted a doctor, he prescribed Atenolol for me. It relieved the pain for some time, but now it continues. There are no further investigations. The onset is sudden and for the past six months, I am having severe chest pai...  Read Full »

Dr. Rishu


Answer: Hi, Welcome to icliniq.com. You have not mentioned your smoking habits. Smoking is a sole risk factor for all cardiac diseases. You were on Atenolol for hypertension. You have neither mentioned the BP nor the dose of Atenolol. Chest pain for six months cannot be overlooked. Is your pain dull aching...  Read Full »

Can a normal person take Potassium Chloride tablets for good working of the heart?

Query: Hi doctor, Can a normal person take Potassium Chloride (99 mg) tablet for good working of the heart? I sometimes feel a sudden change in my heartbeat. Will this tablet help to rectify that? What are the side effects of the above mentioned tablet? I have started taking it just three days before and ...  Read Full »

Dr. Rishu


Answer: Hi, Welcome to icliniq.com. No, Potassium chloride should not be taken without measuring serum potassium levels on daily or alternate day basis. Potassium is a highly toxic electrolyte component of blood. The increased level of potassium can cause skipped beats. It can cause palpitation and after a ...  Read Full »

Can Bisoprolol be used for high heart rate?

Query: Hi doctor, I am facing problem of high heart rate of around 100 beats per minute. I can also feel my beat even if I am at rest. My ECG, echo and TMT test are normal. My doctor prescribed Bisoprolol 2.5. Is that fine for me? Is there any serious problem? I am 26 years old. My BP is 130/80 mmHg.  Read Full »

Dr. Rishu


Answer: Hi, Welcome to icliniq.com. Heart rate from 60 to 100 beats per minute is normal. As you say your heart rate is around 100 beats per minutes it is not tachycardia, but it can best be termed as heart rate on higher side. Firstly, you have not mentioned your lifestyle, sleep cycle, smoking habits and...  Read Full »

How can I get a high quality imaging without contrast?

Query: I need to have a cardiac MRI to rule out Covid-induced myocarditis. I am allergic to Gadolinium (I had a tachycardia reaction last time I had it) and so It would be best if I could have the scan without Gadolinium contrast, but I also want a really good image because of the difficulty of diagnosing...  Read Full »

Dr. Vivek Chail

Family Physician, General Practitioner, Radiodiagnosis Physician, Radiologist

Answer: Hi, Thanks for writing in to us. There is a lot of research going on in the evaluation of COVID myocarditis. The most recent application of cardiac MRI is a late gadolinium contrast enhancement. However you have clearly mentioned that you cannot get a gadolinium contrast MRI due to adverse effect. ...  Read Full »

I have chest, arm, and neck pain with normal ECG and nil CAC score. What is the management?

Query: Hi doctor,I bought an ECG watch according to the recommendation of my cardiologist. I have attached three of today's 30-second readings. To me, only one seems normal. I started being symptomatic a year and a half ago, and my state has been getting gradually worse. I have chest, arm, neck, and back p...  Read Full »

Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. All your ECG (electrocardiography) tracings are normal (attachment removed to protect patient identity). In single-lead ECG, we can only assess rhythm. Rhythm is sinus, which means it is normal. Your first ECG shows tachycardia, which means fast heart rate, but the rhyt...  Read Full »

Are palpitations normal during pregnancy?

Query: Hi doctor, I had a baby 9 months ago. Since I was 18 weeks pregnant, I had heart palpitations and high blood pressure. I do not have high blood pressure now, but I am still having palpitations, but not as frequent. It seems to be a hormone imbalance. I got them this month on the first day of my peri...  Read Full »

Dr. Vivek Pillai


Answer: Hi, Welcome to icliniq.com. The palpitations you are experiencing are mostly a normal phenomenon during pregnancy. It is known as sinus tachycardia. Nevertheless, it is better to get an ECG done to reaffirm my suspicion. The hives and skin issues are also could be due to the hormonal chang...  Read Full »

Why do I get debilitating migraine and tinnitus after viral infection recovery?

Query: Hello doctor, I had a viral infection before few months, where I was too sick with cold symptoms and GI problems. After I recovered, I had a sudden onset of tachycardia, hypotension, and had a full cardiovascular workup. I was put on Midodrine. That has resolved. Since then, I have had debilitat...  Read Full »

Dr. Prakashkumar P Bhatt

Internal Medicine Physician, General Medicine Physician, Neurologist

Answer: Hi, Welcome to Icliniq.com. You had post-viral autonomic disturbances like tachycardia and hypotension that was recovered. After that, you had a severe daily migraine, and for the same, you were started on injection Emgality and Xanax. And now you have tinnitus and since last three days tingling...  Read Full »

I have lost confidence to talk with people. Please help.

Query: Hello doctor,I am 25 years old female. I have some problem due to some failures. I have lost confidence and whenever I write any exam my heartbeat and pulse increases and I start shivering despite I knew all the things. And when I meet any person I do not have enough confidence to talk with him free...  Read Full »

Dr. Seikhoo Bishnoi

Psychiatrist, Sexologist, Psychotherapist

Answer: Hello, Welcome to icliniq.com. The problem is occurring due to poor confidence most likely due to social anxiety. Please visit a psychiatrist for help. SSRI (selective serotonin reuptake inhibitor) drugs like Escitalopram or Fluoxetine can be used to reduce the symptoms and will surely help you. ...  Read Full »

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