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What Does A Sinus Tachycardia 116HR Indicate?

Posted on Thu, 26 Oct 2017

Question: Sir I went to take my ECG with anxiety my It showed SINUS TACHYCARDIA 116HR, LEFT ATRIAL ENLARGEMENT and 122 Clockwise rotation. BP 120/80 and Pulse rate later was 84. Please advice.

Answered by Dr. V. N. S. Parinam (12 minutes later)

Brief Answer:
Anxiety neurosis

Detailed Answer:
Hi,

The tachcardia is commonly seen in people with anxiety. Esp when one complains of lump in the throat we also suspect anxiety.
The ECG heart rate was high and it came down quickly to 84 later. The left atrial enlargement has to be confirmed with 2D ECHO. ECG cannot be perfect to say about enlargements.
The resting ECG or sleeptime ECG is better predictor.
Was thyroid tests done on you? Do you have blood sugar issues as well?
Once these were ruled out I suggest you to meet a Psychologist who can give you plan and methods to reduce your anxiety when it reaches high.
For now practice yoga and meditation which are known to help reasonably in anxiety neurosis patients.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. V. N. S. Parinam (6 minutes later)

Dear Sir, my last Thyroid was done on 27th August, 2017 my TSH levels were 2.96 I was taking 25 mcg Thyronorm as I felt heart palpitations and tired feeling. My Blood Sugar levels are normal infact I suspect having Reactive Hypoglycemia as my blood levels goes down in 4 hours. I normally take or Carbohydrate rich diet as i am vegetarian have low Hemoglobein for which i am taking medication. I am over weight. Please advice.

Answered by Dr. V. N. S. Parinam (3 minutes later)

Brief Answer:
Anemia

Detailed Answer:
Hi,
There are multiple reasons for your problem.
Anemia can be reason. Thyroxine medication can cause palpitations. TSH levels are reasonable and should not be worrying at this level.
You have a point about reactive hypoglycemia, check the blood sugar when you have palpitations or anxiety.
Did you meet an Endocrinologist for your problems? Please meet one.
My previous advise still holds good about meeting Psychologist for a behavioural therapy.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. V. N. S. Parinam (9 minutes later)

Yes madam I do keep worrying a lot and after this ECG which happens to be mine first. I am not terrified of dying because of heart attack. I am schedule to go for a full body check up on this Friday. I will then take an Psychologist appointment as well as suggested by you. Thank you Madam.

Answered by Dr. V. N. S. Parinam (2 hours later)

Brief Answer:
close and rate

Detailed Answer:
You are young and there is a solution and complete resolution of your problem. Let us not talk about heart attack etc for simple solvatable issues.
All the best. If you do not have any more queries please close and rate my answer

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. V. N. S. Parinam (5 days later)

Madam, got my ECG done everything is normal. I'm still suffering my acid reflux. I become anxious all of sudden. During that time my pulse rate rises, I feel dizzy and my body feel like pressure. Don't know whom to consult a GP or a psychiatrist. Please advice.

Answered by Dr. V. N. S. Parinam (21 hours later)

Brief Answer:
Psychiatrist cum Psychologist

Detailed Answer:
Hi,

In my opinion you should consult both Psychiatrist (who is the authority to pin point diagnosis and prescribe medicine) and Psychologist (who can give you main treatment of Behavioural therapy /Psychotherapy).

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Kampana