To prevent sinus tachycardia, attention must be paid to reducing individual risk factors. Behavioral risk factors Stimulant use Alcohol Caffeine (coffee etc.) Tobacco (smoking) Physical activity Physical exertion Psycho-social situation Anxiety Mental tension
The following symptoms and complaints may indicate sinus tachycardia: Leading symptom Tachycardia (rapid heartbeat; >100 beats per minute).
Therapy for sinus tachycardia depends on the cause. General measures Nicotine restriction (refraining from tobacco use). Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day). Limited caffeine consumption (max 240 mg of caffeine per day; equivalent to 2 to 3 cups of coffee or 4 to 6 … Sinus Tachycardia: Therapy
Medical history (history of illness) represents an important component in the diagnosis of sinus tachycardia. Family history Do you have relatives who suffer from palpitations or other cardiac arrhythmias? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). When did … Sinus Tachycardia: Medical History
Respiratory System (J00-J99) Chronic obstructive pulmonary disease (COPD). Pulmonary fibrosis – connective tissue-scarring remodeling of the lung tissue. Pulmonary edema (accumulation of water in the lungs) Pneumothorax – accumulation of air next to the lungs; usually an acute event, depending on the severity life-threatening clinical picture. Pneumonia (pneumonia) Sleep apnea syndrome – breathing pauses during … Sinus Tachycardia: Or something else? Differential Diagnosis
In infants and young children, during physical exertion or mental stress, sinus tachycardia is considered physiological, that is, without disease value. The following are the most important diseases or complications that can be caused by sinus tachycardia: Cardiovascular System (I00-I99) Increase in risk for cardiovascular disease (CVD). Psyche – Nervous System (F00-F99; G00-G99). Anxiety
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse (regular/irregular?), body weight, height; furthermore: Inspection (viewing). Skin, mucous membranes and neck Auscultation (listening) of the heart. Auscultation of the lungs
2nd order laboratory parameters – depending on the results of the medical history, physical examination, etc. – for differential diagnostic clarification Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Electrolytes – potassium, magnesium Thyroid parameters – TSH Highly sensitive cardiac troponin T (hs-cTnT) or troponin I (hs-cTnI) – to … Sinus Tachycardia: Lab Test
Therapeutic target Restoration of a normal heart rate Therapy recommendations Sinus tachycardia should be treated with medication only if the increase in rate is inappropriate. Inappropriate sinus tachycardia (IAST; see differential diagnoses for explanations of the clinical picture): Administration of beta-blockers; alternatives: Ivabradine or non-dihydropyridine-type calcium antagonists. In case of demand tachycardia (e.g., fever (per … Sinus Tachycardia: Drug Therapy
Obligatory medical device diagnostics. Electrocardiogram (ECG; recording of the electrical activity of the heart muscle) [a correct diagnosis from the surface ECG is possible in more than 90% of patients with tachycardic arrhythmias; sinus tachycardia has a narrow ventricular complex (QRS width ≤ 120 ms) and is therefore called narrow complex tachycardia] Optional medical device … Sinus Tachycardia: Diagnostic Tests
A deficiency symptom may indicate that there is an insufficient supply of vital substances (micronutrients). The complaint tachycardia indicates a deficiency of vital substances (micronutrients) for: Vitamin B1 Magnesium Potassium The above vital substance recommendations (micronutrients) were created with the help of medical experts. All statements are supported by scientific studies with high levels of … Sinus Tachycardia: Micronutrient Therapy
