Causes of a Fast Heart Rate (Tachycardia)

Introduction

A fast heart rate, medically known as tachycardia, is defined as a resting heart rate above 100 beats per minute (bpm) in adults. While some cases are normal (such as during exercise or stress), persistent tachycardia may indicate an underlying medical condition.

Types of Tachycardia

Tachycardia can be classified into different types based on its origin:

  1. Sinus Tachycardia – The heart beats fast due to external factors like fever, anxiety, or dehydration.
  2. Supraventricular Tachycardia (SVT) – Includes arrhythmias originating above the ventricles.
  3. Ventricular Tachycardia (VT) – A dangerous condition where the ventricles beat rapidly, potentially leading to cardiac arrest.

Common Causes of a Fast Heart Rate

1. Physiological Causes (Normal Reactions of the Body)

  • Exercise
  • Stress or anxiety (including panic attacks)
  • Fever or infection
  • Dehydration
  • Pain

2. Cardiac Causes (Heart-Related)

  • Coronary artery disease (blocked arteries leading to the heart)
  • Heart failure
  • Myocarditis (heart inflammation)
  • Previous heart attack
  • Abnormal heart electrical pathways (e.g., WPW syndrome)

3. Non-Cardiac Medical Conditions

  • Hyperthyroidism (overactive thyroid)
  • Anemia (low red blood cell count)
  • Hypotension (low blood pressure)
  • Pulmonary embolism (blood clot in the lungs)

4. Medications and Substances

  • Caffeine or nicotine
  • Alcohol
  • Illicit drugs (such as cocaine or amphetamines)
  • Certain medications (e.g., asthma inhalers, decongestants)

5. Electrolyte Imbalances

  • Low potassium or magnesium
  • High calcium levels

When to See a Doctor?

Seek medical attention if you experience tachycardia along with: - Chest pain - Dizziness or fainting - Shortness of breath - Palpitations that do not stop

Conclusion

A fast heart rate can be caused by a wide range of factors, from benign conditions to life-threatening illnesses. If you frequently experience a high heart rate, consult a doctor to determine the underlying cause and receive appropriate treatment.

Source recommendations

1. American Heart Association Guidelines on Tachycardia

  1. https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate
  2. https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/algorithms
  3. https://www.ahajournals.org/doi/10.1161/cir.0000000000000311
  4. https://cpr.heart.org/-/media/cpr-files/cpr-guidelines-files/algorithms/algorithmacls_tachycardia_200612.pdf
  5. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000549

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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