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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Tachycardia

My fiance started dialysis a year and a half ago and went from in center dialysis to home hemo dialysis about a year ago. He went from running 4 hrs 3 days a week to 2 1/2 hours 5 days a week. The reason I write is when he was in center on day a tech had his warmer up too high and my fiance felt like he was going to throw up and after a hour of this they finally pulled him off after his heart rate began to go up to 210 beats per minute. They took him to the hospital and after a stress test and ekg they said he passed but that he has benign tachycardia. The problem is, that his tachycardia hasn t gone away since. At the hospital they controlled it with meds but when he went home they put him on verapimil which has done nothing. He has tachycardia every time he stands it goes to 115-140 and then he sits and after a minute or two it goes down to 70-80. But the big issue is walking around or standing, his heart feels like it s beating out of his chest. He says he feels like he s 80 instead of 24. He s on the transplant list (this is his second transplant) he was born with prune belly syndrome that caused one kidney to never develop and the other to fail at age 9 which his dad gave him his kidney and it lasted 14 yrs. The kidney is still in there and though he is end stage renal he still makes more urine than other patients they say so it still is trying to help. He has no other health problems besides the prune belly syndrome causing renal failure(his kidney failed not rejected they said) so it is upsetting that now he has to go through this. Every doctor gives us different advice but mostly they say it s just what comes with being on dialysis. The weird thing is, he missed 3 days once because of his machine not working and he said his heart was back to normal. We just really ask for your advice. He is so so young and has been through so much medically that it would be horrible for him to have a stroke or something just because they don t have a real plan on what to do.
Mon, 1 Oct 2018
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Cardiologist 's  Response
Hi,

Firstly, all patients with renal failures have a risk of cardiac dysfunction and arrhythmias. So if ECG was taken during tachycardia, then can tell us whether there was any arrhythmia like atrial fibrillation or not. Also, low hemoglobin and low heart function can also precipitate tachycardia. So, he should get an echo done if not done recently. Get his ECG reviewed or attach here for review. He should be on beta blockers like Metoprolol to control heart rate.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sagar Makode,
Cardiologist

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Suggest Treatment For Tachycardia

Hi, Firstly, all patients with renal failures have a risk of cardiac dysfunction and arrhythmias. So if ECG was taken during tachycardia, then can tell us whether there was any arrhythmia like atrial fibrillation or not. Also, low hemoglobin and low heart function can also precipitate tachycardia. So, he should get an echo done if not done recently. Get his ECG reviewed or attach here for review. He should be on beta blockers like Metoprolol to control heart rate. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sagar Makode, Cardiologist