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Could A High Resting Heart Rate Be Indicative Of Sinus Tachycardia?
Question: Hi,
I have high blood pressure (controlled), t wave inversion in inferior leads (stress echo showed no issue) and a slight heart murmur (no pathology/functional. I've started noticing that my resting heart rate is substantially higher than my colleagues. My waking HR this am was 95. I exercise three to four times a week playing cardio intensive tennis, weigh 187 at 5'10 an am otherwise healthy. How concerned should I be about my resting heart rate, could I have a sinus tachycardia?
I have high blood pressure (controlled), t wave inversion in inferior leads (stress echo showed no issue) and a slight heart murmur (no pathology/functional. I've started noticing that my resting heart rate is substantially higher than my colleagues. My waking HR this am was 95. I exercise three to four times a week playing cardio intensive tennis, weigh 187 at 5'10 an am otherwise healthy. How concerned should I be about my resting heart rate, could I have a sinus tachycardia?
Brief Answer:
My opinion as follows:
Detailed Answer:
Hello,
I passed carefully through your question and would like to directly review your resting ECG and cardiac ultrasound report for a more professional opinion.
Regarding the increased heart rate when waking up, it could be related to anxiety. You should know that waking up imposes a high stress to the body.
Nevertheless it is important performing further tests to investigate for the possible causes :
- complete blood count for anaemia
- thyroid hormone levels for thyroid dysfunction
' blood electrolytes for possible imbalances.
An ambulatory 24-48 hours ECG ECG monitoring would help examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia.
Hope you will find this answer helpful!
Kind regards,
Dr.Iliri
My opinion as follows:
Detailed Answer:
Hello,
I passed carefully through your question and would like to directly review your resting ECG and cardiac ultrasound report for a more professional opinion.
Regarding the increased heart rate when waking up, it could be related to anxiety. You should know that waking up imposes a high stress to the body.
Nevertheless it is important performing further tests to investigate for the possible causes :
- complete blood count for anaemia
- thyroid hormone levels for thyroid dysfunction
' blood electrolytes for possible imbalances.
An ambulatory 24-48 hours ECG ECG monitoring would help examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia.
Hope you will find this answer helpful!
Kind regards,
Dr.Iliri
Above answer was peer-reviewed by :
Dr. Raju A.T
A PDF of the ECG is 5.4mb and you have a tiny attachment limit meant only for text reports. Other options?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Please try to convert it to JPG and resize it (free online converter, free online resize), so it will be possible for you to upload it.
It is fast and simple. Just try it!
Hope to have been helpful!
Wishing good health,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Please try to convert it to JPG and resize it (free online converter, free online resize), so it will be possible for you to upload it.
It is fast and simple. Just try it!
Hope to have been helpful!
Wishing good health,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, I have provided some attachments. Please review them.
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello again!
I reviewed carefully tour uploaded ECG report and would explain that it shows T negative wave in D3, AVF, V3 and V6 leads.
But, considering your normal cardiac stress echo, there is nothing to worry about.
Regarding your high heart rate, it does not seem to be concerning.
Anyway, if these heart rate values persist, I would recommend performing an ambulatory 24-48 hours (Holter) ECG monitoring in order to examine your heart rhythm trends for a prolonged time.
Some blood lab tests (complete blood count, thyroid hormone levels, blood electrolytes) are necessary too, in order to exclude possible metabolic causes underlying tachycardia.
You should discuss with your doctor on the above tests.
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello again!
I reviewed carefully tour uploaded ECG report and would explain that it shows T negative wave in D3, AVF, V3 and V6 leads.
But, considering your normal cardiac stress echo, there is nothing to worry about.
Regarding your high heart rate, it does not seem to be concerning.
Anyway, if these heart rate values persist, I would recommend performing an ambulatory 24-48 hours (Holter) ECG monitoring in order to examine your heart rhythm trends for a prolonged time.
Some blood lab tests (complete blood count, thyroid hormone levels, blood electrolytes) are necessary too, in order to exclude possible metabolic causes underlying tachycardia.
You should discuss with your doctor on the above tests.
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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