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Inappropriate Sinus Tachycardia & Pregnancy
Posted: 18 December 2013 12:54 PM   [ Ignore ]  
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Hi there,
I’ve had palpitations since I was 16. My aunt, mother and father all have either tachycardia or arrhythmia but my GP has always said that I’m fine and I’m too young to have heart problems. She wouldn’t even refer me to a cardiologist so I just gave up for a very long time. Finally, in September 2012, I had palpitations that lasted hours instead of minutes. I was just sitting at my desk, working and had been out of breath for an hour and figured I should go to the hospital. When I got there my heart rate was about 150 and in the 6ish hours I was there, it never got lower than 120. They sent me home with medication (metroprolol) and got my an apointment with a cardiologist. I’ve done so many holter monitor tests, i can’t remember them all. Most recently I’ve done the 2 week one. When i met my cardiologist he said that i had extra heart beats and highlighted them on the sheets of my test. He also switched my prescription to bisoprolol because the metroprolol only seemed to last a couple of hours. The next time i went back, my cardiologist said that i had inappropriate sinus tachycardia, it was somewhat normal in girls my age and usually went away on its own. I asked what we were going to do about the extra heart beats and he said I didn’t have extra heart beats….?? So, he changed his diagnosis. I haven’t been back because the bisoprolol seems to work well enough but some days, if i forget to take it, i’m exhausted, out of breath, I get fluttering which wakes me up at night, i feel like there’s a weight on my chest and my heat rate is about 110 if i forget a pill.
My big issue now is that my husband and I would like to start a family and it’s a huge headache to get an apointment with my cardiologist to see if i can take something else. Otherwise, when i get pregnant and cannot take the bisoprolol i will be very concerned about my health.
I don’t trust my cardiologists’ diagnosis and it will take almost a year to get an apointment with a new one. Could you give me your opinion on this please?

KR

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Posted: 22 December 2013 03:18 PM   [ Ignore ]   [ # 1 ]  
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Wow, this is a tough one! Can you tell us more? Do you have hypermobility? Any forms of POTS, IOH, do you faint, have any symptoms of dysautonomia, G.I. problems? I, too, ran into this when I was pregnant, but it was many years after I had my kids that the disorder began to reveal itself more fully. Fingers crossed for you! wink

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Dr.Diana, therapeutic optometrist disabled by EDS/POTS/ME/CFS for a decade, now recovered and practicing full-time at POTS Care cheese

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Posted: 24 December 2013 09:43 AM   [ Ignore ]   [ # 2 ]  
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Thanks for your reply! Well, I’ve had this for 10 years with no real diagnosis. I get really dizzy but i have never passed out/fainted. No hypermobility. I actually believe that it is POTS, no symptoms of dysautonomia either. I have had GERD in the past, in regards to G.I. problems but that hasn’t been an issue for a couple of years now.
I had seen my cardiologist after my 2 week holter monitor and he had diagnosed me with extra heartbeats. The next time i saw him he had changed him mind and diagnosed me with inappropriate sinus tachycardia. He said that everything is structurally sound and it will just eventually go away on its own.
I just saw my GP to get a referral for a different cardiologist. This new cardiologist has incredible reviews and my GP had studied with him in university. So, i should be seeing him in the next 6 months or so.
I was also wondering if you think bisoprolol is the right medication for someone with either POTS or inappropriate sinus tachycardia? I know it is primarily used to control high blood pressure and I have never had issues with my blood pressure.
Thank you for your insight!
Happy Holidays smile
KR

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