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Are Sinus Tachycardia With Syncope And Chest Pressure Matters Of Serious Concern?

Hi, I had an episode of sinus tachycardia with two syncope within one hour (ever fainted in my life before this) and then developed chest pressure that wrapped around my back. When to ER and the ekg showed borderline repel abnorm and prolonged QT interval. I don’t see a cardiologist until the end of the month and was wondering if it was anything to worry about.
posted on Tue, 1 Aug 2023
Twitter Thu, 4 Apr 2024 Answered on
Twitter Tue, 9 Apr 2024 Last reviewed on
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Internal Medicine Specialist,  's  Response
Hi,

Prolonged QT interval can result in irregular heart beats leading to unexplained fainting, seizures and life threatening conditions with irregular heart rates like Torsades de pointes(ventricular tachycardia), ventricular fibrillation or even sudden cardiac death. It can be congenital(from birth), or due to drug induced, metabolic abnormalities like hypocalcemia etc. The abnormal irregular heart rhythms can be precipitated by strenuous exercise or emotional excitement or in some case even sleep and loud noises may precipitate.

I would suggest you to consult a Cardiologist at the earliest at OPD/ER who will take a detailed personal and family history to check for any similar episodes in any of the members of your family and do the appropriate investigations to find out the underlying cause for the condition and plan efficient management which can be medical or surgical.

Hope I have answered your question. Please let me know if I can assist you further.

Regards
Dr Devi Venugopal Rita, MD General Medicine.
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Are Sinus Tachycardia With Syncope And Chest Pressure Matters Of Serious Concern?

Hi, Prolonged QT interval can result in irregular heart beats leading to unexplained fainting, seizures and life threatening conditions with irregular heart rates like Torsades de pointes(ventricular tachycardia), ventricular fibrillation or even sudden cardiac death. It can be congenital(from birth), or due to drug induced, metabolic abnormalities like hypocalcemia etc. The abnormal irregular heart rhythms can be precipitated by strenuous exercise or emotional excitement or in some case even sleep and loud noises may precipitate. I would suggest you to consult a Cardiologist at the earliest at OPD/ER who will take a detailed personal and family history to check for any similar episodes in any of the members of your family and do the appropriate investigations to find out the underlying cause for the condition and plan efficient management which can be medical or surgical. Hope I have answered your question. Please let me know if I can assist you further. Regards Dr Devi Venugopal Rita, MD General Medicine.