Tachycardia

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Written by Chen Tian Hua
Cardiology
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What should I do about tachycardia?

When tachycardia occurs, it is important to actively identify the cause of the tachycardia and actively treat the underlying disease causing the tachycardia. If it is caused by heart failure, it is essential to actively provide anti-heart failure treatment to control the heart failure. Once the heart failure is stabilized, long-term administration of beta-blockers should be given to effectively control the heart rate. In cases of rapid arrhythmias, anti-arrhythmic drugs should be administered timely. If arrhythmias recur frequently and there are indications, radiofrequency ablation surgery can be performed. Patients with hyperthyroidism should be treated to reduce the synthesis and secretion of thyroid hormones, bringing them back to normal levels. If the tachycardia arises from mental stress, emotional fluctuations, or exercise, no special treatment is necessary. It only requires stabilization of the tense emotions, relaxation, and proper rest; the heart rate will quickly return to normal.

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Written by Liu Ying
Cardiology
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"Tachycardia" means heart beats too fast.

We define a heart rate over 100 beats per minute as tachycardia, which can be sinus tachycardia, atrial tachycardia, junctional tachycardia, among others. Moreover, tachycardia can be physiological or pathological. For instance, a person experiencing tachycardia during intense physical activity or emotional excitement without any organic disease, and if this tachycardia is sinus tachycardia, then it is considered related to the intense activity or emotional state. On the other hand, conditions like anemia, hyperthyroidism, or heart failure can also lead to tachycardia. Whether tachycardia is physiological or pathological, and whether it is sinus or caused by other pacemakers in the heart, should be determined by a specialist.

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Written by Di Zhi Yong
Cardiology
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Can tachycardia resolve on its own?

Tachycardia can resolve on its own, but this is typically under physiological conditions. Especially in situations of stress or emotional excitement, tachycardia can resolve on its own. However, if it is due to a pathological disease, this is not the case. Particularly, it is important to re-examine the electrocardiogram, monitor changes in heart rate, blood pressure, and pulse. If the heart rate is too fast and blood pressure is elevated, sometimes active treatment and symptom control are necessary. Additionally, if it cannot resolve on its own, it is first necessary to rule out coronary heart disease, psychological disorders, and other pathological changes that might cause this condition.

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Written by Li Hai Wen
Cardiology
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How is tachycardia and atrial fibrillation treated?

Treatment of tachycardia and atrial fibrillation mainly involves the following aspects of drug therapy. First, controlling the heart rate. When the heartbeat is too fast, under the guidance of a doctor, β-blockers such as metoprolol or drugs like digoxin can be administered regularly to control the heartbeat and improve symptoms. Second, anticoagulant therapy. Long-term episodes of atrial fibrillation can cause thrombosis in the left atrium, especially in the left atrial appendage. When the thrombus dislodges, it can cause thrombotic complications, such as a cerebral infarction. In such cases, long-term anticoagulant medication is necessary to prevent thrombosis, using drugs such as rivaroxaban or warfarin. Third, surgical treatment, such as radiofrequency ablation surgery, may potentially cure atrial fibrillation.

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Written by Di Zhi Yong
Cardiology
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Is tachycardia dangerous?

If the patient frequently experiences this type of tachycardia with a heart rate exceeding one hundred beats per minute, it is recommended that the patient visit a hospital to undergo an electrocardiogram examination. If tachycardia is confirmed, it is advised to identify the underlying cause. For tachycardia occurring under conditions of anxiety or stress, it is advised that the patient actively manage and control their heart rate to alleviate symptoms such as palpitations and chest tightness. If the patient presents with other complications, especially conditions like coronary heart disease or diabetes with hypertension, it is crucial to actively manage the tachycardia. Sometimes, medication may be necessary to treat this condition.

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Written by Zhang Yue Mei
Cardiology
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Does tachycardia cause fever?

Tachycardia does not cause fever, but fever can cause tachycardia. During a fever, the body's metabolism increases and the heart rate speeds up, a phenomenon commonly seen in colds, viral infections, and bacterial infections. After a clear diagnosis through blood tests, effective medication treatment should be administered. Once the body temperature normalizes, the tachycardia will be relieved. If the tachycardia is not caused by fever, an electrocardiogram should be conducted to determine the cause of the tachycardia, and effective medication should be used under the guidance of a doctor to adjust it.

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Written by Di Zhi Yong
Cardiology
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How long will it take for tachycardia to get better?

If a patient experiences this kind of tachycardia, it is important to seek medical attention promptly, preferably conducting an electrocardiogram, as this can further clarify the diagnosis. Simple tachycardia does not require special treatment, as early-stage tachycardia can heal on its own or improve gradually. In terms of diet, it is still recommended that patients adhere to a light diet, particularly avoiding spicy and stimulating foods. If a patient experiences this kind of rapid heartbeat, they can use some medications to control the ventricular rate, thereby improving the symptoms.

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Written by Zhang Yue Mei
Cardiology
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What is the pulse rate for tachycardia?

Under normal circumstances, each heartbeat of a healthy individual generates one pulse, with the pulse rate being equal to the heart rate. During tachycardia, the pulse rate increases. If the heart rate and pulse rate are not the same, it indicates arrhythmia. This discrepancy between pulse rate and heart rate can be caused by severe arrhythmias, such as ventricular premature beats, atrial premature beats, atrial fibrillation, and significant atrioventricular block. This condition occurs because the strength and speed of heartbeats vary, with some weak heartbeats not being strong enough to be reflected in the pulse, leading to an inconsistency between heartbeats and pulse. This condition requires an electrocardiogram.

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Written by Di Zhi Yong
Cardiology
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How to quickly recover from tachycardia?

If a patient experiences tachycardia, it needs to be actively addressed, and the patient is advised to go to the hospital to get an electrocardiogram. If the heart rate is too fast, it can lead to an increased myocardial oxygen consumption, resulting in states of ischemia and hypoxia. It is currently necessary to visit the hospital promptly for treatment to improve this condition of myocardial tachycardia or myocardial ischemia. Some medications that improve myocardial function can be used to control the ventricular rate. For sinus tachycardia, no special treatment is required; regular monitoring is sufficient. In terms of treatment, symptomatic treatment is primarily emphasized, along with rest, particularly establishing a good routine. Adjusting the frequency of deep inhalation or exhalation can also bring improvement.

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Written by Liu Yong
Cardiology
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What is tachycardia?

Tachycardia can be caused by nervousness, anemia, hyperthyroidism, staying up late, cervical spondylosis, myocardial ischemia, hypoglycemia, high blood pressure, or low blood pressure, etc. Normal people may also experience faster heart rates when eating, climbing stairs, walking, exercising, feeling nervous, or when drunk. Tachycardia is just a symptom, and it is advised to visit a regular hospital for relevant examinations to obtain a clear diagnosis and appropriate treatment. It is also important to avoid being picky with food, not to consume too much junk food, and to drink teas that may improve microcirculation. Engaging in aerobic breathing exercises or beneficial health and wellness therapies can boost resistance. Additionally, one should not smoke or be around smokers, nor live in newly renovated houses to avoid potential discomfort.