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Suggest Treatment For Increased Heart Rate

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Posted on Thu, 16 Jun 2016
Question: My heart rate goes to 150 to 170 over 98 to 120. Pulse will goto 150.. Sweat a ton, I get real nervous. This has went on since 2005 till. Saturday night I had a hard time stopping it. Most times it stops in 3 to 5 min. Hospital checked heart and did EKG, nothing. Thereis no telling how many EKG's I have had, stress test and echo gram.
doctor
Answered by Dr. Panagiotis Zografakis (19 minutes later)
Brief Answer:
Holter monitoring required

Detailed Answer:
Hello,

It sounds a little strange that you haven't mentioned Holter monitoring after all these years. Since you're having an undiagnosed (yet) arrhythmia, you need a Holter monitor. This device monitors your ECG so that whenever an arrhythmia occurs an ECG is recorded. The cardiologist will have a look at the abnormal ECGs after the device is removed from the patient. Sweating when having an arrhythmia means that the arrhythmia causes serious hemodynamic disorders and should be diagnosed.

I hope it helps!
Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (35 minutes later)
I have had a holter mon 2 times. Shows nothing. I just got out of hospital for aprox 2o days with back surgery where a hole was torn in spinal cord. was hooked up all days. was keep in hospital Sat. night, happened 2 times after being admitted. heart rate went to 150 and neurse came running. Dr advised endrocronigst.??
doctor
Answered by Dr. Panagiotis Zografakis (56 minutes later)
Brief Answer:
the endocrinologist could help

Detailed Answer:
The Holter monitor should have provided a diagnosis. When the arrhythmia comes the monitor records the ECG. It could be a normal ECG with increased heart rate only. What did the doctor do when you had 150 beats? Did the doctor do a new ECG? Was a cardiologist called? What was the prescribed treatment? Some arrhythmias can be handled very fast with drugs or certain maneuvers like the Valsalva maneuver.

The endocrinologist may have some role, because this kind of sudden attacks can be caused by hormonal disorders like pheochromocytoma. Some characteristics of this disease are lacking though and it would be very strange if you had something like that for so many years without having being diagnosed or worsened. Other hormonal disorders like thyroid disease are not very likely because thyroid disease is supposed to cause steady tachycardia, not attacks of tachycardia. The only exception to this rule is atrial fibrillation caused by hyperthyroidism but it should have been diagnosed with the ECGs.
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3814 Questions

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Suggest Treatment For Increased Heart Rate

Brief Answer: Holter monitoring required Detailed Answer: Hello, It sounds a little strange that you haven't mentioned Holter monitoring after all these years. Since you're having an undiagnosed (yet) arrhythmia, you need a Holter monitor. This device monitors your ECG so that whenever an arrhythmia occurs an ECG is recorded. The cardiologist will have a look at the abnormal ECGs after the device is removed from the patient. Sweating when having an arrhythmia means that the arrhythmia causes serious hemodynamic disorders and should be diagnosed. I hope it helps! Kind Regards!