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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Heart Rate Of 150 Suggest?

So I ve been dealing with Anxiety for a while now and a week ago I decided to be on Zoloft and Xanax. 3 days after I had the worst experience of non-stop unnaturally aggressive painful panic attacks. I couldnt sleep or eat for 2 days. I immediately got off both of them. Now I feel fine- I didnt have any panic attacks today, nor did I feel anxious today. But when standing up my heart rate is 150 (all day) and when im sitting down its like 96. My therapist said that i have nothing to worry about and is going to make me run on a treadmill tomorrow to prove it. Do I really have nothing to be concerned about and an anxious person like myself should not have galaxy S5 phone with a heart rate thing? Or should I go to the ER again for the 100th time this month? btw im 26 and thin. I mean isn t it weird that I have a 150 heart rate and feel totally calm?
Wed, 15 Oct 2014
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Psychiatrist,  's  Response
Hi welcome to HCM.
Elevated heart rates should always warrant further workup to rule out arrhythmia.Postural fluctuations can suggest autonomic dysfunction as the prime cause.I advice you to have a baseline ECG with a 24 hr Holter ECG monitoring to accurately quantify the Ectopics.Drugs like beta blockers ex Propanolol can control both anxiety and rapid heart rate.Electrophysiological studies can document the accurate site of ectopic site.Radiofrequency ablation can provide permanent cure if any.Consult a cardiologist for further queries.
Thank you.
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What Could Heart Rate Of 150 Suggest?

Hi welcome to HCM. Elevated heart rates should always warrant further workup to rule out arrhythmia.Postural fluctuations can suggest autonomic dysfunction as the prime cause.I advice you to have a baseline ECG with a 24 hr Holter ECG monitoring to accurately quantify the Ectopics.Drugs like beta blockers ex Propanolol can control both anxiety and rapid heart rate.Electrophysiological studies can document the accurate site of ectopic site.Radiofrequency ablation can provide permanent cure if any.Consult a cardiologist for further queries. Thank you.