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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Inappropriate Sinus Tachycardia. Abnormal Pulse Rate, Normal BP. How To Cure?

I'm a 25 yr old female. Very healthy I. Decent shape, aside from the fact that I have inappropriate sinus tachycardia. Without sotalol 40 mg twice a day my pulse is around 140 at rest. Right now it is 57 and I'm not sure what I'm supposed to do. This has never happened to me. My Bp is still normal. I would like to raise it myself at home because the doctors here don't ever treat me well. Last time they gave me ulcer meds. I do not have GI problems and have already checked. All in all I'm looking for a quick way to raise this low pulse.
Tue, 30 Apr 2013
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
With the available described symptoms, there appears to possibility of heart arrhythmia.
There appears to be least correlation between racing heart and gastric ulcer.
Heart Arrhythmia could be due to heart or due to hormonal disturbances.
You should consult with internal medicine specialist/ cardiologist and should go for thorough check up.
You should go for electrocardiography, electrophysiological studies of heart, 2 D echo.
If arrhythmia has been detected, then you have to take anti-arrhythmic medicines for control.
Sotalol also an anti-arrhythmic medicine and helps in control of racing heart rate.
If all relevant investigations are normal, then you should consult with psychiatrist.
There could also be possibility of panic attacks.
Take care,
Dr. Mayank Bhargava
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

You should see your cardiologist again
If not happy, have a second opinion...
The dose of sotalol may have to be adjusted.
Pulse rate and heart rate are not always the same! - weak beats may not produce a pulse / there could be a block in conduction / and so on / - seeing the doctor will be the best option.

Take care
Wishing speedy recovery
God bless
Good luck
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Inappropriate Sinus Tachycardia. Abnormal Pulse Rate, Normal BP. How To Cure?

Hi, Thanks for posting your query. With the available described symptoms, there appears to possibility of heart arrhythmia. There appears to be least correlation between racing heart and gastric ulcer. Heart Arrhythmia could be due to heart or due to hormonal disturbances. You should consult with internal medicine specialist/ cardiologist and should go for thorough check up. You should go for electrocardiography, electrophysiological studies of heart, 2 D echo. If arrhythmia has been detected, then you have to take anti-arrhythmic medicines for control. Sotalol also an anti-arrhythmic medicine and helps in control of racing heart rate. If all relevant investigations are normal, then you should consult with psychiatrist. There could also be possibility of panic attacks. Take care, Dr. Mayank Bhargava