Hello doctor, I am a female, 28 years old. I do not smoke or play sports or have alcohol. I have BP borderline (130/85) at rest, I suffer from tachycardia at rest. I often have ventricular extrasystoles, frequent bigeminy, and couples of VT. My heart is mad and begins to beat very fast and loud at rest without exercise with chest pain. When I was a child I got echocardiography done that diagnosed a mild mitral regurgitation but I never have done other exams. I got EKG done some days ago, the heartbeat is very very fast at rest. I would like to have an opinion on my EKG, what is it showing?
Hi. Your EKG shows sinus tachycardia and probably left ventricular hypertrophy (attachment removed to protect patient identity). As you said you had mild valvular leakage, there might be some other problem as well. Therefore I advise you to have echocardiography done. If your heart rate is high at almost all the times then also have ambulatory EKG (Holter monitoring) done for 24 hours. Sometimes this tachycardia is due to anxiety, pain, anemia, infection, and hyperthyroidism. So, ruling out these entities is a must. Followup after having done the advised tests within 10 days, so you can be guided better and proper. Anxiety, anemia, hyperthyroidism, pain, infection. CBC, TSH, echo, 24 hours Holter monitoring, ESR. Tablet Atenolol 50 mg daily (only after having Holter monitoring done and ruling out other causes of fast heart rate).