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Question
Hello doctor,
I checked my heart due to occasional throbbing pain in the heart area and a fast pulse of 110 beats/min, tired. But during general examination at the heart hospital such as ultrasound, blood test, electrocardiogram, stress test. The doctor concluded that it was okay, but from time to time I still see my heart rate up to 90 when doing light work, people are tired. So the doctor asked me if my heart rate is fast and tired? Thank you doctor.
Anonymous customer
Answer
Answered by Dr., Doctor Le Thi Huong - Department of Examination, Vinmec Times City International General Hospital.
Hello,
With the question “What's wrong with a fast heartbeat with fatigue? ”, the doctor would like to answer as follows:
Some manifestations of tachycardia:
Anxiety. Short of breath. The heart "vibrates" in the chest. The beat is too fast. This sensation can be felt in the throat, neck or chest area, and can occur with exercise or at rest.
When to see a specialist: Usually, this feeling will be infrequent and transient, if only for a few seconds, there is no need to see a specialist. If you have a history of heart disease or this tachycardia occurs frequently, or is getting worse, consult a specialist. Your doctor will consider doing laboratory/imaging orders to find the cause of this phenomenon.
Should find out information about hospitals that can provide emergency care right away if tachycardia is accompanied by:
Angina pectoris. Faint. Difficulty breathing a lot. Dizziness wobbly. Usually the cause of heart palpitations can't be found right away if you already have tachycardia when you go to the doctor, some common causes:
Strong emotions, stress, anxiety, panic. Depression. Heavy physical exercise. Taking stimulants e.g. caffeine, nicotine, cocaine, amphetamines, cold medicine, cough medicine containing pseudoephedrine. Fever. Hormonal changes due to perimenopause, menopause, or pregnancy. Hyperthyroidism, hypothyroidism. Unintentionally tachycardia can be a sign of a more serious condition such as arrhythmia, arrhythmia is a specialized term for tachycardia, tachycardia - bradycardia syndrome, or irregular heartbeat.
The following are factors that can trigger heart palpitations:
Too much stress. Anxiety disorders or often panic for no reason. Pregnancy. Using medications (stimulants, cold and cough medicines, or asthma/asthma medications). Hyperthyroidism. Cardiac arrhythmia, congenital heart disease, old myocardial infarction, previous heart surgery, etc. Except for concomitant heart disease, usually tachycardia causes only a few mild complications. For people with heart problems, serious complications are as follows:
Syncope: When the heart beats too fast, there will be a sudden drop in blood pressure causing fainting. Seems to have had a serious heart problem such as valvular heart disease, congenital heart disease or tachycardia, etc. Cardiac arrest: Although rare, a bout of tachycardia can be life-threatening and cause the heart to stop beating. . Stroke: common in atrial fibrillation, easy to form blood clots, causing cerebral embolism Heart failure: Long-term decrease in heart contractile function causing arrhythmias (ventricular tachycardia, ventricular fibrillation, atrial fibrillation,... ) can cause the above complications. The specialist will examine and take history, if necessary The doctor will give blood tests, imaging tests, functional tests to find the cause, some very basic tests:
ECG (Electrocardiogram) chart): Helps detect regular or irregular heartbeat, syndromes related to arrhythmia. The ECG can be measured when the patient is at rest or during exertion. Holter electrocardiogram: The hospital will provide a removable device for the patient to wear for 24-72 hours, the heart rate data will be recorded to help detect tachycardia episodes, which ECG limit. Echocardiography: Provides detailed imaging and contractile function of the heart. And other necessary tests (depending on examination). If no cause can be found, the therapist rarely prescribes it, but usually advises to avoid the causes that trigger the tachycardia (listed above). Specific treatment will be specific to each specific type of heart disease.
Health education messages:
Reduce stress: Relax, exercise, practice breathing,... Avoid stimulants Avoid drugs and addictive substances In your case, you have had an in-depth examination of Cardiology. Examination and conclusion found no abnormalities, you should rule out thyroid disease such as hyperthyroidism which can also cause rapid heart rate, fatigue. Thyroid ultrasound and thyroid function tests such as FT3 FT4 and TSH should be performed.
If you still have questions about tachycardia with fatigue, you can go to a hospital under Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wish you a lot of health.
Best regards!
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