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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment Of Increase In Heart Rate ?

Hi I'm 36 over weight but active the last two days my heart rate has went from around 76 bpm to 110 - 120 bpm when I stand up and although my heart rate will return to normal after I sit down it feels like its fluttering in my chest my Bp has remained steady at about 130/72
Tue, 29 Sep 2015
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Cardiologist 's  Response
Hello!

Thank you for asking on HCM!

I understand your concern and would explain that your symptoms seem to be related to orthostatic tachycardia (also called postural tachycardia syndrome) or orthostatic hypotension.

Have you measured your blood pressure in standing up position?

A decrease in your systolic blood pressure more than 20 mm Hg during standing up position, compared to sitting position, would indicate an orthostatic hypotension.

A head up tilt test is necessary to rule in/out the above disorder.

A complete check up, including a physical check up, resting ECG, chest x ray and some blood lab tests (complete blood count, PCR, sedimentation rate, fasting glucose, blood electrolytes, cortisol plasma levels, etc), should be done to exclude other possible metabolic causes that may mimic this symptomatology.

Hope to have been helpful!

Feel free to ask any other questions, whenever you need!

Best wishes,

Dr. Iliri
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What Is The Treatment Of Increase In Heart Rate ?

Hello! Thank you for asking on HCM! I understand your concern and would explain that your symptoms seem to be related to orthostatic tachycardia (also called postural tachycardia syndrome) or orthostatic hypotension. Have you measured your blood pressure in standing up position? A decrease in your systolic blood pressure more than 20 mm Hg during standing up position, compared to sitting position, would indicate an orthostatic hypotension. A head up tilt test is necessary to rule in/out the above disorder. A complete check up, including a physical check up, resting ECG, chest x ray and some blood lab tests (complete blood count, PCR, sedimentation rate, fasting glucose, blood electrolytes, cortisol plasma levels, etc), should be done to exclude other possible metabolic causes that may mimic this symptomatology. Hope to have been helpful! Feel free to ask any other questions, whenever you need! Best wishes, Dr. Iliri