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Stressed, feel sudden heart palpitations. ECG revealed tachycardia, thyroids normal. Is this stress related ?

hi good evening doctor. I am 27 years old who experiences stress in life. One time I feel like being overwhelmed, agitated, loosing concentration somewhat feeling nervous until such time that my heart suddenly palpitated and like burst til that i felt even the linings was affected then reached my brain. At this time my heart is continuously beating that fast which is resulting to a feeling of the brain also palpitating, As a result Im feeling nervous all the time which aggravates, at night time I could not go to a sound sleep because of that, I feel sleepy but my heart is really throbbing that hard and fast with the end feeling of body is sleeping yet mind is not. My ECG revealed tachycardic at 110bpm, blood pressure is 110/80, 2Decho is normal but they said i have Trivial tricuspid regurgitaion, I am cleared from having hyperthyroidism FT4 tsh levels are within normal. Is feeling only caused by stress am trully bothered please help thank you so much.
Asked On : Fri, 8 Mar 2013
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Cardiologist 's  Response
dear friend

i hope the ECG showed SINUS TACHYCARDIA only, if that is the case, then in all probability you have only a reactionary increase in heart rate. As you have mentioned that you encounter stress in life and the palpitations are associated with stress, the most likely explanation for this tachycardia is stress only. you must try relaxation techniques and take help of a psychologist, if needed. your normal ECHO is reassuring.

other causes of tachycardia can be excessive intake of coffee, tea,. smoking, anxious personality trait, drugs for common cold/asthma, fever, anemia and hyperthyroidism (which is ruled out in your case).

one more help is that if your pulse rate is normal at times when you are not under stress, like sleeping, then, again it favours a reactionary increase in heart rate. (
hope this answers your query, thanks for writing to us.

Answered: Sat, 6 Apr 2013
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