Understanding Tachycardia

Introduction

Tachycardia is a condition where the heart beats faster than normal—typically more than 100 beats per minute (BPM) in adults. This rapid heartbeat can originate from different areas of the heart and may be temporary or a sign of an underlying medical condition.

Types of Tachycardia

  • Sinus Tachycardia – A normal increase in heart rate due to exercise, stress, fever, or dehydration.
  • Supraventricular Tachycardia (SVT) – Rapid heart rhythms originating above the ventricles, often causing palpitations and dizziness.
  • Ventricular Tachycardia – A serious type that originates in the ventricles, potentially leading to life-threatening arrhythmias.

Causes of Tachycardia

  • Physiological : Exercise, emotions, fever, pain, dehydration.
  • Pathological : Heart disease, anemia, hyperthyroidism, electrolyte imbalance.
  • External Factors : Certain medications, caffeine, alcohol, nicotine, recreational drugs.

Symptoms of Tachycardia

  • Palpitations (rapid or irregular heartbeat)
  • Dizziness or fainting
  • Shortness of breath
  • Chest pain
  • Fatigue

When to Seek Medical Help

If tachycardia is accompanied by chest pain, fainting, or severe shortness of breath, seek immediate medical attention, as it may indicate a serious underlying condition such as a heart attack.

Diagnosis and Treatment

  • Diagnostic Tests : ECG, Holter monitor, echocardiogram, blood tests.
  • Treatment Options :
    • Lifestyle changes: Avoiding triggers like caffeine and stress
    • Medications: Beta-blockers, anti-arrhythmics
    • Medical procedures: Cardioversion, catheter ablation, pacemakers (for severe cases)

Conclusion

Tachycardia can be harmless or a sign of a serious condition. If you experience persistent rapid heartbeats, consult a healthcare provider for proper evaluation and management.

Source recommendations

1. American Heart Association (AHA) Guidelines on Arrhythmias

  1. https://www.heart.org/en/health-topics/arrhythmia
  2. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193
  3. https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia
  4. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000549
  5. https://pubmed.ncbi.nlm.nih.gov/16949478/

2. European Society of Cardiology (ESC) Guidelines on Tachycardia

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Supraventricular-Tachycardia
  2. https://academic.oup.com/eurheartj/article/41/5/655/5556821
  3. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Ventricular-Arrhythmias-and-the-Prevention-of-Sudden-Cardiac-Death
  4. https://pubmed.ncbi.nlm.nih.gov/31504425/
  5. https://academic.oup.com/eurheartj/article/43/40/3997/6675633

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