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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated Pulse Rate And Extreme Fatigue?

Hi I am female 56 and having serious heart issue. When stressed my pulse runs 128-159 I have hig blood pressure since the age of 40. I have a completely occluded subclavian artery my stress test came clean. My heart is enlarged and permanently damaged they can not figure out why my pulse is racing and why I have extreme fatigue. I need some answers before I loose my job
Fri, 10 Oct 2014
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Psychiatrist,  's  Response
Hi welcome to HCM.
Enlarged heart in your case is due to long standing effect oh high blood pressure.Conduction of impulses can be aberrant in a hypertrophied heart which can give rise to palpitations resulting in elevated heart rate.This is usually termed as PSVT/supra ventricular tachycardia.Most of the cases are benign and asymptomatic.In cases causing distressing symptoms drug therapy in the form of beta blockers is warranted.Have a baseline ECG a 2 dimensional echocardiography to rule out organic heart disease.In resistant cases radio frequency ablation helps .Consult your Cardiologist for further help.
Thank You.
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What Causes Elevated Pulse Rate And Extreme Fatigue?

Hi welcome to HCM. Enlarged heart in your case is due to long standing effect oh high blood pressure.Conduction of impulses can be aberrant in a hypertrophied heart which can give rise to palpitations resulting in elevated heart rate.This is usually termed as PSVT/supra ventricular tachycardia.Most of the cases are benign and asymptomatic.In cases causing distressing symptoms drug therapy in the form of beta blockers is warranted.Have a baseline ECG a 2 dimensional echocardiography to rule out organic heart disease.In resistant cases radio frequency ablation helps .Consult your Cardiologist for further help. Thank You.