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Heart & Cardiology/Racing Heart -22 year old girl. Please help!

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QUESTION: I'm 22 years of age and have been having palpitations for about 2 years. I've had about 13 ecg's now as they terrify me so much I end up calling an ambulance. I've also had a cheat X-ray, blood tests, an echo and a 24 hour heart monitor. All of which have come back fine. I'm so concerned they are missing something. When I had my 24 hour monitor on I had sinus tachy that reached 160. Is this normal?! I get a warm feeling throughout my body and then my heart starts racing like crazy. Happens a lot at night. If I had something seriously wrong with me would I have gone into a diff rhythm by now? Every doc is putting it down to anxiety and panic but I'm absolutely terrified I have something that is leading to a sudden cardiac arrest. There is no family history and I have never fainted etc. please let me know if you think i should further pursue tests.

ANSWER: Hi Jenny,
A heart rate=160 is definitely abnormal if not associated with exercise. Were the nightly events recorded as well?
Read this:
http://www.cardiachealth.org/palpitations
You may need an event monitor that you can activate when these palpitations occur. Whether this is a dangerous rhythm I cannot tell from here.
Hope this helps,
Dr T
http://www.cardiachealth.org/

---------- FOLLOW-UP ----------

QUESTION: Hi,

Yes the event was showed on my 24 hour ECG and just said sinus tachycardia.

Thanks,

Jenny

Answer
Hi Jenny,
It depends on what you were doing at the time. If nothing and anxiety plays a role, you might want to ask for Beta blocker treatment. You have no reason to worry about sudden death.
http://www.cardiachealth.org/heart-disease-treatment/heart-disease-medications/b
Hope this helps,
Dr T

Heart & Cardiology

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