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Why does the heart rate increase in response to pain?

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Posted on Thu, 10 Dec 2015
Question: I am having excruciating pain from CRRDS and they did a Halter for 3 weeks on me and it showed that my Heart Rate went from 47 to up in the 250+ range...doctor said that it can be caused by the pain what do you think? .
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Answered by Dr. Ilir Sharka (2 hours later)
Brief Answer:
A review of your Holter monitoring is necessary.

Detailed Answer:

Hello!

Welcome and thank you for asking on HCM!

Regarding you concern, I would like to explain that, facing your actual age, a heart rate of 250+ bpm could not be caused by pain (even a severe one).

For a better judging on your heart rate/rhythm issue it is necessary to review your Holter monitoring recordings.

Please, could you upload your test report here for a direct review?

I remain at your disposal in case of further uncertainties.

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ilir Sharka (54 minutes later)
I was put on Atenolol and Aspirin 325 per day....but did not have to do this until after the severe pain. I also had a right sided stroke in March but able to get around good so far, took lots of therapy..Received the Clot Buster in March....but Heart Rate did not do this until the excruciating pain I am going through... I will send HM recording soon....
doctor
Answered by Dr. Ilir Sharka (37 minutes later)
Brief Answer:
Opinion as follows:

Detailed Answer:

Hi again,

Extreme pain may serve as an important trigger for sinus tachycardia and sometimes even for abnormal tachyarrhythmia, but in the latter a per-existing cardiac disorder is not rarely present.

In your case a tachycardia of 250+ bpm, should be investigated about the exact arrhythmia and underlying triggering factors.

A systematic review of your thyroid function, cardiac structure and function, circulating catecholamines (especially during extreme pain), and drugs interaction should be done to conclude on the clinical importance and underlying therapeutic strategy.

Waiting for your medical tests reports.

Regards,

Dr. Iliri

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

Cardiologist

Practicing since :2001

Answered : 8451 Questions

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Why does the heart rate increase in response to pain?

Brief Answer: A review of your Holter monitoring is necessary. Detailed Answer: Hello! Welcome and thank you for asking on HCM! Regarding you concern, I would like to explain that, facing your actual age, a heart rate of 250+ bpm could not be caused by pain (even a severe one). For a better judging on your heart rate/rhythm issue it is necessary to review your Holter monitoring recordings. Please, could you upload your test report here for a direct review? I remain at your disposal in case of further uncertainties. Kind regards, Dr. Iliri