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What Causes Recurring Sinus Tachycardia?

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Posted on Mon, 13 Jun 2016
Question: Hi I keep having runs of sinus tachycardia anything from 110-128 at a time appears for no apart reason I am anxious as nobody can give answers as to why this is happening currently got a sinus infection had tonsils checked they are ok can you help please?
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Answered by Dr. Dr. Meriton Siqeca (17 minutes later)
Brief Answer:
Excessive psychological stress

Detailed Answer:
Hello and welcome to HCM. I understand your concern.

There are certain physiological conditions that are associated with increased heart rate, such as physical activity, psychological stress, after consuming caffeine-containing beverages, alcohol etc. During stress, there is a spike of adrenalin (epinephrine) in the system, which, among others, has strong effect on increasing the blood pressure and the heart rate. Now, my opinion is that anxiety from stress is producing these high heart rates. Actually there is a formula, 220-age, which is considered as a normal heart rate when the organism is stressed, physically or psychologically. In your case, a heart rate of 175 beats per minute may be considered normal in cases of high physical or psychological activity. Therefore, I would suggest you not to worry about these figures. If this is worrying you in a gravity that affects your quality of life or work, medication such as propranolol (with effects both on stress and on heart rate) may be tried. If even this does not help, then a consult with a psychiatrist would be in order. On the other hand, we have all the test results of the cardiac check-up which came back normal.

I hope my answer is helpful. I am happy to help, if yoi have follow-up qestions.

Best regards,
Dr. Meriton
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Dr. Meriton Siqeca

Cardiologist

Practicing since :2009

Answered : 775 Questions

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What Causes Recurring Sinus Tachycardia?

Brief Answer: Excessive psychological stress Detailed Answer: Hello and welcome to HCM. I understand your concern. There are certain physiological conditions that are associated with increased heart rate, such as physical activity, psychological stress, after consuming caffeine-containing beverages, alcohol etc. During stress, there is a spike of adrenalin (epinephrine) in the system, which, among others, has strong effect on increasing the blood pressure and the heart rate. Now, my opinion is that anxiety from stress is producing these high heart rates. Actually there is a formula, 220-age, which is considered as a normal heart rate when the organism is stressed, physically or psychologically. In your case, a heart rate of 175 beats per minute may be considered normal in cases of high physical or psychological activity. Therefore, I would suggest you not to worry about these figures. If this is worrying you in a gravity that affects your quality of life or work, medication such as propranolol (with effects both on stress and on heart rate) may be tried. If even this does not help, then a consult with a psychiatrist would be in order. On the other hand, we have all the test results of the cardiac check-up which came back normal. I hope my answer is helpful. I am happy to help, if yoi have follow-up qestions. Best regards, Dr. Meriton