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Is Heart Rate Of 100 Bpm A Cause For Concern?

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Posted on Tue, 27 Sep 2016
Question: On flecinide 100mg got sick had diarrhea and now have heart rate over 100what can I do to bring it back down?
doctor
Answered by Dr. Ilir Sharka (28 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on HCM!

Regarding your recent clinical scenario, I would like to explain that first of all it is important to differentiate your actual heart rhythm: is it just a sinus tachycardia (which may be a compensatory reaction to dehydration due to diarrhea), or we are in front of a cardiac arrhythmia (such as atrial fibrillation, etc. due to any blood electrolytes imbalance as a consequence of diarrhea).

In this regard, I would suggest discussing with your attending doctor on the possibility of performing a resting ECG and some additional tests:

- complete blood count (to exclude anemia),
- PCR & ESR (inflsmmation),
- blood electrolytes level (to exclude any potassium imbalance),
- BUN & creatinine
- stool microbiological tests

IF only a sinus tachycardia is present, than an adequate re-hydration and correction of any potential electrolytes imbalances (by taking oral fluids rich in potassium; ex.fruits juices) would be enough.

But, if a persistent cardiac arrhythmia is present,
then a more close medical management (ER service of in-hospital settings) would be the right therapeutic approach for overcoming this situation.

You should also know that even Flecainide may be a reason of diarrhea (1%-3%).

Hope to have been helpful to you!

In case of any further uncertainties, feel free to ask me again.

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (24 minutes later)
I bought Pedialyte to rehydrate how long should it take
doctor
Answered by Dr. Ilir Sharka (23 minutes later)
Brief Answer:
Opinion as follows:

Detailed Answer:
Hello again!

I would recommend utilizing around 1 liter orally (with several portion apart to avoid stomach distension). If the fast heart rate doesn't disappear in a couple of hour (after such re-hydration), then you should follow the above mentioned recommendations.

Wishing you a pleasant weekend!

Regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (1 hour later)
Thank you
doctor
Answered by Dr. Ilir Sharka (47 minutes later)
Brief Answer:
You are welcome!

Detailed Answer:
I remain at your disposal for future discussions.

In case of further uncertainties, you can ask me directly through the following link:

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69765

Best wishes,

Dr. Iliri
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9535 Questions

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Is Heart Rate Of 100 Bpm A Cause For Concern?

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome on HCM! Regarding your recent clinical scenario, I would like to explain that first of all it is important to differentiate your actual heart rhythm: is it just a sinus tachycardia (which may be a compensatory reaction to dehydration due to diarrhea), or we are in front of a cardiac arrhythmia (such as atrial fibrillation, etc. due to any blood electrolytes imbalance as a consequence of diarrhea). In this regard, I would suggest discussing with your attending doctor on the possibility of performing a resting ECG and some additional tests: - complete blood count (to exclude anemia), - PCR & ESR (inflsmmation), - blood electrolytes level (to exclude any potassium imbalance), - BUN & creatinine - stool microbiological tests IF only a sinus tachycardia is present, than an adequate re-hydration and correction of any potential electrolytes imbalances (by taking oral fluids rich in potassium; ex.fruits juices) would be enough. But, if a persistent cardiac arrhythmia is present, then a more close medical management (ER service of in-hospital settings) would be the right therapeutic approach for overcoming this situation. You should also know that even Flecainide may be a reason of diarrhea (1%-3%). Hope to have been helpful to you! In case of any further uncertainties, feel free to ask me again. Kind regards, Dr. Iliri