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Supraventricular Tachycardia Tips

Tachycardia - All About It!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Tachycardia - All About It!

Tachycardia
Tachycardia is also known as tachyarrhythmia. It is a common type of heart rhythm disorder. For adults, the normal resting heart rate is between 60 - 100 beats per minute. In tachyarrhythmia, the heart rate is greater than 100 beats per minute. The heart rate generally rises during exercise or when you take a lot of stress. But in case of tachycardia, the heartbeats are faster than normal in the upper or lower chambers or both while at rest. Various treatment options are available including medications and surgery to treat the heart disorder of tachycardia. Sometimes, people are not able to recognise the symptoms of tachycardia. Tachycardia can lead to serious heart problems or complications if not treated properly on time or left untreated. Heart failurestroke, sudden cardiac arrest, or death can be some of the serious complications of tachycardia. So, if you find out that you are suffering from the symptoms of tachycardia then should visit the doctor at the earliest for a diagnosis.

Symptoms
Due to the fast heartbeat rate, your heart is not able to pump the blood properly to your body. This can lead to various symptoms or signs of tachycardia:

-  Pain in the chest

-  Low blood pressure

-  Dizziness

-  Fainting

-  Shortness of breath

-  Lightheadedness

-  Rapid pulse rate

-  Heart palpitations

-  Sudden weakness

Sometimes, people do not experience the symptoms at all. They get to know about it from their doctor after the physical examination or electrocardiogram test.

 

Causes
Tachycardia happens when something disrupts the normal electrical impulses that control the rate of pumping action of your heart. Many things can cause the problem of tachycardia. Sometimes, it becomes hard to recognise the exact cause of tachycardia. Check out the various causes of tachycardia:

-  Drinking too much alcohol and beverages that contain caffeine can lead to the problem of tachycardia.

-  Many heart diseases including heart valve disease, heart failure, heart muscle disease, coronary artery disease, tumours, or infections can lead to the tachycardia.

-  Congenital heart conditions which are present at the time of birth can lead to tachycardia.

-  Sudden stress or hypertension can cause tachycardia.

-  Tachycardia can also happen due to smoking, the consumption of cocaine and some other recreational drugs.

-  Side effects can happen due to the intake of certain medicines which can result in tachycardia.

-  Electrolytes are the mineral-related substances required for conducting electrical impulses. The imbalance of electrolytes can lead to tachycardia.

-  Overactive thyroid, high or low blood pressure, fever, anaemia, certain lung diseases and more are some of the other causes of tachycardia.

How is it diagnosed?
As soon as you experience any or some of the symptoms of tachycardia, you should visit the doctor. The doctor will conduct a physical examination in order to diagnose the problem. Your doctor will ask you about your medical history and health habits. You may be asked to get some tests done including:

-  Electrocardiogram (ECG or ECK): It is a painless test done to diagnose tachycardia. The small sensors (electrodes) are attached to your chest or arms in order to record the electrical activity of your heart. This test helps your doctor to know what type of tachycardia you have and how problems in your heart leading to a fast heart rate. This test provides the information for a limited time period. If your doctor wants more information then he may ask you to use portable ECG devices.

-  Holter Monitor: It is a portable ECG device. This device helps to record your heart's activity for around 24 hours. You can easily carry this device in your pocket. It can also be worn on a belt or shoulder strap. If your doctor wants to check the record of your heart activity for a longer period then he may ask you to use this device.

-  Event Monitor: It is also a portable electrocardiogram device helps to monitor your heart activity for a few months or weeks. You wear this device for the whole day but it allows you to record the heart activity at the certain times. Whenever you experience the symptoms of fast heart rate, you have to push a button on the device in order to record. There are some monitors that automatically sense your abnormal heart rhythms and start recording your heart's activity. By the help of this, your doctor is able to see the activity of your heart at the time of your symptoms.

-  Electrophysiological test: This non-surgical test is done to confirm the diagnosis and to pinpoint the location where the problem is. In this test, a doctor inserts electrodes tipped catheters into your arm, groin or neck and guided through blood vessels to various spots in your heart. Electrophysiologist does this test in the EP lab.

-  Stress test: In the stress test, extra stress is given to you in order to check how your heart functions when it works hard. During this test, your doctor may ask you to do exercise may be on a treadmill or stationary bicycle and at the same time, your heart activity would be monitored.

-  Tilt-table test: If the electrocardiogram and Holter monitor fail to diagnose the problem then your doctor may perform a tilt-table test. This test helps to monitor the rhythm of the heart, blood pressure, and heart rate.

-  Blood tests: Blood tests help to know if thyroid problem or other substances leading to tachycardia.

-  Chest X-ray: Chest X-ray is done to check if your heart is enlarged. By the help of this test, the still images of your heart and lungs are taken to check their condition.

Prevention
A healthy lifestyle can reduce the risk of tachycardia. The problem of tachycardia can be prevented by making some changes in health habits including:

-  You should quit smoking.

-  The intake of beverages that contain caffeine should be reduced.

-  You should reduce the consumption of alcohol.

-  Exercise and weight loss can also reduce the risk of tachycardia.

-  Avoid the situations that give you stress.

-  Avoid having spicy and fatty food and stick to a healthy diet.

Treatment
The treatment depends on the cause of your tachycardia. It also depends on your age and health record. In tachycardia, the treatment is given to slow down the fast heart rate and minimize the complications that can arise in the future. The following treatment options are available for the people suffering from tachycardia:

Ways to slow down a fast heartbeat:
-  Vagal manoeuvres: It is an action performed to slow down your heart rate. Your doctor may ask you to perform this action during an episode of a fast heartbeat. The vagal nerve regulates your heartbeat and vagal manoeuvres affect this nerve. Manoeuvres include coughing, heaving as if you are having a bowel movement and putting an ice pack on the face.

-  Medications: If vagal manoeuvres do not show any result then your doctor may give you an injection of an anti-arrhythmic medication for restoring the normal heart rate. Your doctor may also recommend you pill version of an anti-arrhythmic drug.

-  Cardioversion: In this, an electric current is given to your heart through electrodes placed on your chest. This helps to restore a normal heart rhythm. This treatment method is used when there is an emergency or vagal manoeuvres and medications do not work with your type of tachycardia.

Ways to prevent episodes of a fast heart rate:
-  Catheter ablation: In this, doctor inserts catheters tipped with electrodes into your arm, neck or groin and guide them through the blood vessels to your heart. This method is used when an extra electrical pathway is the cause of increased heart rate.

-  Medications: Your doctor may ask you to have anti-arrhythmic medications in pills version regularly to prevent a fast heart rate. Calcium channel blockers and beta blockers are the other types of drugs that may be prescribed by your doctor as an alternative to or in combination with anti-arrhythmic medications.

-  Pacemaker: Pacemaker helps in treating some types of tachycardias. A pacemaker is a small device that is implanted under your skin through a surgery. An electrical pulse is emitted by this device whenever it senses an abnormal heartbeat. The electrical pulse helps your heart to resume a normal beat.

-  Implantable cardioverter: In this, a device of pager size named implantable cardioverter-defibrillator is implanted in your chest through a surgery. This device helps continuously to monitor your heartbeat, detect an increase in heart rate and deliver calibrated electrical shocks, if required, in order to restore a normal rhythm of the heart. This treatment is recommended if you are having a life-threatening tachycardia.

-  Surgery: Doctors recommend surgery when all the other options do not work or when surgery is required to treat another heart disorder. Open-heart surgery is generally done to damage an extra electrical pathway leading to tachycardia. The maze procedure is another type of surgery in which a surgeon makes small cuts in heart tissue.

-  Ways to prevent blood clots:

-  Blood-thinning medication: Those people who suffer from the heart disorder of tachycardia have a great risk of developing a blood clot. A blood clot can cause a heart attack or stroke. For this purpose, your doctor may prescribe you blood thinners to reduce the risk of developing a blood clot.

 

Complications
The various complications that are associated with tachycardia are:

-  Blood clots: This is one of the common complications of tachycardia. Due to tachycardia, the risk of developing blood clots increase. Blood clots formation can lead to a stroke or heart attack.

-  Heart failure: If your condition of tachycardia is not controlled on time then it can make your heart weak. Weak heart increases the chance of heart failure. In heart failure, the heart does not pump the blood properly to all the organs of the body. Due to this, the body of the person can be affected from the left side, right side or both the sides.

-  Sudden death: Sometimes, ventricular tachycardia can lead to sudden death.

-  Other complications: The other complications of tachycardia are fainting, dizziness, tiredness, fatigue, and shortness of breath.

Myths
Myth #1:
 If your heart rate is higher than the normal resting heart rate then it means you are stressed out.

In tachycardia, the heart rate is greater than the normal resting rate. It is true that stress can spike your heart rate. But heart rate can also rise due to other causes including fever, anemia, thyroid disease, consumption of alcohol and beverages containing caffeine, smoking and more.

Conclusion
Tachycardia is a heart disorder in which the heart rate is higher than the normal resting heart rate. The normal resting heart rate is between 60 - 100 beats per minute for adults. People who suffer from tachycardia experience the heart rate of greater than 100 beats per minute. Sometimes, people are not able to recognize tachycardia as they do not experience the symptoms at all. Your doctor can help you to diagnose tachycardia through the physical examination and various tests. As soon as you experience any or some of the symptoms of tachycardia, you should reach out to the best doctor. Fever, high or low blood pressure, lung diseases, anemia, consuming alcohol, smoking, drinking beverages having caffeine, thyroid disease and various heart diseases can lead to tachycardia.

2 people found this helpful

Postural Tachycardia Syndrome (POTS)

CCT (UK) General Psychiatry, MD-Psychiatry, MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Delhi
Postural Tachycardia Syndrome (POTS)


Postural tachycardia syndrome (pots) can be a life altering and debilitating chronic health condition. Simply standing up can be a challenge for people with pots as their body is unable to adjust to gravity. Pots is characterised by orthostatic intolerance (the development of symptoms when upright that are relieved by lying down). Symptoms include headaches, fatigue, palpitations, sweating, nausea, fainting and dizziness and are associated with an increase in heart rate from the lying to upright position of greater than 30 beats per minute, or a heart rate of greater than 120 beats per minute within 10 minutes of standing. 

Diagnosis:-

Detailed questioning of the patient is the key to accurate diagnosis. Physical examination and appropriate investigations are also important. Other causes of symptoms need to be considered and identified.

Patients are usually diagnosed by a cardiologist, neurologist or medicine for the elderly consultant.

To be given a diagnosis of pots, a person needs to have:

A sustained increase in heart rate of greater than 30 beats per minute within 10 minutes of standing those aged 12-19 years require an increase of at least 40 beats per minutethese criteria may not apply to those with a low heart rate when resting there is usually no drop in blood pressure on standing

Investigations

It may be necessary for patients to have some or all of the tests below

Electrocardiography (ecg)

An ecg is performed to rule out any heart problems that may cause symptoms similar to those found in pots.

The active stand test

The active stand test can be used to diagnose pots. Under careful supervision, heart rate and blood pressure are measured after resting lying down, then immediately upon standing and after 2, 5 and 10 minutes. This test may bring on symptoms of pots and some people may faint.

Head-up tilt table test

This involves lying on a table that can be tilted to an angle of 60 to 70 degrees in a quiet, dimly lit, temperature controlled room. Blood pressure and heart rate are recorded in a continuous manner. After a period of 5 to 20 minutes of lying flat, the table is tilted. Although a diagnosis of pots should be made by an increase in heart rate of 30 bpm within the first 10 minutes, this upright position can last between 10 and 45 minutes. The patient will be asked how they are feeling during the test, so symptoms can be matched with heart rate and blood pressure. The test will end if your blood pressure becomes too low, satisfactory results have been obtained, or the maximum time has elapsed.

If facilities are available, some patients are tilted after a carbohydrate drink (liquid meal challenge), exercise or heat.

24 hour ambulatory blood pressure and heart rate monitor

Sticky patches are applied to the chest and are linked to a little box which is attached by a belt your waist. It monitors heart rate over a 24 hour period. A blood pressure cuff on your arm will intermittently check your blood pressure. The patient is asked to go about their usual daily activities, trying to reproduce events that seem to cause the symptoms. A diary stating the time and activity performed at the moment when the symptoms started should be kept. Doctors look to see if there is a fast heart rate or drop in blood pressure at the time of symptoms.

Echocardiogram (heart ultrasound)

This test is to check if the heart’s structure is normal. In this test a technician will apply some jelly on the chest and will roll an ultrasound probe in many directions to create a 3 dimensional image of the heart. It is a painless and harmless test that similar to the ultrasound scan used routinely during pregnancy to look at the unborn baby.

24-hour urine collection 

Individuals with pots often have low urinary sodium levels of less than 150 millimole per 24 hours.

Another 24 hour urine collection may be carried out to test for high levels of noradrenaline and epinephrine to rule out pheochromocytoma (a growth on the adrenal gland) as a possible cause of symptoms.

Blood tests

Bloods are taken to rule out other conditions. These may include:

Kidney function blood count including ferritin liver tests thyroid tests calcium levels glucose

Blood can also be taken for norepinephrine whilst lying and then standing (or when upright on the tilt table); if levels exceed 600 picogram/millilitre, it may suggest hyperadrenergic pots.

Other tests which may be carried out

  • Eeg
  • Autonomic function screening tests
  • Sweat testing.
2 people found this helpful

Postural Tachycardia Syndrome - All You Need To Know About It?

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
Postural Tachycardia Syndrome - All You Need To Know About It?

Postural Tachycardia Syndrome or POTS, what this condition entails is a sudden and abnormal increase in the heart beat of an individual, causing them difficulty in breathing, dizziness, and even blackouts.
There are some factors that can trigger the situation and stem the sudden rise in the heart beat. Meeting with a medical expert may help bring the situation under control.

What is Postural Tachycardia Syndrome?
Postural Tachycardia Syndrome or POTS is a cardiovascular condition that is caused due to the sudden shift from an upright position to a supine position or vice versa. It is this sudden increase in heartbeat of an individual that is referred to as Tachycardia.

The longer you overlook this condition, the bigger is the trouble you are putting your health in. This is when it becomes extremely important for you to get in touch with a medical expert, who can offer you perfect consultancy, diagnose the causes and also find a result for the same.

What Causes POTS?
According to medical specialists, there are some factors that this condition stems from and it all differs from one person to the other. Some of the most common causes of the condition are-

  1. Joint Hypermobility Syndrome
  2. Faulty Gene
  3. Poisoning
  4. Amyloidosis
  5. Lupus
  6. Diabetes
  7. Sarcoidosis
  8. Siogren’s Syndrome
  9. Cancer

Signs of Postural Tachycardia Syndrome:
There are multiple signs that indicate that an individual is stricken by Postural Tachycardia Syndrome. Some of the more common signs and symptoms include:

  1. Orthostatic HypotensionOrthostatic Hypotension refers to the sudden increase in the heart beat by at least 30 beats per minute, within or after 10 minutes of rising up from a sitting or lying down position. Though the condition increases the heart rate, it does not trigger any drop or rise in blood pressure. Certain medications used to diminish this effect often extend some side effects, such as lightheadedness, palpitation, difficulty to breath, discomfort in the chest, weakness, heaviness in the chest area, nausea, cognitive difficulties and also stain on the vision.
  2. Effects in Response to Postural Change: Almost one-third of the people with Postural Tachycardia Syndrome are noticed to faint as a result of the increased heartbeat, almost 40 beats minutes, instead of the chance in postural position. Other symptoms under this head include a headache, migraine, disturbance in sleep, fatigue, acrocyanosis or blood pooling in feet, etc.
  3. Ehlers- Danlos Syndrome (EDS): Sometimes POTS is found to coexist in an individual with other conditions, such as EDS. This condition makes an individual prone to dislocation of bones, greater laxity in skin, loose- clicking joints, chronic fatigue, reduced level of tolerance towards any exercise, etc. According to medical specialists, though these are common symptoms of POTS, there might also be other signs. These signs and symptoms differ from one person to the other.

When Should You Consult a Doctor?
The moment you experience a POTS attack or for that matter notice some of the symptoms of the condition, it is time for you to consult a medical expert. The doctor will give you valued consultation, as well as diagnose the condition properly, thus finding the best treatment and suitable medication for you.

1960 people found this helpful

Postural Tachycardia Syndrome - What Are The Causes Of It?

Non-invasive Cardiology
Ayurveda, Thane
Postural Tachycardia Syndrome - What Are The Causes Of It?

Postural Tachycardia Syndrome or POTS, what this condition entails is a sudden and abnormal increase in the heart beat of an individual, causing them difficulty in breathing, dizziness, and even blackouts.
There are some factors that can trigger the situation and stem the sudden rise in the heart beat. Meeting with a medical expert may help bring the situation under control.

What is Postural Tachycardia Syndrome?
Postural Tachycardia Syndrome or POTS is a cardiovascular condition that is caused due to the sudden shift from an upright position to a supine position or vice versa. It is this sudden increase in heartbeat of an individual that is referred to as Tachycardia.

The longer you overlook this condition, the bigger is the trouble you are putting your health in. This is when it becomes extremely important for you to get in touch with a medical expert, who can offer you perfect consultancy, diagnose the causes and also find a result for the same.

What Causes POTS?
According to medical specialists, there are some factors that this condition stems from and it all differs from one person to the other. Some of the most common causes of the condition are-

  1. Joint Hypermobility Syndrome
  2. Faulty Gene
  3. Poisoning
  4. Amyloidosis
  5. Lupus
  6. Diabetes
  7. Sarcoidosis
  8. Siogren’s Syndrome
  9. Cancer

Signs of Postural Tachycardia Syndrome:
There are multiple signs that indicate that an individual is stricken by Postural Tachycardia Syndrome. Some of the more common signs and symptoms include:

  1. Orthostatic HypotensionOrthostatic Hypotension refers to the sudden increase in the heart beat by at least 30 beats per minute, within or after 10 minutes of rising up from a sitting or lying down position. Though the condition increases the heart rate, it does not trigger any drop or rise in blood pressure. Certain medications used to diminish this effect often extend some side effects, such as lightheadedness, palpitation, difficulty to breath, discomfort in the chest, weakness, heaviness in the chest area, nausea, cognitive difficulties and also stain on the vision.
  2. Effects in Response to Postural Change: Almost one-third of the people with Postural Tachycardia Syndrome are noticed to faint as a result of the increased heartbeat, almost 40 beats minutes, instead of the chance in postural position. Other symptoms under this head include a headache, migraine, disturbance in sleep, fatigue, acrocyanosis or blood pooling in feet, etc.
  3. Ehlers- Danlos Syndrome (EDS): Sometimes POTS is found to coexist in an individual with other conditions, such as EDS. This condition makes an individual prone to dislocation of bones, greater laxity in skin, loose- clicking joints, chronic fatigue, reduced level of tolerance towards any exercise, etc. According to medical specialists, though these are common symptoms of POTS, there might also be other signs. These signs and symptoms differ from one person to the other.

When Should You Consult a Doctor?
The moment you experience a POTS attack or for that matter notice some of the symptoms of the condition, it is time for you to consult a medical expert. The doctor will give you valued consultation, as well as diagnose the condition properly, thus finding the best treatment and suitable medication for you.

Postural Tachycardia Syndrome - Signs That You Need To Be Aware Of!

Ph.D Cardiology, M.D, Higher secondary
Cardiologist, Noida
Postural Tachycardia Syndrome - Signs That You Need To Be Aware Of!

Postural Tachycardia Syndrome or POTS, what this condition entails is a sudden and abnormal increase in the heart beat of an individual, causing them difficulty in breathing, dizziness, and even blackouts.
There are some factors that can trigger the situation and stem the sudden rise in the heart beat. Meeting with a medical expert may help bring the situation under control.

What is Postural Tachycardia Syndrome?
Postural Tachycardia Syndrome or POTS is a cardiovascular condition that is caused due to the sudden shift from an upright position to a supine position or vice versa. It is this sudden increase in heartbeat of an individual that is referred to as Tachycardia.

The longer you overlook this condition, the bigger is the trouble you are putting your health in. This is when it becomes extremely important for you to get in touch with a medical expert, who can offer you perfect consultancy, diagnose the causes and also find a result for the same.

What Causes POTS?
According to medical specialists, there are some factors that this condition stems from and it all differs from one person to the other. Some of the most common causes of the condition are-

  1. Joint Hypermobility Syndrome
  2. Faulty Gene
  3. Poisoning
  4. Amyloidosis
  5. Lupus
  6. Diabetes
  7. Sarcoidosis
  8. Siogren’s Syndrome
  9. Cancer

Signs of Postural Tachycardia Syndrome:
There are multiple signs that indicate that an individual is stricken by Postural Tachycardia Syndrome. Some of the more common signs and symptoms include:

  1. Orthostatic HypotensionOrthostatic Hypotension refers to the sudden increase in the heart beat by at least 30 beats per minute, within or after 10 minutes of rising up from a sitting or lying down position. Though the condition increases the heart rate, it does not trigger any drop or rise in blood pressure. Certain medications used to diminish this effect often extend some side effects, such as lightheadedness, palpitation, difficulty to breath, discomfort in the chest, weakness, heaviness in the chest area, nausea, cognitive difficulties and also stain on the vision.
  2. Effects in Response to Postural Change: Almost one-third of the people with Postural Tachycardia Syndrome are noticed to faint as a result of the increased heartbeat, almost 40 beats minutes, instead of the chance in postural position. Other symptoms under this head include a headache, migraine, disturbance in sleep, fatigue, acrocyanosis or blood pooling in feet, etc.
  3. Ehlers- Danlos Syndrome (EDS): Sometimes POTS is found to coexist in an individual with other conditions, such as EDS. This condition makes an individual prone to dislocation of bones, greater laxity in skin, loose- clicking joints, chronic fatigue, reduced level of tolerance towards any exercise, etc. According to medical specialists, though these are common symptoms of POTS, there might also be other signs. These signs and symptoms differ from one person to the other.

When Should You Consult a Doctor?
The moment you experience a POTS attack or for that matter notice some of the symptoms of the condition, it is time for you to consult a medical expert. The doctor will give you valued consultation, as well as diagnose the condition properly, thus finding the best treatment and suitable medication for you. In case you have a concern or query you can always consult an expert & get answers to your questions!

3244 people found this helpful

Postural Orthostatic Tachycardia Syndrome (POTS): Causes And Symptoms Behind It

MBBS, MD , DM Cardiology
Cardiologist, Bhopal
Postural Orthostatic Tachycardia Syndrome (POTS): Causes And Symptoms Behind It

Postural Tachycardia Syndrome or POTS, what this condition entails is a sudden and abnormal increase in the heart beat of an individual, causing them difficulty in breathing, dizziness, and even blackouts.
There are some factors that can trigger the situation and stem the sudden rise in the heart beat. Meeting with a medical expert may help bring the situation under control.

What is Postural Tachycardia Syndrome?
Postural Tachycardia Syndrome or POTS is a cardiovascular condition that is caused due to the sudden shift from an upright position to a supine position or vice versa. It is this sudden increase in heartbeat of an individual that is referred to as Tachycardia.

The longer you overlook this condition, the bigger is the trouble you are putting your health in. This is when it becomes extremely important for you to get in touch with a medical expert, who can offer you perfect consultancy, diagnose the causes and also find a result for the same.

What Causes POTS?
According to medical specialists, there are some factors that this condition stems from and it all differs from one person to the other. Some of the most common causes of the condition are-

  1. Joint Hypermobility Syndrome
  2. Faulty Gene
  3. Poisoning
  4. Amyloidosis
  5. Lupus
  6. Diabetes
  7. Sarcoidosis
  8. Siogren’s Syndrome
  9. Cancer

Signs of Postural Tachycardia Syndrome:
There are multiple signs that indicate that an individual is stricken by Postural Tachycardia Syndrome. Some of the more common signs and symptoms include:

  1. Orthostatic HypotensionOrthostatic Hypotension refers to the sudden increase in the heart beat by at least 30 beats per minute, within or after 10 minutes of rising up from a sitting or lying down position. Though the condition increases the heart rate, it does not trigger any drop or rise in blood pressure. Certain medications used to diminish this effect often extend some side effects, such as lightheadedness, palpitation, difficulty to breath, discomfort in the chest, weakness, heaviness in the chest area, nausea, cognitive difficulties and also stain on the vision.
  2. Effects in Response to Postural Change: Almost one-third of the people with Postural Tachycardia Syndrome are noticed to faint as a result of the increased heartbeat, almost 40 beats minutes, instead of the chance in postural position. Other symptoms under this head include a headache, migraine, disturbance in sleep, fatigue, acrocyanosis or blood pooling in feet, etc.
  3. Ehlers- Danlos Syndrome (EDS): Sometimes POTS is found to coexist in an individual with other conditions, such as EDS. This condition makes an individual prone to dislocation of bones, greater laxity in skin, loose- clicking joints, chronic fatigue, reduced level of tolerance towards any exercise, etc. According to medical specialists, though these are common symptoms of POTS, there might also be other signs. These signs and symptoms differ from one person to the other.

When Should You Consult a Doctor?
The moment you experience a POTS attack or for that matter notice some of the symptoms of the condition, it is time for you to consult a medical expert. The doctor will give you valued consultation, as well as diagnose the condition properly, thus finding the best treatment and suitable medication for you.

3958 people found this helpful

Postural Tachycardia Syndrome - What Are The Signs Of It?

Dr. S N Panda 85% (10 ratings)
Fellowship in Electrophysiology, DM - Cardiology, MD - Medicine
Cardiologist, Bhubaneswar
Postural Tachycardia Syndrome - What Are The Signs Of It?

Postural Tachycardia Syndrome or POTS, what this condition entails is a sudden and abnormal increase in the heart beat of an individual, causing them difficulty in breathing, dizziness, and even blackouts.
There are some factors that can trigger the situation and stem the sudden rise in the heart beat. Meeting with a medical expert may help bring the situation under control.

What is Postural Tachycardia Syndrome?

Postural Tachycardia Syndrome or POTS is a cardiovascular condition that is caused due to the sudden shift from an upright position to a supine position or vice versa. It is this sudden increase in heartbeat of an individual that is referred to as Tachycardia.

The longer you overlook this condition, the bigger is the trouble you are putting your health in. This is when it becomes extremely important for you to get in touch with a medical expert, who can offer you perfect consultancy, diagnose the causes and also find a result for the same.

What Causes POTS?
According to medical specialists, there are some factors that this condition stems from and it all differs from one person to the other. Some of the most common causes of the condition are-

  1. Joint Hypermobility Syndrome
  2. Faulty Gene
  3. Poisoning
  4. Amyloidosis
  5. Lupus
  6. Diabetes
  7. Sarcoidosis
  8. Siogren’s Syndrome
  9. Cancer

Signs of Postural Tachycardia Syndrome:
There are multiple signs that indicate that an individual is stricken by Postural Tachycardia Syndrome. Some of the more common signs and symptoms include:

  1. Orthostatic HypotensionOrthostatic Hypotension refers to the sudden increase in the heart beat by at least 30 beats per minute, within or after 10 minutes of rising up from a sitting or lying down position. Though the condition increases the heart rate, it does not trigger any drop or rise in blood pressure. Certain medications used to diminish this effect often extend some side effects, such as lightheadedness, palpitation, difficulty to breath, discomfort in the chest, weakness, heaviness in the chest area, nausea, cognitive difficulties and also stain on the vision.
  2. Effects in Response to Postural Change: Almost one-third of the people with Postural Tachycardia Syndrome are noticed to faint as a result of the increased heartbeat, almost 40 beats minutes, instead of the chance in postural position. Other symptoms under this head include a headache, migraine, disturbance in sleep, fatigue, acrocyanosis or blood pooling in feet, etc.
  3. Ehlers- Danlos Syndrome (EDS): Sometimes POTS is found to coexist in an individual with other conditions, such as EDS. This condition makes an individual prone to dislocation of bones, greater laxity in skin, loose- clicking joints, chronic fatigue, reduced level of tolerance towards any exercise, etc. According to medical specialists, though these are common symptoms of POTS, there might also be other signs. These signs and symptoms differ from one person to the other.

When Should You Consult a Doctor?
The moment you experience a POTS attack or for that matter notice some of the symptoms of the condition, it is time for you to consult a medical expert. The doctor will give you valued consultation, as well as diagnose the condition properly, thus finding the best treatment and suitable medication for you.

1 person found this helpful

S. V. T.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad

Tachycardia means a rapid heart rate of more than 100 beats per minute. Supraventricular means the problem starts in the upper part of your heart, above your ventricles (the lower chambers of your heart). If you have SVT, your heart may beat at a rate of about 140 to 250 beats per minute.

SVT episodes usually don't last long and go away on their own without any treatment. They often happen in young, healthy people. You will usually get fewer episodes of SVT as you get older, but you may find that the symptoms get worse. How long an episode lasts can vary from a few seconds or minutes, to several hours.

Supraventricular tachycardia (SVT) doesn't always cause symptoms but you’re more likely to have symptoms if you already have heart disease.
Symptoms you may get during an episode of SVT include:
being aware of your heart suddenly beating faster (heart palpitations)
feeling dizzy
feeling short of breath
chest pain
fainting 
These symptoms may be caused by problems other than SVT.
You may need to have a test called an ECG. An ECG records the electrical activity in your heart to see how well it's working. 
ECHO - This test uses ultrasound to provide a clear image of your heart muscles and valves and can show how well your heart is working. 
you can take antiarrhythmic medicines by doctor.
These include beta-blockers, calcium-channel blockers and antiarrhythmic medicines. You can also take them to prevent further SVT episodes. 
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Irregular Heartbeat - Complications It Can Cause?

Multi Speciality
Cardiologist, Delhi
Irregular Heartbeat - Complications It Can Cause?

As the nomenclature appears to indicate, Arrhythmia is a condition where the heartbeat of the affected person does not conform to the rhythm it is designed for. But there are cases of Arrhythmia where the normal heartbeat is available as well. The underlying causes of the condition can be many, including a disorder in the coronary artery and the person having suffered a heart attack or undergone a heart surgery. The irregular heartbeat is medically referred to as fibrillation.

The fact is Arrhythmia manifests itself in different types. They are as below:

  1. Atrial fibrillation: This is one of the most common forms of Arrhythmia and the condition is described as irregular beating of the arterial chambers. Atrial fibrillation is observed more in older people than the younger ones. The quivering of the chambers while contracting is described as fibrillation. There are cases where the heartbeat rate reaches 350 per minute.
  2. Atrial flutter: There is actually a fine difference between Atrial flutter and Atrial fibrillation. While in the former, the quivering appears to follow a pattern, in the latter, it is random and sporadic. In both the conditions, the pumping of blood through the arteries is irregular, which is a risky condition for the patient. The rate of heartbeat in the case of patients suffering from Atrial flutter can be as high as 250 to 350 per minute. There can be rare instances of people having both these conditions.
  3. Supraventricular and Ventricular tachycardia: In both these cases, the person suffers rapid heartbeat. In the case of the ventricular tachycardia, the underlying cause is said to be some abnormal electrical impulse and could be triggered by a scar suffered from an already occurred heart attack. In the case of the Supraventricular tachycardia, the heartbeats can be accelerated at rates of 200 beats per minute. Besides these, there are also Long QT syndrome and Bradycardia. Bradycardia is a condition where the rate of heartbeat is slow but the condition itself is not considered very serious by the specialists.

Complications Arising from Arrhythmia
As described the disease Arrhythmia basically relates to irregular heartbeat. And, this automatically results in reduced pumping of blood into the system. This process can lead to situations where sufficient blood does not reach the brain and that can lead to the person suffering a stroke. Depending on the individual cases strokes can sometimes lead to death as well.

The other two types, bradycardia and tachycardia described above, meaning slow or rapid pumping of the heart, can lead to a failure of the heart unless timely treatment is administered. There is also a school of thought, which seems to suggest there is a link between the fibrillation type Arrhythmia and the onset of Alzheimer’s. Consult an Expert & get answers to your questions!

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Fast Heart Rate - Symptoms, Causes and Treatments

M.Ch - Cardio Thoracic Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Jalandhar
Fast Heart Rate - Symptoms, Causes and Treatments

What is Tachycardia?
Tachycardia is the medical term for a fast heart rate. When a person’s heart beats more than 100 times per minute, he/she is said to be suffering from tachycardia. Atria and Ventricles (both left and right) are the four major parts of the heart. They contract and expand so that blood can be pumped out of the heart and oxygen reaches all the organs of the body. Now, this pumping occurs at a stable pace, owing to electrical impulses that activate the pumping in the first place. When an underlying medical condition or a defect in the heart disrupts these electrical impulses a person is confronted with tachycardia.

Symptoms
In many people, no symptoms are observed until and unless it is detected by a blood pressure device or a tool that checks the pulse rate. But if the heart rate is significantly high a person might feel dizzy, fatigued. He/she can also suffer from shortness of breath, palpitation as well as chest pain.

When the heart beats faster than usual the oxygen in the body gets depleted, which can result in the death of myocardial cells, leading to heart attack.

Causes
Heart diseases like coronary artery disease, heart valve disease, heart muscle disease, tumors or infection can lead to increased rate of heart beat. Apart from that, other conditions that might lead to tachycardia are: stress, hormonal disorders, especially in case one is suffering from hyperthyroidism, blood loss etc.

Treatment
Medications

  1. If there is an underlying medical defect that is causing the increased heart rate in the first place, it needs to be treated. For example, if a person is suffering from hypothyroidism then medicines are prescribed to regulate the function of the thyroid glands.
  2. If tachycardia develops as a result of weakened heart muscle then medicines are given to strengthen the heart.
  3. Beta blockers are given to check the defective electrical impulse in the heart, if that is the cause of tachycardia. Depending on the condition of the patient anti-arrhythmic medicines might also be given.
  4. People who stand at a risk of receiving a stroke as a result of this condition are prescribed warfarin.

Surgery and Implantation
Implantable cardioverter defibrillator
This procedure involves the insertion of an artificial device in the heart that controls the heart rate. It is equipped to send an electrical shock whenever it detects defective electrical impulse in the heart. In other words, it is designed to mechanically deflect the erroneous impulse.

Surgery
If medications fail to rectify the disorder, a surgery has to be performed. In this case, a section of the heart tissue is removed through operation. The scar that is left by the operation controls defective electrical impulse as a scar tissue is affirmed to be a bad conductor of electricity.

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