Is it serious if young people have tachycardia?

Written by Di Zhi Yong
Cardiology
Updated on September 01, 2024
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Because patients often experience this kind of tachycardia and do not need special treatment, if the patient experiences palpitations and chest tightness, sometimes active treatment is still necessary. It is recommended that patients go to the hospital for an electrocardiogram. Early coronary heart disease or myocardial ischemia can also cause tachycardia, but for asymptomatic tachycardia, it is only necessary to observe regularly. In terms of diet, it is still necessary to have a low-salt, low-fat diet, and regularly monitor changes in the patient's heart rate, blood pressure, and pulse. If the patient's blood pressure rises, sometimes it is necessary to actively manage it by using some antihypertensive drugs.

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Written by Liu Yong
Cardiology
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Palpitations means tachycardia.

Tachycardia, as the name suggests, means that the heart beats fast. How many beats per minute constitute a fast heartbeat or tachycardia? Clinically, it is generally considered that a heartbeat exceeding 100 beats/min can be termed as tachycardia. There are various types of tachycardia, such as sinus tachycardia, supraventricular tachycardia, or ventricular tachycardia. There are also atrial tachycardia and junctional tachycardia. The origin of tachycardia varies, and its clinical significance is completely different. Therefore, it is essential to identify the nature of the tachycardia in order to treat it effectively. How to confirm the diagnosis? In this case, it is best to obtain an electrocardiogram during an episode. If the electrocardiogram at the moment of occurrence is not available, it is recommended to wear a 24-hour Holter monitor to determine the cause further. Only after identifying the cause can targeted treatment be administered.

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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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Why does tachycardia always cause hiccups?

If the patient experiences tachycardia accompanied by hiccuping, it may indicate an early-stage digestive system disorder. It is recommended for the patient to consume a light diet, eat smaller, more frequent meals, especially avoiding spicy and irritating foods, and to regularly undergo gastroscopy. Care should be taken with consuming spicy and irritating foods, and it is also advisable to regularly undergo electrocardiogram (ECG) check-ups at the hospital. Sometimes, the ECG may show signs of angina or myocardial ischemia, which can lead to excessive secretion of stomach acid and subsequently cause hiccuping. Additionally, a gastroscopy should be done to further clarify the diagnosis.

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Written by Li Hai Wen
Cardiology
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Is tachycardia related to being overweight?

Tachycardia generally has no relation to obesity. Clinically, tachycardia can be categorized into sinus tachycardia, paroxysmal supraventricular tachycardia, ventricular tachycardia, and other types, none of which have a definitive relation to obesity. There are many causes of tachycardia, such as fever, hyperthyroidism, and anemia. Additionally, certain structural heart diseases and pulmonary diseases can also lead to tachycardia. While obesity itself introduces a range of issues like hyperlipidemia, diabetes, and other metabolic abnormalities, which might affect the heart rate, this impact is usually not severe.

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Written by Di Zhi Yong
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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.