How to manage sinus tachycardia, fatigue, and chest pain?

Question

Hi doctor,

I have tachycardia, with an average heart rate between 110 to 130 beats per minute while standing. On the other hand, lying down, it is just 80 to 100 beats per minute. I am easily fatigued and have mild chest pain. ECG shows sinus tachycardia, abnormal depolarization nonspecific, poor R progression in right pericardial leads, QRS within normal limits, and prolonged QT interval. My blood pressure is normal. I have been experiencing it for the past seven days. My blood tests are all normal. Please help.

Thank you.

Answer 1

Hello,

I appreciate you signing up on icliniq.com.

You now have exclusive access to expert medical opinion. Having gone through all that you have written, you have long QT syndrome, which is the cause of your rapid heartbeat. This could be genetic or could be caused by certain medications like diuretics, etc. Since your blood tests are all normal, I will not advise any medication for now. But I would like you to always be aware of changes in your body, like sudden arousal from sleep or fainting. Avoid overstressing yourself, especially with strenuous exercises. Tell people around you about your condition (friends and family) in case of an event, such as a seizure or fainting.

I hope this helps.

Please revert so I can assist you further.

Thank you.