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What Causes Rapid Heart Beat With Lupus SLE?
My pulse is currently 137 while resting. i do have lupus SLE and dilated cardiomyopathy. Taking Coralan and Concor. It is very uncomfortable and due to the rapid heartbeat I cant sleep. What can I do to bring the heart tempo down. I hate it when this happens. listens to nice classical music and reading a nice book don't help. Under normal sircumstances I do have a irregular heartbeat.
Thu, 27 Aug 2015
Hello! Thank you for asking on HCM! Regarding your concern, it is important to know the cardiac performance, that is left ventricular ejection fraction (LVEF). If LVEF is abnormally lowered, than tachycardia is considered a physiological compensatory reaction in order to maintain overall cardiac output. So, the first thing to do is to clarify this issue, thus LVEF.
From the other side, if LVEF is not severely compromised, or there isn't any severe associated valvular impairment, we have to investigate if a possible supraventricular arrhythmia occurs in a recurrent fashion. An ambulatory 24 to 48 hours ambulatory ECG monitoring would be helpful to elucidate that issue, and to rule out any possible atrial fibrillation presence or other arrhythmia as well.
If no current arrhytmia or abnormal LVEF is confirmed by the tests, then you have to check, any possible thyroid dysfunction (blood thyroid hormone level), or possible anemia.
So to conclude, you need a comprehensive wouk up, comprising a careful physical exam by your doctor, cardiac ultrasound, Holter monitoring, and some blood tests.
Hope to have been helpful to you.
Greeting! Dr. Iliri
From the other side, if LVEF is not severely compromised, or there isn't any severe associated valvular impairment, we have to investigate if a possible supraventricular arrhythmia occurs in a recurrent fashion. An ambulatory 24 to 48 hours ambulatory ECG monitoring would be helpful to elucidate that issue, and to rule out any possible atrial fibrillation presence or other arrhythmia as well.
If no current arrhytmia or abnormal LVEF is confirmed by the tests, then you have to check, any possible thyroid dysfunction (blood thyroid hormone level), or possible anemia.
So to conclude, you need a comprehensive wouk up, comprising a careful physical exam by your doctor, cardiac ultrasound, Holter monitoring, and some blood tests.
Hope to have been helpful to you.
Greeting! Dr. Iliri
I find this answer helpful
hello,I have gone through your query.
Thanks for using HCM.
Your fast heart rate is due to cardiomyopathy due to SLE.
There are 2 possibilities for increasing heart rate
1.Either you have low hemoglobing or some infection which is producing increase in heart rate.in that case correction of anemia and control of infection will serve the purpose to control it.
2.There may be deterioration of heart function .This can be diagnosed by Echocardiography.Having know pumpimg ability of heart i.e.LVEF we can add certain medicines like digitalis to control heart rate.
I would be glad to guide you further if you furnish these details.
My best wishes
Dr.Rajesh Teli,MD.
Thanks for using HCM.
Your fast heart rate is due to cardiomyopathy due to SLE.
There are 2 possibilities for increasing heart rate
1.Either you have low hemoglobing or some infection which is producing increase in heart rate.in that case correction of anemia and control of infection will serve the purpose to control it.
2.There may be deterioration of heart function .This can be diagnosed by Echocardiography.Having know pumpimg ability of heart i.e.LVEF we can add certain medicines like digitalis to control heart rate.
I would be glad to guide you further if you furnish these details.
My best wishes
Dr.Rajesh Teli,MD.
I find this answer helpful
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