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High heart rate

Im 23 years old 2 weeks ago I had my heart rate really high got scared and went to er that same week I was taking diet pills been on thm for a month and half but I stoped takin them 4 days before that happened. ..anyways in er blood work is fine and ekg is fine so they send me home every since my resting heart rate is 90's when I walk its 109 or 120 went to the docotor all he really says is axiety.... I went to the cardiologist as of so far my echo is fine right now im on holter monitor
Poster
  • Male | 23 years old
  • Complaint duration: 15 days

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Featured Answer

1 UpVoted this answer
Holter monitor and treadmill ECG will give some answers.
Zilin Wang
1 UpVoted this answer
Sounds like you're getting excellent care to this point. Certainly the most serious possibility has to do with your heart but, especially in young patients like yourself, the most common cause has to do with lifestyle. Poor lifestyles (recreational drugs, excessive alcohol, minimal sleep) can cause similar symptoms as will unusual supplements/medications. Sounds like those diet pills are a likely culprit but I'd also be aware of the other possibilities assuming the cardiac workup doesn't capture something else.
Sumeet K. Goel
It sounds like the diet pills may have played a role in causing your fast heart rate. I agree with discontinuing them altogether. Thyroid and Hemoglobin levels should also be checked routinely. If your heart rate does not improve following discontinuation of the diet pills, a repeat monitor may be warranted.
The body is very resilient, especially when there is no underlying disease. This sudden tachycardia could be the result of an exogenous substance. Keep up the good work, glad you got rid of the THM. Avoid all drugs, coffee, smoking. Eliminate all source of anxiety, sleeplessness, and anger.
John Kouame
It could have indeed been caused by the diet pills, but ideally, they should have gotten out of your system by then. One thing not to forget is this: every primary doctor will check your thyroid gland by checking TSH, T3 and T4. Many primary doctors will not go deep enough to check for the thyroid inflammation, called Hashimoto Thyroiditis, by checking two additional blood tests, TPO and Thyroglobulin Ab; Often time TSH will come back normal, and patents will be labeled with anxiety, instead of looking deeper. Please make sure any of the doctors seeing you do these tests. Hope this helps, and good luck. Dr N
Petar N. Novakovic
See a holistic practitioner and have your adrenals checked. Heart-racing is often related to Adrenal function.
It could be your adrenal or other steroid hormones. Needs some labs to run and see a Naturopathic Physician
Theo Christodoulakis
I sounds like everything that needs to be done is being done. Several questions come to mind. What is your weight and blood pressure? What diet pills were you taking and why did you stop taking them? What blood work was done in the ER? How fast was your heart rate during these attacks and how long did the episode or episodes last?

Did you have any chest discomfort during the episodes? Does anyone in your family have a heart affliction? Has anyone been concerned about your cholesterol, blood sugar, or blood count in the past? Given your age and lack of previous cardiac complaints, PAT (Paroxysmal Atrial Tachycardia) is a possibility as well as symptoms from withdrawal of the medication you were taking.

Carey M Delcau, MD, FAAFP
Carey M Delcau
A lot of so-called diet pills are mild stimulants that may raise your resting heart rate as a side effect. Just finish your evaluation with your Cardiologist!
Alvin K. Eng
Get off the diet pills. They are notorious for causing high heart rates. You may have to ween yourself off because some of them can cause problems if you come off them too quickly. If you are suffering with anxiety, I would suggest you get into Yoga or Tai Chi and learn to manage your stress and anxiety. Meanwhile, keep in touch with your cardiologist.