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An_251830 posted:
Told I have tachycardia - what a big long scary work for rapid heart rate. Had a exercise stress test with sono, which i passed. I asked the cardiologist why my heart was racing (110 at rest) he looked at me with a straight face and said I don't know, handed me several weeks worth of Bystolic and said see you two weeks. Went back to him they checked my BP which is now sitting 115 over 72 with heart rate in the 60 but I still have palpitations and every now and then a pain behind the left breast. Told the doctor he said see you in four months, if you still have these issues then we will do a holter monitor. Kind of feel like he thinks I am crazy... also he was notified of strong family history of coronary heart disease he didn't seem concerned... Thinking I may need to see a different Dr.
cardiostarusa1 responded:

"Thinking I may need to see a different Dr."

Feel free to do so. It is always ultimately up to the patient to be his/her own best health advocate.

"I asked the cardiologist why my heart was racing (110 at rest) he looked at me with a straight face and said I don't know."

As applicable

Inappropriate sinus tachycardia (IST)

A misunderstood cardiac arrhythmia

IST is a condition in which an individual's resting heart rate is abnormally high (greater than 100 beats per minute),......

......" but I still have palpitations and....."

As applicable, premature ventricular contractions (PVCs), the most common palpitations, occurs even in many heart-healthy individuals, and has various causes (cardiac and non-cardiac) or triggers.

As reported, PVCs are typically harmless (benign), be it isolated (single), couplets (2-in-row), triplets (3-in-a-row) or salvos (short bursts of 3 or more in-a-row), bigeminy (occurring every other beat), trigeminy (occurring every third beat), quadrigeminy (occurring every fourth beat), etc., etc.

However, the main problem or concern (even more so, much more emphasized for those with certain major or serious heart conditions) with PVCs is when sustained ventricular tachycardia (runs of PVCs over 30 seconds) occurs.

Symptoms that may/can occur wih PVCs, as well as with tachycardia, includes none at all or chest pain/discomfort/pressure/tightness, difficulty breathing, lightheadedness or dizziness, and in uncommon to rare cases, near-syncope or syncope (temporary loss of consciousness, includes fainting and passing out).

Additionally, of the various types/kinds of heart conditions, symptoms may/can be acute (occurring suddenly), be chronic (occurring over a long period of time), come and go (be transient, fleeting or episodic, such as an irregular heartbeat, requiring the use of a Holter monitor or event recorder at home and during daily actiities) or even be silent.

Best of luck down the road of life.

Take care,


WebMD member (since 8/99)



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Calming the HEART

Techniques at Home (as applicable to the patient)

Tighten stomach muscles. As soon as the heart starts to race, tighten the stomach muscles. This will cause the abdominal muscles to put pressure on a group of nerves that will tell the heart's electrical coduction system to slow down.

Chill. Take a deep, long breath and slowly let it out. Sometimes relaxation is all it takes to stop tachycardia. And deep breathing is frequently one of the fastest ways to relax.

Use common sense. Anything that speeds up the heart, caffeine and cigarettes, for example, can trigger a rapid heartbeat. So common sense says that if one is prone to tachycardia, one should avoid any substance that might give the heart an extra kick.

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