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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Tachycardia

I am a 25 years old female. I ve been dealing with tachycardia for the past two years. I had several ecgs done, 24 hours Holter monitoring, and echocardiography which ruled out any heart condition. The diagnosis is not clear, medics talk about pure tachycardia. My resting rate is constantly 90-115 bpm. It spikes up to 130-140 during my walks. Cardiologist prescribed me ivabradine 5mg/2 times a day. I ve been taking it for 5 days and heart rate has lowered at around 75 resting rate on average, which is good. However, I stopped taking it because I started having this horrible feeling of breathlessness, dyspnea, mainly at rest. What could cause it? Is it possible in any way that I am not used to needing less hair hence the dyspnea? I am used to palpitations and high rate so, I feel like I could live with it; question is, can I live with it? If so, should I limit physical activity in any way? What long term effects does it have on a sane heart? I don t take any other medication, except for an iron supplement. Thanks in advance.
Fri, 3 Aug 2018
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Internal Medicine Specialist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

If you have tachycardia, it may be due to cardiac or non-cardiac causes. Have you checked your thyroid status? What about your serum cortisol or serum electrolytes or hemoglobin levels?

Possible causes could be, like anxiety or neurosis or excessive caffeine intake or phobia or white coat hypertension or anemia or hyperthyroidism or pheochromocytoma or renal or metabolic problems.

Usually in young age, most common cause is drug abuse, like using Marijuana or Nicotine or Cannabis or caffeine excessively.

Please do yoga and meditation daily, eat green leafy vegetables, take rest.

If you're feeling breathless after taking Ivabradine, you can stop it.

Please get above investigations done and get treated accordingly.

Take care.
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Suggest Treatment For Tachycardia

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If you have tachycardia, it may be due to cardiac or non-cardiac causes. Have you checked your thyroid status? What about your serum cortisol or serum electrolytes or hemoglobin levels? Possible causes could be, like anxiety or neurosis or excessive caffeine intake or phobia or white coat hypertension or anemia or hyperthyroidism or pheochromocytoma or renal or metabolic problems. Usually in young age, most common cause is drug abuse, like using Marijuana or Nicotine or Cannabis or caffeine excessively. Please do yoga and meditation daily, eat green leafy vegetables, take rest. If you re feeling breathless after taking Ivabradine, you can stop it. Please get above investigations done and get treated accordingly. Take care.