Sinus Tachycardia

Introduction

Sinus tachycardia is a condition in which the heart rate is elevated above the normal resting rate, typically exceeding 100 beats per minute (bpm) in adults. It originates from the sinoatrial (SA) node, which is the natural pacemaker of the heart.

Causes

Sinus tachycardia can be physiological (normal) or pathological (abnormal). Possible causes include: - Physiological causes: Exercise, stress, anxiety, fever, pregnancy, or caffeine intake. - Pathological causes: Anemia, dehydration, infection, hyperthyroidism, heart failure, or pulmonary embolism.

Symptoms

Many cases of sinus tachycardia are asymptomatic but can include: - Palpitations (fast or strong heartbeat) - Dizziness or lightheadedness - Shortness of breath - Fatigue

Diagnosis

Diagnosis is made using: - Electrocardiogram (ECG): Shows a regular rhythm with a rapid heart rate originating from the SA node. - Blood tests: To check for anemia, thyroid dysfunction, or infection. - Echocardiogram: To assess heart function if an underlying cardiac issue is suspected.

Treatment Options

Treatment depends on the underlying cause: - Lifestyle modifications: Avoidance of stimulants (e.g., caffeine, nicotine) and stress management. - Medications: Beta-blockers or calcium channel blockers in cases where symptoms are severe. - Treating underlying conditions: Managing thyroid disease, dehydration, or infections.

When to Seek Medical Help

Seek medical attention if sinus tachycardia is accompanied by: - Chest pain or discomfort - Severe shortness of breath - Fainting or near fainting episodes

Conclusion

Sinus tachycardia is often normal but may indicate an underlying medical condition. Proper diagnosis and management are key to ensuring good heart health.

Source recommendations

1. American Heart Association Guidelines

  1. https://professional.heart.org/en/guidelines-and-statements
  2. https://www.heart.org/
  3. https://professional.heart.org/en/guidelines-statements
  4. https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines
  5. https://www.heart.org/en/healthy-living/fitness/fitness-basics/aha-recs-for-physical-activity-in-adults

2. European Society of Cardiology Guidelines on Arrhythmias

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Ventricular-Arrhythmias-and-the-Prevention-of-Sudden-Cardiac-Death
  2. https://academic.oup.com/eurheartj/article/43/40/3997/6675633
  3. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Supraventricular-Tachycardia
  4. https://pubmed.ncbi.nlm.nih.gov/36017572/
  5. https://www.ahajournals.org/doi/10.1161/01.cir.0000091380.04100.84

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