What should I do about tachycardia?

Written by Chen Tian Hua
Cardiology
Updated on December 15, 2024
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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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Is it serious if young people have tachycardia?

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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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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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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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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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.