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Could Fast Heart Rate And Sinus Rhythm In ECG Be Due To Stress?
can extreme stress cause ek G sinus rhythm but cannot rule out anterior infarction had extreme stress and virus weeks before this happened went to the ER just feeling weak fast heart rate and diarrhea electrolytes are fine just said normal ekg had a normal ekg perfectly normal sinus rhythm four days later at the doctors office don t know what to do concerned 50 year old woman the history of Crohn s disease electrolytes potassium was fine doctor sent me home with out during cardiac enzymes just CBC electrolyte Dr said he ekg was fine
Fri, 21 Aug 2015
Hello. Thank you for your question and welcome to HCM. I understand your concern.
Yes, stress almost inherently produces high heart rates (fast heart rate) due to hormonal changes that happen during it. This word of not being able to rule out the anterior infarction, makes me think that there were elevated ST segment levels in the anterior leads in EKG. If you did not have angina and the troponin and creatine phospho kinase MB fraction came back negative, then this is not infarction. This may be early or accelerated repolarization which produces and up sloping deflection of ST segment, and it is a benign phenomenon. Of course, please understand, I have to see the EKG to speak more precisely. Combining the initial words with an episode of viral infection, makes me suspect, although with a very low index, about pericarditis (inflammation of the sac that lines the heart), and I would recommend an echocradiogram, to confirm or exclude it.
I hope I was helpful with my answer. Take care. Best regards,
Dr. Meriton
Yes, stress almost inherently produces high heart rates (fast heart rate) due to hormonal changes that happen during it. This word of not being able to rule out the anterior infarction, makes me think that there were elevated ST segment levels in the anterior leads in EKG. If you did not have angina and the troponin and creatine phospho kinase MB fraction came back negative, then this is not infarction. This may be early or accelerated repolarization which produces and up sloping deflection of ST segment, and it is a benign phenomenon. Of course, please understand, I have to see the EKG to speak more precisely. Combining the initial words with an episode of viral infection, makes me suspect, although with a very low index, about pericarditis (inflammation of the sac that lines the heart), and I would recommend an echocradiogram, to confirm or exclude it.
I hope I was helpful with my answer. Take care. Best regards,
Dr. Meriton
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