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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Atrial Tachycardia, Heart Rate Seems To Be Highest While Coughing And Sitting. Is This Expected?

Dear Doctor, I have a cardiology question please my local cardiologist found an atrial tachycardia , and since then I have been wearing basic a heart rate monitor to see what makes it happen and when. Here are some stats Lie down : 57-64 bpm (lowest I saw was 49) sit up ; 64-68 bpm stand up: 89bpm walk 8 steps : 99-106 bpm cough+ sit : goes from 85- 125!!! I Have in the last 2 weeks developed a very irritating dry unproductive cough, I can t have my heart go nuts like this with each cough? I walked 3.5 miles in 1.5 hours ... with heart rate staying between 119-158 the entire time. sharp rise with small inclines in geography Is this to be expected? Thank you Ann
Mon, 29 Oct 2012
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General & Family Physician 's  Response
Hello Ann , see the recording of your heart rate monitor appears ok , however we do sometimes determine as per age basis . I am worried about your intense dry cough . Do you have fever ? Do you smoke ? Are you on ace inhibitors as per cardiologist which can be one of the cause for dry irritating cough. I would also recommend a chest x ray to evaluate lung parenchyma and echocardiography for just to evealuate heart function primarily to rule out pulmonary artey hypertension
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Diagnosed With Atrial Tachycardia, Heart Rate Seems To Be Highest While Coughing And Sitting. Is This Expected?

Hello Ann , see the recording of your heart rate monitor appears ok , however we do sometimes determine as per age basis . I am worried about your intense dry cough . Do you have fever ? Do you smoke ? Are you on ace inhibitors as per cardiologist which can be one of the cause for dry irritating cough. I would also recommend a chest x ray to evaluate lung parenchyma and echocardiography for just to evealuate heart function primarily to rule out pulmonary artey hypertension