Medicine
/
Arrhythmias

Arrhythmias

Tachycardias

 

Sinus Tachycardia

 

Pathology:                    Tachycardia (rate >100)originating from sino-atrial node

 

Aetiology:                     Can be normal as a result ofincreased sympathetic drive e.g. exercise or anxiety

Pathological conditions includeinfection/sepsis, hyperthyroidism, PE and  

phaeochromocytoma

 

Symptoms:                   Usually asymptomatic, fast,regular palpitations

 

Signs:                              Regular fast pulse

 

Investigations:          Bloods:FBC, TFTs

24hourECG monitor: Detect arrhythmias

24hoururine collection: if phaeochromocytoma suspected

 

Treatment:                  Treatunderlying cause appropriately

 

Complications:          Complications are related to aetiology

 

Prognosis:                    Depends on aetiology, usuallygood

 

 

 

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Figure 1.3 Sinus Tachycardia

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