apollo
  • Female
  • 45 Years
  • 29/01/2025

I'm experiencing moments when my pulse rate shoots up to 200 or more, and it lasts for about 4 to 5 hours. Can you help me understand why this is happening?

Doctor 1

Answered by 1 Apollo Doctors

A pulse rate of 200 and above for 4 to 5 hours can be a sign of a serious medical condition called supraventricular tachycardia (SVT). SVT is a rapid heart rate that starts in the upper chambers of the heart. It can be caused by various factors such as stress, caffeine, alcohol, or underlying heart conditions. You should seek immediate medical attention if you experience such high and prolonged heart rates. The medication that can be used to help control SVT includes medications like Adenosine or Verapamil. The dosage and duration of treatment will be determined by a healthcare professional based on your individual case.

Dr. Mubarak Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm concerned because I've noticed my triglycerides are really high at 603, but my total cholesterol, LDL, and HDL are in the normal range. I'm a bit worried about this and I'm wondering what medication I should consider taking for the high triglycerides. Also, my heart rate is always above 100, sometimes reaching 116. Could the high triglycerides be causing my heart rate to be so high?

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Doctor 1Doctor 2

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I've recently had a stress echo and it came back negative. Ten years ago, in 2011, I had an angiogram and it looked fine then too. In 2015, I went through a nuclear test, treadmill test, and some other checks, and they all turned out normal. Lately, Ive been having this dull pain in my neck that sometimes reaches up to my ear and jaw, and it also bothers my shoulder. My neck and upper back always feel stiff. My physiotherapist says my posture is pretty poor, mentions scoliosis, and thinks that might be causing this pain. I don't have issues when I'm walking and I can climb up to 12 floors without a problem but the neck and back pain, especially on the left side, really gets to me. Occasionally, I feel a sharp pain on the left side of my chest, but it fades away quickly. My chest is tender, and some spots are really sore to touch. Do you think it's safe to rule out any cardiac causes? Is there any other test I should consider doing?

Based on your history of negative stress echo, normal angio in 2011, and normal nuclear test and TMT in 2015, it is less likely that your current symptoms are related to cardiac issues. However, it is important to consider other potential causes for your neck, ear, jaw, shoulder, and chest pain. Given your description of neck stiffness and pain, along with the presence of scoliosis affecting your posture, it is possible that your symptoms are musculoskeletal in nature. To address your current symptoms, you may benefit from a muscle relaxant such as **Cyclobenzaprine** 10mg to help with the neck and back stiffness. Additionally, you can consider taking **Ibuprofen** 400mg for pain relief. Since you mentioned tenderness in your chest and certain points, it may be helpful to rule out any musculoskeletal chest wall pain. However, considering your history and current symptoms, further cardiac testing may not be necessary at this point. To improve your posture and alleviate the neck and back pain, regular physiotherapy sessions focusing on postural correction and strengthening exercises may be beneficial. It is important to continue working with your physiotherapist to address the underlying cause of your symptoms. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.

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I've been having this strange cold sensation near my left chest, around the heart area, and it sometimes moves to my arms and legs. Not too long ago, I had heartburn for over three weeks, and my doctor recommended Robo 20 tablets which helped with that. But now, even after an ECG which came back normal, I'm still feeling this odd coldness near my heart. Could you give me some insights or advice on what might be going on?

Differential diagnosis coild be decongestion,GERD,Cold weather,etc, u can take tab ZIFI 200 mg twice daily for 5 days, if symtoms not subsiding ,cardiac opinion is advised.

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