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What Causes Fast Heart Rate Post Nissen Fundoplication?

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Posted on Fri, 21 Nov 2014
Question: I had nissen fundoplication and hiatal hernia repair one year ago. I noticed ever since the surgery for some reason every time i ate my heart would race to about 110bpm for about 45 minutes. This happened for about 3 months after the surgery and then it came back again recently. I dont have diarrhea or any changes in bowel movements. This came back after i had a nervous crisis of tachycardia that landed me in the ER thanks to some supplements the chiropractor prescribed me for back pain. I ingested 140mg of manganese where the maximum daily dose is 8mg. Ended up in the ER with heart rate of 170. Ive had several EKG and echocardiograms done and all normal. What do you think?
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Answered by Dr. V. N. S. Parinam (2 hours later)
Brief Answer:
Please seek differentials with local cardiologist

Detailed Answer:
Hi,

This is rare that one's heart increases its pace after surgery that too when one eats. If the EKG and ECHO are normal that means it has no impact on heart.

Also an immediate raise and fall in heart rate could be stress or anxious reaction. You should try anti anxiety medicines like Alprazolam. Your other symptom less nature does not suggest of any thing obvious. If your cardiologist is not worried you should consider other diagnosis like what I said. Manganese toxicity could be the reason for tachycardia but it would not fall so fast.

You should consider alternative diagnosis.
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. V. N. S. Parinam

General & Family Physician

Practicing since :2008

Answered : 1727 Questions

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What Causes Fast Heart Rate Post Nissen Fundoplication?

Brief Answer: Please seek differentials with local cardiologist Detailed Answer: Hi, This is rare that one's heart increases its pace after surgery that too when one eats. If the EKG and ECHO are normal that means it has no impact on heart. Also an immediate raise and fall in heart rate could be stress or anxious reaction. You should try anti anxiety medicines like Alprazolam. Your other symptom less nature does not suggest of any thing obvious. If your cardiologist is not worried you should consider other diagnosis like what I said. Manganese toxicity could be the reason for tachycardia but it would not fall so fast. You should consider alternative diagnosis.