Inappropriate sinus tachycardia

[@JessicaLimke]

Finally. A reputable member of the medical community acknowledges this condition in a public manner! I have dealt with this for years. Beta blockers semi worked but made me even more tired, so basically I have accepted that it's just a part of life and I just gotta deal. Because it is not a widely diagnosed condition, and there isn't a lot of literature for family physicians. Only a well accomplished cardiologist will diagnose this condition, leaving a lot of sufferers left with the question of "Am I crazy? Do I just have anxiety?" You literally feel like you're dying. I lay down at night and I can hear my heart pounding like a muffled Doppler in my ears. Any type of light physical activity leaves me breathless in minutes, my head gets congested and I get dizzy. I also have very low blood pressure with this and it is considered to be a common symptom with IST. Which in itself can be annoying and cause pots like symptoms. Thank you for making this video! I hope it goes viral amongst the medical social communities.

[@mark5845]

i seem to have the exact same symptoms as you , on high dose beta blockers, i had an ablation for SVT and it really helped for a few years with IST and i could sleep and almost came off all meds, but now without beta blockers, i cant sleep as my heart rate pounds so fast and hard, be good to talk to hear your experience too. fed up of being told its anxiety!

[@ssaini5028]

you try supplementing Magnesium? I heard that can normalize the heart beat

[@ohlindsie9114]

Me too!!! I'm on metoprolol and it makes me so tired. I feel lazy needing to nap/lay down all the time but I cannot help it. I thought I was crazy. And I can't tell the difference between anxiety and a tachycardia episode. I can't even run around the block without head congestion and dizziness as well. Goodness. I'm glad I'm not alone.

[@k8lynmae]

Jessica Limke My Sri Lankan specialist who looks after my heart and other conditions is not a cardiologist as such and he diagnosed my IST !!

[@progress7617]

So how you cured your IST? I also can't function on beta,couse tachycardia is not always active,and when i cool down than beta blockers block me,not just adrenaline

[@sylinawilliams267]

It feels very reassuring to know that this won’t shorten my life span, thank you doctors

[@sylviagoodman7642]

You're the best doctor I have ever listened to

[@c-bz1129]

God your gorgeous got my heart racing

[@nobonitaganguly7582]

@@peggymicsky8607 No. Inappropriate response. Relax. Let him enjoy the adulation. Handsome is as handsome does. And he both "is" and "does". you ought to love these comments!!! This comes from a 62 year old woman!!

[@peggymicsky8607]

Do you know Dr. Gupta? I doubt he needs you to fight his battles! And I don't think he's gay or enjoys getting hit in while trying to educate idiots!! But yes, he is a very handsome, exceptional man!

[@karleeburns3944]

Thankyou for reassuring us that our lifespan isn’t gunna shorten seeing my cardiologist in October hope they can help

[@lc6995]

Thank you for posting this video. You're helping people that have lived with IST, and never been given accurate information. Knowing helps to ease fear and anxiety which can be contributing factors to stress.

[@leonerose1715]

Recently diagnosed with sinus tachycardia, with holter for 30 days, I was found to have had 77 episodes in that time frame. My Doctor stated exactly what you have said, my heart is ok, it just beats really fast. My brain is the cause, not really the heart. That said, it can be very tiring. I am absolutely grateful for your channel as I can finally understand my drum much better. Thank you so much.

[@jpmp7939]

How fast me is 168 158 out of no were but i feal it !! Do you feal it ??? The hot makes it worse

[@CelestialTrailblazer]

I managed to temporarily solve this issue a bit or should I say it is only a solve issue when I lay in an incline position when I lay down on my bed. That's when the heart rate normalizes. This thing is a curse. Even a sneeze can trigger it. I'm sitting down doing nothing and my heart rate is between 60-78bpm and then when I sneeze at that very moment, my heart would shoot up to 150-160bpm range and it takes couple of minutes to gradually go back down to normal range. Slight exertion triggers it. Doctors always blame on the famous bullshit excuse of anxiety. My symptoms began after silent GERD and h.pylori damaged my stomach and esapogus. Also, cov!d did some damage as well. Before all that, I was a healthy young, fit 26 year old. Now I operate like a 80 year old person. All the usual activities of lifting weights, working-out, exercising are out the question. I can no longer do them without experiencing shortness of breath and dangerously high level of heart rate. Doctors don't give a sh!T and play the "you are too young card" and the "its just anxiety card" all day everyday.

[@skywater522]

Is it lasts forever ?

[@powerofloveism]

@@jpmp7939 every different doctor I seen for twenty years told me to relax that its just stress related and finally I gave up even talking about out and one day I met a Nurse who was like can't you feel how fast your heart is beating? I said of course but what is the point in complaining about it , no one listens so now I shut up about it and she was like I am sending you to emergency right now. They gave me a heart pill then sent me a Cardiologist and He came north from Toronto , he said he wanted to monitor my heart and read the readings himself . He told me without the treatment of beta blockers I will end up with an enlarged heart called Cardiomyopathy , so I choose to take my beta blockers, my bp stays low. problem now is I huff and puff at doing every thing. Some times my pulse clip reads 54 bpm oxygen drops to 80 % then the heart races and the oxygen suddenly rises.

[@شهدالاسدي-ك1م]

@@CelestialTrailblazerIs sinus tachycardia dangerous? When I turned 181, I almost lost my mind😭 I'm 26

[@Antihippie24]

thank you so much for this. i been to the ER so many times over this, 4 times in one week, they kept doing blood draws on me, so my arms are marked out, nurse looked at me and said needle use can cause this, talking about drug use.... i broke down right there, i dont use drugs, my heart has been racing for days straight. i am in my car watching this in to calm down. i appreciate your videos so so so so much. your reassurance is great. going to go home and try and rest.

[@Jkstolz]

Antihippie24 Check for Pheochromocytoma ASAP

[@Jkstolz]

Check for adrenal issue, adrenaline comes from there. It might not be a heart issue

[@glorynunez2641]

Same here

[@travelarmyveteran7426]

How are you?

[@wrotedog]

Ist is real, until it happens to you it will literally sound unbelievable. But there is always something that causes this particular condition, for me it was medication (NSAIDS).

[@markfreedman2470]

Of all the videos on KZbin that I’ve seen regarding tachycardia, yours is singularly the best one by far. It’s also the most honest one. Thank you very much you’ve answered all of my questions!

[@drabhijeetchopade]

I envy your clinical understanding and simple explanation for complex concepts. Keep enlightening us .

[@beepak8902]

I have been watching your videos for awhile and I wish there were more MD's like yourself. I can tell you really enjoy your career and i admire and I am very thankful that your willing to take time out of your day to make these videos and explain everything to strangers without compensation. If only there were more Doctors like you especially in the U.S. who can learn how a REAL MD conducts him or her self with compassion and care.

[@galpalval6747]

OMG. Thank you so much for explaining this in terms that I could understand. Turns out my Thyroid over medication was causing my sinus tachycardia hats off to you I subscribed ❤❤❤❤

[@andie6k5]

It's a common misconception that blood pressure drops on standing in POTS. Dysautonomia International frequently reiterate that if blood pressure drops on standing, the diagnosis is actually Orthostatic Hypotension, not POTS. In fact part of the criteria for the diagnosis of POTS is that there is a raise in heart rate of 30 beats per minute (or 40 in children) in the absence of Orthostatic Hypotension. Some people do experience co-existing low BP though. There's also a type of POTS called hyperadrenergic POTS, where people have raised BP and heart rate when standing, due to abnormally raised levels of noradrenalin/norepinephrine when upright. Lastly, it's also possible to have a diagnosis of both POTS and IST. I just get frustrated hearing misconceptions about POTS and other types of dysautonomia, being spread. Other than that I very much appreciate your videos and think they are fantastic and great for giving people an understanding in an easy-to-understand manner 😊

[@VioletannaVlogs]

Your comment is so important! I wish I could like it a millions times lol :)

[@k8lynmae]

andie6k5 Have You Been tested for Lyme Disease? Most people with Lyme also have POTS.

[@ultimatenom8752]

There's the vasovagal syncope. It goes with pots and ist and causes low blood pressure.

[@travelarmyveteran7426]

My epinephrine levels are super high and my cortisol too. So with all of my panic attacks my heart rate has changed a lot in the past 4 to 5 days. I’m hoping it’s just adrenaline and it will pass.

[@individua6603]

I have IST and POTS.... Thanks for your comment. many people confuse things

[@landapanda10]

I’ve been having a few cardiac palpitations post covid. Although I’m feeling great, I find my heart races from time to time especially since being ill and after any kind of exertion. I’ve managed to start an exercise programme like walking and can manage a 7km walk 5 days a week... I’m trusting this will help in the long term. In saying this, I have been concerned about it but I’ve come across your videos which are extremely informative but also so reassuring (forgive the dramatics, but it literally brings tears to my eyes) I’m so scared I’ll end up having a heart attack however listening to you, I feel a sense of peace as you’ve not only reassured but given a sense of comfort and hope by saying that the prognosis is not bad in majority of cases. God bless Dr...

[@time_traveller3]

What a fantastic effort with the exercise! 7km 5 days a week? That’s great. It will definitely help in the long run as it will strengthen your heart. I wish I could do the same...Still struggling myself with pounding heart, which causes anxiety, then that makes the pounding worse of course! ☹️ Well done with what you’re doing. 😁👏

[@faith_over_fear8896]

How are you doing now? Any improvement

[@guptaji4845]

Covid, sometimes results into inappropriate sinus tachycardia

[@vineetha5953]

How are you now. Did u took medications for sinus tyacardia.

[@CelestialTrailblazer]

I managed to temporarily solve this issue a bit or should I say it is only a solve issue when I lay in an incline position when I lay down on my bed. That's when the heart rate normalizes. This thing is a curse. Even a sneeze can trigger it. I'm sitting down doing nothing and my heart rate is between 60-78bpm and then when I sneeze at that very moment, my heart would shoot up to 150-160bpm range and it takes couple of minutes to gradually go back down to normal range. Slight exertion triggers it. Doctors always blame on the famous bullshit excuse of anxiety. My symptoms began after silent GERD and h.pylori damaged my stomach and esapogus. Also, cov!d did some damage as well. Before all that, I was a healthy young, fit 26 year old. Now I operate like a 80 year old person. All the usual activities of lifting weights, working-out, exercising are out the question. I can no longer do them without experiencing shortness of breath and dangerously high level of heart rate. Doctors don't give a sh!T and play the "you are too young card" and the "its just anxiety card" all day everyday.

[@andrewober-reynolds9184]

Thank you so much for distinguishing between this and POTS while the symptoms are similar the causes seem to be different POTS is caused by the autonomic nervous system while inappropriate sinus tachycardia is caused by the heart's electrical system particularly the drummer who's supposed to keep you alive

[@Amyesmeray]

I really like when you say "okay" it helps me kinda think youre talking at me and helping me understanding

[@teresa985]

No sorry 🙄 Doc was talking to me ☺️

[@Aymandududj]

Inappropriate sinus tachycardia don't shorten lifespans

[@Amyesmeray]

@@Aymandududj okay.... interesting. kinda knew that already but i mean if you wanna add some facts to help others then sweet!

[@Amyesmeray]

@@teresa985 lol, alright Teresa!

[@Aymandududj]

@@Amyesmeray treatment for sinus tachycardia is ivabradine 5mg twice a day

[@jennradic1014]

I just started the medicine! I'm praying it helps. Thanks for the video you made me feel sane again!

[@katalinbodnar9475]

This was very enjoyable. I have tachicardia since I was a little kid. I never worried about it, until I grow up and everzone told me it's bad. Everybody wants to give me beta blockers, however, my blood pressure is pretty stable more on the normal-low end. I'm a very sensitive person regarding emotions, and events any sort of. My average is 102-120, while working can get to 140, after sleeping between 89, 92. Sometimes when I try to breath deeper it goes up, that makes me so upset, however when I'M sad I really feel my heart braking and aching, and when I'm scared my heart really skip a beat. I had to go to ER once I thought I have a heart attack, they told me I'm normal, this happened twice. When you told me I have a dodge man in my heart.....I LOL-ed and stopped crying, ofc I have zero rythm sense and have dyscalculia, how would I expect my heart be any different.

[@alexandrabiela6134]

same here, sometimes my HR is like 70 and out of nowheere its 120.. also i feel dozziness it feels like i am walking on ship at sea, its like i am going to faint.. i have palpitations and i feel uncomfortable with all this, then after some time 1 hour after i feel better and my palpitations are gone and HR is like 80.. i got this from my childhood so i am living with tgis a long time, also i feel like i have shortness of breath, but that could be also stress from what is hapoening i always thought that i am going to have heart attack

[@CelestialTrailblazer]

I managed to temporarily solve this issue a bit or should I say it is only a solve issue when I lay in an incline position when I lay down on my bed. That's when the heart rate normalizes. This thing is a curse. Even a sneeze can trigger it. I'm sitting down doing nothing and my heart rate is between 60-78bpm and then when I sneeze at that very moment, my heart would shoot up to 150-160bpm range and it takes couple of minutes to gradually go back down to normal range. Slight exertion triggers it. Doctors always blame on the famous bullshit excuse of anxiety. My symptoms began after silent GERD and h.pylori damaged my stomach and esapogus. Also, cov!d did some damage as well. Before all that, I was a healthy young, fit 26 year old. Now I operate like a 80 year old person. All the usual activities of lifting weights, working-out, exercising are out the question. I can no longer do them without experiencing shortness of breath and dangerously high level of heart rate. Doctors don't give a sh!T and play the "you are too young card" and the "its just anxiety card" all day everyday.

[@Jijilion135]

Sorry brother

[@felice173]

@@alexandrabiela6134 my problem has been solved. Found a real heart doctor. They told me that I have a smaller heart and I need exercise, also I need less stress. I started to work out change my diet and quit my toxic job. My heart rate averages around 75. The doc says for my physic it would be better to do 65. But I am already close. Thanks for the support.

[@cristiano-x5n]

@@felice173 You have inappropriate sinus tachycardia?

[@oldsoulmillenial1134]

Excellent! Thank you so much for your time. I am completely asymptotic and only discovered it when I bought an Apple Watch. A worry of mine was always that my heart might get tired and burnt out, but now I know evidence dosent suggest that. Thank you so much.

[@butyarblanche6775]

Thank you so much for believing me and not telling me that I need to be less anxious. When you are in a super relaxed state and your pulse jumps up to 128, I don’t call that anxiety. It took a long time to diagnose me and I suffered so much because he didn’t mention it but when you have an attack, you are short of breath, your heart is pounding, you can’t do anything. I use Metoprolol every 12 hours but will research this new drug he mentioned. Metoprolol is not the best treatment but it is all I have. I had surgery and during all the prep time before it, my pulse was 130 -140. I had to explain I have IST. Thank you doctor.

[@tanyawieczorek6603]

How are you doing now. Did you try Ivabradine.

[@CelestialTrailblazer]

I managed to temporarily solve this issue a bit or should I say it is only a solve issue when I lay in an incline position when I lay down on my bed. That's when the heart rate normalizes. This thing is a curse. Even a sneeze can trigger it. I'm sitting down doing nothing and my heart rate is between 60-78bpm and then when I sneeze at that very moment, my heart would shoot up to 150-160bpm range and it takes couple of minutes to gradually go back down to normal range. Slight exertion triggers it. Doctors always blame on the famous bullshit excuse of anxiety. My symptoms began after silent GERD and h.pylori damaged my stomach and esapogus. Also, cov!d did some damage as well. Before all that, I was a healthy young, fit 26 year old. Now I operate like a 80 year old person. All the usual activities of lifting weights, working-out, exercising are out the question. I can no longer do them without experiencing shortness of breath and dangerously high level of heart rate. Doctors don't give a sh!T and play the "you are too young card" and the "its just anxiety card" all day everyday.

[@varun-72]

@@CelestialTrailblazer how are you now

[@natbratcher]

Seriously, where have you been the past 8 years!? What an incredible doctor to take the time to learn and understand Inappropriate Sinus Tachycardia (IST) and how it affects patients lives. And you give such a great explanation! I've described it as if I feel like everything I do takes so much effort. Constantly winded, always dizzy or feeling like I'm going to pass out. When I'm laying down I literally feel like I'm vibrating from the inside out. Ivabradine has been a game changer for me! My resting heart rate has dropped from the 100s to the 70s! But yeah, it took 8 years and over 15 doctors to get a diagnosis. 😜 I know it's a little late, but thank you for posting this! Just fantastic! So a question for you... perhaps splitting hairs? But would you consider sinus tachycardia from autoimmune autonomic neuropathy/ganglionopathy appropriate or inappropriate?

[@b-sidegirl4464]

Yup on feels like vibrating inside self. and also feel as if your gonna just come right out of your skin. So much pounding you can take your pulse with your sight . scary stuff when your young.

[@b-sidegirl4464]

p.s. Yes he is an excellent Dr. Indeed. All my dr.'s here are as well.

[@texasmadeboy]

I also just got put on corlanor 5mg twice a day with metoprolol 50mg twice a day and what a game changer for us with IST i feel better just on the second day of use with both God Bless!

[@chooseaname1423]

What side effects have you had with ivabradine? Is this the one that can cause vision problems where you have to get your eyes checked often?

[@pattypierce8189]

I agree.

[@ginasantucci1554]

Thank you, Dr Sanjay, I’m 70 years old, first diagnosed with IST 4 years ago. Thank your so much for the video and your explanation on tachycardia’s. I feel so bad for the young ones, I’ve had a great healthy life with very few issues. This IST with meds has felt so debilitating, beta blockers seem to work 90+% of the time. Weight gain seems the biggest side effect for me. Thank you again for the video.

[@44LillPuffin]

Omg, this is so enlightening. I didn't know I had this till I went to a&e for something else. My resting bpm was 130, even at sleep that was the lowest. I'm on a medium dose of ivabradine but it'll still go up to 140 with the most simple movement. It pulses so hard in my stomach, temples and neck

[@شهدالاسدي-ك1م]

Please tell me what the doctor says I have

[@RahulOwL7]

How r you now buddy???

[@jeskahpaige2678]

Drs blamed my IST on anxiety, for about 17 years. Finally had a stress test done, in 2017, and I was referred to an electrophysiologist. That’s when I was finally diagnosed w IST. I’ve been on Corlanor since, and it has worked really well. Still have bad days, still can’t really exercise, but I generally feel much better.

[@niamhodonoghue112]

Jessica Wollberg were you an energetic person before this .? I’m afraid I won’t be able to run or exercise properly

[@kayelle8005]

Thanks Dr Gupta for taking the time to make this video and all the research that went into it.

[@filledathome9801]

Great video! Very helpful! This is exactly what I’ve been dealing with, it seems scary but I am thankful for your re-assurance!

[@francesthompson1324]

I have experienced this through perimenopause to menopause from 42-50 years. As well, I developed allergic asthma at 42. I do breathing exercises and pressure point release to help. Resting hb is usually 79-87 but the hormones are disrupting the "normal." Thank you, Dr. Gupta, for helping understand our hearts. Blessings abundantly.

[@Sillysausage17]

Mine is triggered by menopause too , did it go away it's so scary 😨

[@james2024-w7w]

Finally a doctor who's a doctor.

[@EL547]

Thank you for your amazing video and helping me understand my condition. I was finally diagnosed with inappropriate sinus tachycardia. I was first diagnosed previously with promaxol SVT ..I was devastated by the thought of having an ablation would resault in a a Pacemaker..that I would have to go on living with this condition.beta blockers just don't seem to help at times. after seeing your video it seems like I could breathe...that my diagnosis was not as I seem to interpret it..my Electra physiologist was not very informative as to explaining my condition...my short visit with him felt worse then one of my worst episodes. I walked out of his office feeling helpless.. I waited 2 months to see him and to give me three to five minutes of his time and looking at his computer the whole time never giving me eye contact and walk out like I took all of his time was unbearable for me. I am not here two speak unhighly of my EP because I do respect the he is well educated but lacks sympathy. I'm here because after seeing your viedo, I have hope ...you are an amazing person to give your time and explain in detail is amazing to me The medication you suggested I'm going to request that from my normal cardiologist to make my life much better thank you again for your video and helping other people. You are amazing. Elva...

[@noreenmadziva4079]

Did you go ahead with ablipation pace maker

[@tanyawieczorek6603]

How are you doing now?

[@jeanieodell3815]

I’ve had IST since 2006. It was very very hard for my doctors to figure it out. They put me in behavior health for like a week thinking I was having panic attacks and probably on drugs or something. Though I wasn’t and the tests showed that. I asked to see a cardiologist and did and was immediately transferred to the cardiology floor. My resting heart rate was 140 and when I would stand up it would jump 170 right away. I had an E.P. Study and it was not fully successful but between that and my bats blocker “Nadolol” thankfully it’s manageable. This doctor explains it exactly as I do. I’m glad I’ve learned so much and it feels good to know I’m not the only one out there and others understand it.

[@CelestialTrailblazer]

I managed to temporarily solve this issue a bit or should I say it is only a solve issue when I lay in an incline position when I lay down on my bed. That's when the heart rate normalizes. This thing is a curse. Even a sneeze can trigger it. I'm sitting down doing nothing and my heart rate is between 60-78bpm and then when I sneeze at that very moment, my heart would shoot up to 150-160bpm range and it takes couple of minutes to gradually go back down to normal range. Slight exertion triggers it. Doctors always blame on the famous bullshit excuse of anxiety. My symptoms began after silent GERD and h.pylori damaged my stomach and esapogus. Also, cov!d did some damage as well. Before all that, I was a healthy young, fit 26 year old. Now I operate like a 80 year old person. All the usual activities of lifting weights, working-out, exercising are out the question. I can no longer do them without experiencing shortness of breath and dangerously high level of heart rate. Doctors don't give a sh!T and play the "you are too young card" and the "its just anxiety card" all day everyday.

[@benjamindm42]

Hi how are you now??

[@rajarshide7729]

How are you Jean?

[@YousafAliRox]

em better now

[@hirashoukat9543]

Best teacher i have ever listened to

[@MichelleBVB]

I love this explanation! Very informative and helpful. I’m 22 and I was diagnosed with Inappropriate Sinus Tachycardia last year (2017). I’m pretty sure it’s something I’ve had all of my life. It took so long for me to get diagnosed because I thought what I felt was normal. I assumed everyone felt the same way that I did. I never questioned if getting tired so easily was abnormal or how minor physical activity made me out of breath and sometimes dizzy. What finally made me go see a cardiologist was when I started going to the gym with my friend. When we would get on the treadmill I noticed how her heart rate was always 40 below mine. When we would start to run my heart rate would go up to 190 and I would start feeling really bad and dizzy meanwhile hers would be around 140. After noticing this I finally decided to set up an appointment with a cardiologist. I had a heart monitor for 24 hours, ekg, etc. There was nothing physically wrong with my heart which I was relieved about and they determined I had Inappropriate Sinus Tachycardia. My blood pressure is on the low side so they didn’t want to prescribe me any medication . I’m still trying to figure out what might help my IST. I have yet to try beta blockers or anything like that just because I’m a little nervous to try it, but if anyone has a suggestion I would love to hear it.

[@snk4933]

Hi Michelle, I had the same symptoms as you and the DR put me on Atenolol 12.5mg 2x a day. Since my BP Is also on the lower side, i cannot take the atenolol 2x so I only take it once. I know how hard it can be to live with this plus I am a college student so it is sometimes very debilitating for me.

[@MichelleBVB]

SNK thanks for your response and feedback! Does the Atenolol help you feel better now that you take it? What is your experience with it so far?

[@snk4933]

Michelle yes! Before atenolol, my HR would go crazy just by slight movements or standing up but the med keeps it under control.

[@Akshay-pe4fp]

Michelle ..u have sinus

[@rockysaini866]

Hi Michelle, how r u after now? What medicines u r taking. Suffering from same conditions.

[@JanieBee]

Just got Dx with this after a week long Heart monitor. I’ve struggled with a racing heart, severe debilitating chest pain, fatigue and dizziness for well over a decade and just being told “it’ll go away in a few months” or “it’s just anxiety”. I’m being told now that the condition is benign and nothing to worry about. But as a medical professional myself, I know that long term tachycardia can weaken the heart and can cause heart failure. Very rare but possible. I mean, the condition itself is rare

[@jesusistheway5974]

Im diagnosed with this Im on metoprolol 50mg twice daily with Corlanor 5MG twice daily but just got raised to 7.5 and i feel much better my EF back in 2016 was 40-45% i took a echo a week ago and my EF is now 55-60% but i think i have hfpef but im not sure i hope not the Doctor hasnt said anything he said my Echo looks good so all good All praise be to God

[@ruhailkhan6081]

@Tara King do you have HFpEF ..and how old are you?

[@korikaiser9859]

Being diagnosed with this currently! My heart rate has been 130-145 range!! It’s been terrifying. They are ordering an echo test, and then going in and turning my heart down. It’s waking me up out of my dead sleep at night and super nauseous.

[@YorkCardiology]

have youhad a tilt test?

[@KailuaChick]

Kori Kaiser first of all, you have an awesome first name :) I was just diagnosed with this condition today after getting an echo and wearing a heart monitor for a week. I have similar symptoms as you, I wake up in the middle of the night or in the morning with a racing heart and severe nausea. I’ve had it for years and everyone has always told me it’s anxiety. Sometimes my heart will start racing out of nowhere. I’m exhausted all the time and have very little energy. My cardiologist told me it should improve with age. I’m 30 and he kept telling me I’m really young and will have to deal with it for a while yet :(

[@KailuaChick]

Kori Kaiser also wanted to mention that I have permanent low blood pressure. It’s super low all the time and I’ve even passed out from it. I have heat intolerance as well. I live in Miami and am trying to move up north to escape the hot weather, hopefully it will help with my condition. Let me know how you’re doing and how your tests went :)

[@pac-manjones49]

Any update?

[@teresa985]

🙄 what do you mean ""turning my heart down...""" echo ecg treadmill were done for me also 😫 omg

[@priscillasprague4809]

I have lived with tachycardia for many, many years. I also have anxiety. Several years ago I was diagnosed with SVT but no cardiologist ever mentions any other condition. I have worn monitors for a month, gone to the hospital with it, but it has never been captured. I sincerely believe I don't have SVT. I suffer with this as when my heart rate goes up to 130 I "freeze" and halt all my activity. You are a fantastic cardiologist and wish you were in my hometown. Bless you!

[@tanyawieczorek6603]

What were you diagnosed with? How are you doing now?

[@CelestialTrailblazer]

I managed to temporarily solve this issue a bit or should I say it is only a solve issue when I lay in an incline position when I lay down on my bed. That's when the heart rate normalizes. This thing is a curse. Even a sneeze can trigger it. I'm sitting down doing nothing and my heart rate is between 60-78bpm and then when I sneeze at that very moment, my heart would shoot up to 150-160bpm range and it takes couple of minutes to gradually go back down to normal range. Slight exertion triggers it. Doctors always blame on the famous bullshit excuse of anxiety. My symptoms began after silent GERD and h.pylori damaged my stomach and esapogus. Also, cov!d did some damage as well. Before all that, I was a healthy young, fit 26 year old. Now I operate like a 80 year old person. All the usual activities of lifting weights, working-out, exercising are out the question. I can no longer do them without experiencing shortness of breath and dangerously high level of heart rate. Doctors don't give a sh!T and play the "you are too young card" and the "its just anxiety card" all day everyday.

[@Hamaravlog1214]

@@CelestialTrailblazer This sounds so much like me. I turned 19 this month and I am having the same symptoms as you. But I’ve found that if I distract myself from the heartbeat it slows down a bit. Have you taken any treatment?

[@CelestialTrailblazer]

@@Hamaravlog1214 Treatment is given mostly for anxiety, but I have zero anxiety and I did take SSRI for a month back in May 2021, but it did nothing and made things worse. I had shivers and shakiness as a symptom of taking that particular medicine. As for my h.pylori and gastritis problems. I got rid of it by changing my diet, sleeping in an incline state and completing the antibiotic therapy. As for my heart issue. I've been told to just monitor for changes by doing an yearly echocardiogram. I have MVP/MVR of the heart due to over exertion and highly likely due to cov!d.

[@Hamaravlog1214]

@@CelestialTrailblazer I do have GERD, followed by bronchiectasis. At first I thought it might be due to the low oxygen saturation levels, but fine. No anxiety, No stress, Clear blood work, No abnormalities in ECGs, Every time I feel things are out of my control now I rush to the OR, they prescribe beta blockers and finish, tell me its only anxiety. I spoke to my Pulmonologist about this, he gave me ivabradine which Dr Gupta has suggested. Worked for me but I dont want to make myself addicted to heart medication as I am only 19. Things are just being dragged by me. I hope this gets sorted out soon.

[@kikizag]

You’re the best Cardiologist ❣️❣️❣️❣️

[@guilleespino8509]

I love this doctor. He seems like such a good person ❤❤❤

[@beux4754]

education please, if you don't get out, and only stay indoors always pushing your self and lossing sleep tachycardia will be harder to treat

[@YorkCardiology]

Thank you so much for your comment and for watching the video. Please join me for live free chats on my Facebook page (type [e-mail] in Facebook search) - I will be able to answer your questions there

[@earthangel3108]

I wish I lived in York and could see you. I have so many heart issues including Doctors telling me I have POTS and IST. I already had an ablation for SVT where they found two extra circuits. I also possibly had WPW which went away after the ablation so they were never sure. I am so depressed because all I want to do is climb mountains and run and be active but I suffer all the time. Doctors like to blame much of it on anxiety but it is what is causing the anxiety not the other way around. I am seeing the EP June 19 again and hopefully I can find some kind of solution. Thanks for letting me vent. I watch your videos to feel better and safe and it helps so much. After over 15 years of heart issues I’ve seen many doctors and you truly are above the rest. God bless and thank you so much for your knowledge and genuine caring.

[@gvillarreal79]

How are you doing now? I'm sorry you're dealing with all these heart issues.

[@kall91785]

I was diagnosed with IST when I was 19. Recently I was put in ivrabadine and it has been a godsend!! If you have IST it would be worth talking to your EP. Though in the US it is super expensive. So it is cheaper to get it from somewhere else. I have also been on metoprolol and was on such high dosages that the medicine itself was causing equally bad side effects as IST itself.

[@JessicaLimke]

I am with you on the metoprolol! it worked but made me so tired!

[@parmesanballz4631]

Kalle Richmann how many milligrams of ivabradine are you on, or what do you suggest? I'm on 2.5 mg of it morning and at night and it doesn't seem to be doing much

[@ashleyofnaath]

Kalle Richmann Where is it cheaper? and how would one go about finding a reputable pharmacy outside the US.

[@kall91785]

Greg K i was on 5mg twice daily.

[@kall91785]

Ashley of Naath I got the name of my pharmacy through my cardiologist. I used Canada pharmacyonline and found they had the best price. It has now been approved for use in the US so if you have health insurance it may be covered but it would probably be expensive.

[@peteypete8180]

I’ve been plagued for 3 years Been so crippling for me Thanks for you and my cardio guy I’m not crazy still trying to get corlanor approved. Please wish me luck. I’m always winded and funny feeling in chest and left arm. Also feeling my heartbeat when lying down

[@Kaazzaam88]

Is it more when yoz lying down flat?

[@overlnder9793]

Second visit to the emergency room yesterday. I work in EMS and am somewhat educated with cardiology related topics. I have two older cardiologist and pcp. Going to try the metoprolol and cut caffeine completely. Thought I was going crazy! Had coworkers transport me twice to the ED in past 6 months. Feeling foolish for wasting recourses and time when I was technically hemodynamically stable and in NSR. It’s disconcerting but not dangerous to me it seems like! I will have to deal with the episodes and anxiety of it! Thank you so much. Going to miss the coffee big time

[@lacquerlifenails7780]

I’m so encouraged reading the comments and seeing this video. I thought I was losing my mind before I got my diagnosis and like someone else said, the metroprolol is making me even more exhausted and I feel so guilty!! I’m encouraged though that there are other options and that this video isn’t some snake oil pitch. My cardiologist has been awesome with being upfront about what to expect since I can’t go straight to the other medication you recommend. Also, I’m really looking to get back into exercise and struggling since IST makes you exercise and heat intolerant, and in Houston that makes working out very challenging. Do you have any excercise tips for getting started? I used to be in track and used to run for miles at a time and I hate how out of shape I’ve gotten in the past few years.

[@2weeksago642]

I’m guessing he’s dead since he hasn’t replied

[@guptaji4845]

Have good brisk walk that's what I can manage with this condition..I cannot even masterbate with this thing...but the end of the story is I don't give up...if God has planned this then I shall bear it

[@tanyawieczorek6603]

Lacquer, how are you doing now?

[@cristiano-x5n]

@@2weeksago642 💀💀💀

[@cristiano-x5n]

@@2weeksago642 i have inappropriate sinus tachycardia and stopped me from playing football.. Im 19 y.o hopefully I can get back asap 🙏🏽

[@ginalangone408]

I am in the US and have found that most doctor's have no idea what IST is. I have Graves' Disease and in 2010 had RAI. I have been hypo since having RAI and of course weight gain. Two years after ablation is when i was diagnosed. For me just going to the grocery store to pick up a few things, is enough to wear me out for the rest of the day. I am constantly being told to lose weight, but the thought of exercise is enough to put me in bed for a few days. Between my thyroid and heart, I no longer do things I use to love doing.

[@ginalangone408]

+Jack Mark, I am already taking Cytomel and have seen a big difference since starting it, I no longer need a nap in the middle of the day. I personally can not take Liothyronine. It was given to me after my pharmacy stopped carrying Cytomel and I almost passed out in my kitchen. It caused my heart rate to go crazy. We figured that I my body had issues with the fillers in thyroid medications. I have been running an online support group for people with Graves and I also currently started a non-profit for thyroid disease. Our goal is to bring awareness and help people advocate for themselves. So many thyroid patients are being given medications because it's what doctor's think they should be taking, instead of finding the right medication that works. Synthroid and Levo are not for everyone but most doctors will not prescribe Armour or NatureThyroid.

[@Akshay-pe4fp]

Gina Langone ...now u ok

[@aliskanelson2202]

Thank you! I didn't know there were two types of tachycardia until I came across your video. I was diagnosed with this condition and prescribed medication. Now I know it's the sinus type. I will speak with my cardiologist 😉. Thank you!

[@amandanicole5874]

Is the condition dangerous?

[@tanyawieczorek6603]

Aliska how are you doing now?

[@Alexandra-tf7ih]

Thank you for making me not feel like a weirdo or someone who is being hysterical :) You've just now described my feelings while educating me. Post (unsuccessful) ablation I was very confused.

[@gloriamaryhaywood2217]

Did you get another ablation? Or are you taking medication? Hope things have improved for you!

[@ffionthedog]

Dr Gupta, love all your videos and having had this diagnosis today from the GP your explanation has helped. The fatigue is difficult to describe in terms of inability, I have a recently diagnosis of psoriasis arthritis and I’m interested in the interface between the two conditions. I do appreciate that’s for Rheumatology. Please continue to make more videos as I enjoy listening tin many. Enjoying from West Wales so not far away 🏴󠁧󠁢󠁷󠁬󠁳󠁿

[@selama936]

Thank you so much doctor, for explaining in terms we can all comprehend, it eases the tress to know what it is. My heart rate is always within the mormal limits at rest, but it goes up upto 140/ minute with a minimal exertion, I did stress test, eco, and EKG all was normal, now my doc put me on Zio patch for 7 days to detect irregular rhythms. It is debilitating

[@individua6603]

This is pots , not ist

[@selama936]

@@individua6603 Ok, thank you so much!

[@lesmajszki2918]

Awesome, I have had this thing since my 20s coming and going, had it a few times in my 30s did many tests that include holter monitor, ECG numerous times, Upper body x-ray, MRI, ultrasound, endless blood test. I still have this in my mid 40s once in awhile seems that its a bit more frequent then in my younger days. I would be laying down watching tv and my heart would start beating very fast anywhere from 99-125 bpm, sometimes lasting an hour then slowly go back to the 73-75 range. To this day i have no prognosis of my fast heart beat. Cheers Les Majszki

[@CelestialTrailblazer]

I managed to temporarily solve this issue a bit or should I say it is only a solve issue when I lay in an incline position when I lay down on my bed. That's when the heart rate normalizes. This thing is a curse. Even a sneeze can trigger it. I'm sitting down doing nothing and my heart rate is between 60-78bpm and then when I sneeze at that very moment, my heart would shoot up to 150-160bpm range and it takes couple of minutes to gradually go back down to normal range. Slight exertion triggers it. Doctors always blame on the famous bullshit excuse of anxiety. My symptoms began after silent GERD and h.pylori damaged my stomach and esapogus. Also, cov!d did some damage as well. Before all that, I was a healthy young, fit 26 year old. Now I operate like a 80 year old person. All the usual activities of lifting weights, working-out, exercising are out the question. I can no longer do them without experiencing shortness of breath and dangerously high level of heart rate. Doctors don't give a sh!T and play the "you are too young card" and the "its just anxiety card" all day everyday.

[@skywater522]

Now u cured fully ??

[@lesmajszki2918]

So apparently the heart surgeon said that its all in my head. Everything checked out he said they did not find any issues.

[@skywater522]

Why IST happen ? Is it for long time excessive Masturbation effects?

[@lolaloliepop]

I love your channel and am trying to learn more about different heart issues since it seems I have an arrhythmia at the very least. Still testing...but came here to say that it's a common misconception that POTS is all about blood pressure. The most common subtype of POTS is the group of people who have hypovolemic POTS or who have POTS and OH so treating their low blood pressure (with compression wear, high salt diet, or with a stimulant or something like midodrine) as well as having a beta blocker or similar to keep their bpm in a normal range would be their method of helpful yet sometimes chaotic treatment. But if someone has one of the other two subtypes (hyperadrenergic or neuropathic) then that standard method of treatment doesn't work at all and patients and doctors have to get a little more creative with strength training regimens if you have the neuropathic subtype with nerve damage in your legs (JPL/NASA has a really difficult workout for this since astronauts tend to get a temporary form of POTS or OH when they come back to earth and need to rebuild potentially lost nerve fiber density), as well as possibly using a tricyclic antidepressant or anticholinergic to help with general dysautonomia, and independently managing heart rate and ruling out other heart problems. Those with hyperadrenergic POTS have a much trickier situation and can often have high blood pressure, but should also be tested for MCAS (24h urine test) wether they show symptoms or not (since most symptoms are pretty vague) to rule that out.

[@heatherraguckas1703]

I had covid about 6 months ago, and now recently have several symptoms of this. Heart rate hits up to 180 everyday at least once, fainting, nausea, extreme tiredness, can’t even do the dishes or go food shopping without this struggle.

[@avlogbybernice7816]

So sorry about that. I was just diagnosed with tachycardia and my cardiologist prescribed beta blockers. Will be trying them tomorrow . Hope you're feeling better

[@vladkras]

Did you just start getting these symptoms or already had right after covid

[@johnnyperez298]

@@vladkras covid most probable was the cause. There is evidence that this can start after viral infection. I found some articles written by women who got this condition after getting infected with covid.

[@dianelarson4024]

I also struggle with the same symptoms you have,,,, it's so very hard to do your daily life just cleaning the house is exhausting and breathlessness,,, I usually sit for 10 minutes do a little bit sit again,,,, I tried beta blockers but they slow my heart down too much to where I'm even more exhausted,,, going to keep trying to find the answers ,, and try to accept this is the new way of life for me just got to slow down,,,,

[@spoorthigiri1964]

Excellent video and the best doctor out there I feel!!!! This started happening to me after gallbladder was taken out…….Need answers and I think you made it very clear 👍👍🤗

[@TheEducatedandproud]

This is very informative. I love your videos, for it helps with my anxiety. Since the onset of Anemia that brought about palpitations, I have been so scared. Thank you soooooo much for the videos.

[@YorkCardiology]

How very kind ..thank you so much!

[@usmanghumman]

Thanks for this video doc. It was very informative and extremely easy to follow and understand. Not sure what I have... My EP doc just said "Tachycardia" after 2 weeks of being on recording device. He said its just high and wants to do an EP study. Not sure I wanna go through with that. Anyway, I agree that reassurance is the most important thing as the heart racing and palpitating weakens ones mental state and confidence in the body! Thanks again.

[@tanyawieczorek6603]

What were you diagnosed with? How are you doing now?

[@kluketina]

Thank you so much for your excellent explanation. I have SVT but last time I went to the hospital Emergency Dept to get it reverted they said I was not in SVT because my resting heart rate was normal at 90. Actually, my resting heart rate is 50 but they would not accept that as relevant even though they had my notes in front of them. Just apply the rule of thumb and send me on my way. They weren't interested that my HR shoots up to around 200 as soon as I try to exercise. They sent me home, none the wiser. I was not allowed to see a cardiologist. I now suspect from your explanation that I had IST, nor SVT, that day. My GP has already asked for another cardiology appointment but we don't know how long that will take, maybe months. I have an appointment with my GP in 2 days, and maybe he can help me obtain the right diagnosis. I had another episode start yesterday after swimming and I was able to revert it after 20 hours after using various SVT reversion manoeuvres, which meant I could go for a run, so happy! Last time it lasted 4 days, which is no fun at all and a serious impediment to my exercise schedule. Again, thank you so very much for your clear explanation.

[@YorkCardiology]

How very kind ..thank you so much!

[@tanyawieczorek6603]

Katherine how are you doing now?

[@karlamadaimunozdzul6404]

I looove your videos, they are so reassuring and easy to understand in a not alarming way. Thank you, cheers from Mexico.

[@mickadatwist1620]

she stands up and bpm goes upto 120....she walks and bpm goes upto 170 and it makes her tired physically. Many tests done....no conclusive result...all negative.

[@moonbby8192]

Micka Datwist sounds like pots

[@Nicole467_]

I have the same, it's POTS

[@ToLoveIsToLive89]

I deal with the same thing!!

[@valeriaplaza6291]

How can you live like that?

[@prathamrballal1229]

How is she?

[@TheKiKiWebb]

I’ve been on beta blockers (propranolol) to be precise for about 3-4 years now. I’ve never been told what my diagnosis is. My issue was that my heart rate would reach between 220-240 beats per minute during postural change and whilst engaging in light exercise. Eventually, my heart would return to its resting beat after lying flat for a short period of time. The confusion is determining what the likelihood of my diagnosis is because I’ve never experienced low blood pressure upon postural change.

[@Catlily5]

You don't have to have low blood pressure when you change posture.

[@amandanicole5874]

You don't have to have to blood pressure to have pots. I'm the exact same way, and I have pots.

[@tanyawieczorek6603]

Nikita, how are you doing now? That's a very high HR 😧

[@pamelapam5338]

Excellent and useful information! I learned so much. I’m suffering from IST and will ask my cardiologist about the drug you mentioned. I’m on a low dose beta blocker now and I don’t like the side effects. Thanks again Doctor!

[@tanyawieczorek6603]

How are you doing now. Did you try the Ivabradine.

[@moonbby8192]

I’ve had random episodes of extremely hard and fast heart rate. I’ve been diagnosed with pots and take atenolol for it. I’m only 15 but when I stand up when my medication wears off my heart does just speed up and slow back down, I go into a full blown episode. It can vary from 5 minutes to 2 hours, but I don’t have it randomly so I guessed it isn’t svt... when I’m resting even when my meds have worn off I have a normal heart rate sitting at 59-70, But if I sit up or stand, my god that’s more than just pots, it’s extremely hard and a heart rate into the 170’s. If it was just the heart rate I wouldn’t worry to much but it beats extremely fast and doesn’t relieve when sitting or laying down... I never had this problem before taking atenolol... I had an episode one day randomly before I was even diagnosed with pots and my hr was 190 and it was very hard, taken to a&e and released the same night, I was just told I had an SVT episode, but I’ve NEVER had svt since then... I was thinking because I have pots maybe sinus tachycardia seems more logical...

[@ColdVsIce]

Prxda! Did you figure out what this was?

[@tanyawieczorek6603]

How are you doing now? Did you figure out what was wrong?

[@srikanthtupurani6316]

Most of the people think high pulse rate weakens the heart muscles and damages heart. Some people say normal pulse rate is 60-80. These things create so much fear. There are many people with resting heart rate more than 80.

[@2weeksago642]

Is IST difficult to diagnose?

[@amandanicole5874]

@@2weeksago642 no

[@2weeksago642]

@@amandanicole5874 do you know if beta blockers help lower the heart rate for people with IST?

[@amywilliams4786]

I have ist i have had beta blockers and ivabradine and currently on midodrine but unfortunately nothin working and i am struggling a lot with day to day life. I see dr pepper at LGI who is brilliant! I am so desperate for something to help i would consider trying anything if i thought there was a slight chance of it making me feel a tiny bit better. Your video was very helpful and good to watch as you dont get many people who understand this condition!

[@gvillarreal79]

Sorry you're going through this, how are you feeling now, it's been 5 years since this comment, if medications are not working last resort is ablation or pace maker, if weight is the issue try fasting.

[@catmuro6515]

Hello Doctor, Thank you for all of your videos- very informative and they always seem to calm my nerves. I’ve suffered with Sinus Tachycardia since my early 20s. I believe my low iron levels and anxiety contribute to the problem. Unfortunately I obsess about my heart rate, continuously checking it, and it affects my everyday life. Thank you for the reassurance, I know it will help me relax a little and enjoy my life.

[@mdshahadathosen2644]

I am just keep my hand in my chest stand with wall and count my heartbeat. Its so strong beat.should i worried.

[@leina_playz6203]

Your a such a good doctor,the way you explain it you made it so easy for me to understand keep up the good work

[@cami1071]

Thanks doctor for this helpful information. I was diagnosed with Inappropriate sinus tachycardia very recently and I am so happy that I know with what I'm dealing and that it can be treated with bisoprolol. Other doctor blamed anxiety and that I was fat when I was 14 and I was 63kg.. now I am 18 I went to a good doctor I he told me right away what it was.

[@cami1071]

@Tara KingWell, there's times where i feel completely normal, my heart palpitations are normal, I can do exercise without problems, pretty much in every sense I feel good. But there's also times that I feel sick everyday. Like, my heart beats fast at times, I feel dizzy, I'm short of breath, and also times where my heart makes this weird movement (shake) and then back to normal. Everything for me it's sporadic. I don't know when it's gonna happen. (Even though I'm in treatment)👍

[@cami1071]

@Tara King what about you?

[@cami1071]

@Tara King well when to the cardiologist he told me that IST like it's not life threatening because In my case I'm just 18, that maybe I can get better, but I don't agree with him because from my point of view IST makes our heart very weak. I feel like an older person sometimes. And... I also, after taking the medication( bisoprolol 2.5mg) , I feel more recently short of breath, sometimes I can't even walk o do anything, that's when the dizziness comes ... Like a I don't feel I'm getting better, I'm going the same, or worst I think 😐

[@cami1071]

@Tara King @Tara King I had blood test, and everything was normal. Just like you there's days that I feel so great, I feel normal, but there's days I feel miserable. And my family also thinks that I'm a bit exaggerated that I need to relax, but it's impossible cause it's really hurts. I went to emergency the last time i got chest pain , they did the electrocardiogram.. everything was ok and diagnosis from them it was the breastbone 😑 but I dont think so. I hate this too. I really hope that you can feel better because I know this is not easy at all.

[@tanyawieczorek6603]

@تلاوات القران - Tilawat Al Quran well isn't this kind of like revving the engine in a car for no reason? Eventually the engine will conk out?! Wear and tear for nothing.. please explain further

[@rikuzais]

Thank you so much for this informative video! I have just been recently diagnosed with IST so watching this video calmed my nerves :)

[@tatjana1707]

I've been diagnosed with sinus tachycardia(I had an ultrasound and ecg, but I wasn't wearing a holter), almost two years ago, but I wasn't given any medication to use. I don't have often tachycardia, but when it happens I feel like my heart is about to explode. My heart rate is usually around 80-90, rarely above 100, but it does happen sometimes. In the last couple of days, my heart rate is between 70-90 but it feels like it's much more, why do I feel like that? I don't have any other symptoms. Is it possible that my heart doesn't work well which is why I feel like my heart is beating much faster, even though it's only between 70-90? Btw thank you for an amazing video.

[@faith_over_fear8896]

Did you figure this out?

[@MohitHuda]

Rarely above 100 wtf, how come u think u have tachycardia, everyone have above 100 beats rarely

[@kerirhinehart6346]

I have just found your channel.... I cannot thank you enough for all of your information. Thank you!!!

[@kayelle8005]

I think I have POTS and my cardiologist thinks I have inappropriate sinus tachycardia. My heart rate at rest is normal between 57-62 BPM. When I stand up my heart rate jumps to anywhere between 120-148 BPM and after I’ve been up for awhile it will settle down. I did NASA lean test with my GP and I couldn’t get to the six minute mark because of my blood pressure changes, dizziness and nausea. I do experience periods of high heart rate while at rest for no apparent reason. Where I won’t be feeling anxious or doing anything and all of a sudden my heart rate is at 110 BPM for anywhere between 10min to 2 hours. When it’s happening for 10-20 min I can’t feel it and wouldn’t know except I wear an Apple Watch and get the notification. When the high heart rate goes for a longer period I do notice it. The only thing that I notice is sometimes a factor is heat. The final thing that can happen is that I can get short periods of 1-5 minutes where the rhythm is all out of whack - very fast, irregular and skips - often this brings on a cough response. I occasionally have chest pain. I also have ME/CFS. Recently my cholesterol has been going up and I have a calcium test score of 6 which put me in the 70th percentile so now I’m on a cholesterol lowering medication. I’ve been advised to drink 500ml of water on waking and a further 500 ml before noon and then 1 or more litres after noon and to increase my salt intake. I haven’t been advised to wear compression socks. Some increasing my salt intake my books pressure which has been low all my life is now in the normal range.

[@Winnerswash]

When he said anxiety causes svt that is very wrong because I suffer from anxiety and my heart rate does go up of cause because the way I am feeling but when I have a svt attack it comes on when I am doing nothing and not feeling anxious just feels like a sudden flutter then bang straight to 250 beats

[@Nicole467_]

I have that, is that stv? I had 270 pulsations

[@melsue1026]

That’s because it flutters and it scares you so ur heart beats faster, cause of anxiety. Flutters and skips here and there are normal.

[@melaniesheildmaidenrawr8407]

I have pvcs. But im more than sure i have some sort of tachycardia just not sure which... My dr never catches it. I have days where i wake up and my heart stays in the 130s all day. Nothing helps it. And i feel fatigued. I also habe these other episodes where out of nowhere my heart jumps up to the 160 to 180 range for a couple minutes then goes away. Takes like 15 seconds to get that high. And 15 seconds to go back to normal. It terrifies me. I have panic disorder but havent had a panic attack in over a year. 2 tears ago weird things started happenning to my body.

[@leofrank71]

I just had another of many trips to the ER 2 days ago. I've had IST for at least 15 yrs and it never gets any less frightening. My first GP told me to take beta blockers and then when they did nothing but drop my already low to normal bp to the point that I was almost catatonic. My rhythm is always normal but in tachycardia a lot of the time. It is very hard to convince yourself that your heart wont just stop from burning itself out. Both cardiologists that I have seen have told me that this alone will not hurt me. Mine is not caused by anxiety but it sure causes it. I obsess and use my bp monitor constantly to check my heart rate. My nerves are shot from this and no matter how many times I'm told that it wont kill me my brain just does not want to accept it. I know this makes it worse but how do you just ignore the tightness when it goes so fast? My oxygen is 98 percent but feels like I'm getting no air at all. This stuff is hell. Thank you for the great vid. Have liked and subbed.

[@suzihazlove4979]

Me toooo... And, Er last week. And I left after blood work.

[@adyyy7]

You’ve explained exactly what I feel. It’s awful and so draining

[@glorynunez2641]

Same here wow

[@selinagebre8829]

Thank you Dr for great explanation. I am suffering from IST and my cardiologist told me I must drink 2 litter water per day and within aweek my resting heart rate goes to 105 to 85

[@applepie3610]

Can low ferritin levels cause tachycardia? I don't have anemia but low ferritin levels which means I have iron deficiency.

[@PenelopeZ.Z.]

At age 20, I'm currently on beta blockers. They've made me so tired and I can't think straight. My heart rate is currently 110 laying down. The only thing I haven't been checked for is thyroid issues. They've said that my heart looks fine. I have blood pressure issues due to this. I'm not sure what to do. My cardiologist simply tells me to lose weight but, I don't think that it's helping. I've developed breathing issues from Lopressor (tartrate). I am a musician so this is not good. I may have to end my career goals simply because of this. 😔

[@PenelopeZ.Z.]

And it's extremely hard for me to lose weight being that exercise is nearly impossible.

[@jodd1922]

Hey how are you now?

[@jamberry1135]

Whole food plant based diet Best for heart health

[@mininahid3300]

I have been suffering from IST since 2017. Had EPS, they found no issues with my heart, had thyroid tests, no issue either. I've never been overweight, yet I've experienced unintentional weight loss of about 8 kg. After losing weight, I got even weaker. I feel dizzy everyday. I've been diagnosed with cataracts last year, also have the risks of retinal detachment. My life's been terrible in the last few years. Recently, I've started taking a bit more salt than regular and it somehoe helps with dizziness but not enough.

[@stimulusvideosdailyprofitf171]

I got diagnosed with inappropriate sinus tachycardia multiple sclerosis related unbelieveable

[@aha1046]

Thanks doctor. that was informative espesially the simplicity and organization you put in the explaination. Hope you do same with other cardiac disease

[@xxFlipflops04xx]

I just want to say THANK YOU!! ❤️

[@michellekulas282]

What about sinus tachycardia (had an EKG) that lasts only 30 minutes or an hour and then disappears? Is that still considered IST?

[@YorkCardiology]

no - IST tends to be more persistent - thanks for your comment.It'd mean a tonne if you'd consider subscribing to the channel Michelle:-

[@vineshbhasin4139]

I have been having episodes of SVT since Oct 2019.I underwent stenting on Dec3 '19 at AIIMS and this gave me relief.Now I had an episode last night for 15 minutes and again today for 10 mins. Heart rate goes upto 153. The doctors at AIIMS have prescribed Telmisartan &Chlorthalidone tablets 40/12.5 mg and Diltiazem Hydrochloride SR 90 mg.Would this medication be effective?

[@cami1071]

I feel just like you... I had 2 weeks the first episode of the month .. and right know it's starting again :(

[@jamberry1135]

Have you tried a whole food plant based diet it can stop more plaque and reverse it

[@vineshbhasin4139]

@@jamberry1135 ...I am a strict vegetarian.

[@dragonmaster7841]

I not certain why sinus tachy is not dangerous? I would imagine there is faster wear and tear on the heart over a course of time.

[@lacquerlifenails7780]

I asked my cardiologist this when I got my diagnosis and he explained that the heart is an extraordinarily strong muscle that can handle the workload without damage. Even though it’s high it isn’t high enough to cause long term damage.

[@pryzmik3657]

People who exercise more thus their heart is working harder, tend to have longer lifespan

[@quzee5779]

I suppose it would be similar to the heart functioning under aerobic activity such as jogging. The main difference I can see is in the cortisol release from the resulting anxiety, which would then be stressing the immune and metabolic systems.

[@Armaninabz]

Qu Zee so do you think the Heart beating from anxiety or panic attacks, is released by different hormones and chemicals then when working out

[@Amilakasun1]

@@pryzmik3657 If you exercise more your resting heart rate goes down and your heart is relaxed most of the time. That's why you should exercise more.

[@2weeksago642]

I only had symptoms of sinus tachycardia after smoking weed and it felt horrible. I had pain and pressure in my chest. It felt like I was going to have a heart attack. I lasted like that for about 3 weeks

[@lorichaudhry7290]

I think you got ahold of some tainted weed. Or else you’re allergic to the terpenoids. Bummer. 🤷🏼‍♀️ I rely on medical marijuana for huge relief from my chronic pain. 🙏

[@thefaithfulsheepcrafts4021]

Thank you so much . I have just been diagnosed with this following a consultation with an amazing Cardiology doctor who was able to differentiate my symptoms from another condition . This video was so helpful . I am a nurse and had never heard of this condition . I will forward I h this to my family so they can learn about it too . God bless you in your life and work

[@breemiller6511]

Sometimes I get chest pain that goes to my left arm and fingers. I've been to the er many times. They tell me that my heart is healty and fine. So why is it beating so fast? I am disabled. I have gastroparesis j tube feed. I have sinus tachycardia. I feel my heart beating fast and hard can't breathe about 20 hours a day.

[@patriciap3096]

Dr. Sanjay what about a women in perimenopause?? Can estrogen overload cause it and is this inappropriate or appropriate ST???

[@ablair33556]

I think so.. I’m always tachycardic the days before my period so I think hormones definitely affect it.

[@akeemarj]

You are amazing, Dr. Gupta

[@sorellefraser888]

What's best treatment of IST not coming from AV node but possibly CNS. You have no idea how helpful your post has been. My IST is so debilitating for me been on bisporizol for 7 years down to 1.25mg 3 to 4 times a day as low BP stops me taking higher dose. I'm about to try another medication can't remember what it's called hopefully ivabradin that you mentioned. I've passed out a couple of times from mine. Had holter monitor on for 3 days recently and woke up with terrible tachycardia, walking to bathroom made it so much worse, then felt like my heart exploded and went faster than it ever been in 7 years, then I passed out. Holter recorded heat rate of 185. Had to stop my daily beta blockers which I had been on for over 7 years in order to see how heart was functioning, so scary to think how bad it got over those three days of not taking beta blockers especially given the build up I would of still had on my system. Now got diagnosis changed for sinus tachycardia to IST avarage heart rate over the three days was 145 I think. I now suffer such bad anexity and panic attacks which obviously make the tachy worse as when it happens it so scary and I feel like either my hearts going to explode or just short out and stop. Having this numerous times a day with no rhyme or reason has just become to much for me to cope with. I don't drink or smoke etc no caffeine and still have it. I can only feel so sorry with everyone who is on this journey I feel your pain anger frustration and sadness. I wish it hadn't taken so many tests and terrible cardiologists to finally get a diagnosis from my current Cardiologist who seems to know what it is were dealing with. For those who have Dr gupta as your Cardiologist you don't know how lucky you are. Sending everyone affected so much love. Wish there was a support group for us all...we need it xx

[@tanyawieczorek6603]

How are you doing now?

[@skywater522]

R u ok now , is IST lasts forever ?? I am also victim

[@sorellefraser888]

Better now I'm on nadadol 40mg per day ist calmed down alot I know certain foods trigger it plus stress hot baths etc so have had to change lifestyle in order to help manage the symptoms I have really bad eptopics now x

[@skywater522]

Is IST lasts forever ??

[@skywater522]

I think my IST happening for my vagus nerve dysfunction if that then will it be cure ???

[@seniorcockblock2482]

Dr Gupta is ist common for mvp syndrome? I have a history of svt and had an ablation but when I am stressed my resting heart rate is in 130s and sinus rhythm.

[@layanalbluwi7508]

Thank you doctor for this clarification , while im sitting my heart rate is 83-92. But whenever i get up it is 100-130. I suffer form anxiety and im taking therapy. Is anxiety a reason for my fast heart beats ? Thank you

[@romerogarcia]

Anxiety can affect, try meditation, excercise, more potassium and magnesium diet, and worry less about it that helped me. If your measuring your heart rate and your anxiety, nervous, stressed its normal to be higher.

[@rockysaini866]

Hi Layan, how r you now?

[@Catlily5]

Possibly look into POTS.

[@dylanmartino7975]

Great video. You explained everything great. And really helped me understand what I’m going through.

[@s.m.3014]

Does inappropriate sinus tachycardia worsen if you become pregnant? Are there any complications to be aware of?

[@beux4754]

also don't forget about if your body is not rested tachcardia can make it worse because if you go longer with out resting and not dealing with tachycardia you could die unless you hold your breath for a long amount of time doing so will make you get a headache over time and you will throw up but if you stop holding your breath no matter how bad it hurts tachycardia attack won't stop and if you leave it untreated for 6 days it will damage your brain and hurt your body i have been dealing with this for 6 days now my head is burning and hurting so bad this is what people doesn't tell you they expect you to be healthy so tell me how do i handle tachycardia and hold my breath with out hurting???? my head hurts more and more by the day well brain when ever i force my body to rest i heat up and holding my breath the same time everything hurts more what do i do?????

[@YorkCardiology]

Thank you so much for your comment and for watching the video. Please join me for live free chats on my Facebook page (type [e-mail] in Facebook search) - I will be able to answer your questions there

[@marshagreene7926]

beux hello how can this damage the brain?

[@nikit1814]

I've been to five cardiologists and they all have a different opinion on how to treat my IST. One says I do have something similar to IST but he does not think it is IST. This developed suddenly 5 weeks postpartum when I came down with some type of illness.

[@FloridaDad]

I believe I have this as it will sometimes happen in my sleep without me waking. Last night I went from 45bpm to 139bpm, but was back to 40s within an hour. I have a team of Drs that believe that this is a hiatal hernia, so I'm hoping that they're correct. My rate will sometimes drop into the upper 30s at night, so I don't think I have any options. It's good to know that this is harmless, but it doesn't feel harmless while it's going on. I've had numerous EKGs and my Cardiologist says I'm very healthy and it's just anxiety, but obviously not while I'm alseep, right?

[@valeriaplaza6291]

Hi, how are you? I have the same as you, I would be grateful if you answer me, thank you very much

[@FloridaDad]

@@valeriaplaza6291 Hi! I think I've figured out that this is trapped air in my stomach or esophagus due to poor digestion. If I feel my heart rate go up, I can sit up and I'm very easily able to burp, which seems to help it go back down quickly. My symptoms have gotten much less severe lately. I also found a Chiropractor that does a fascia release that seems to be helping me.

[@harkaur2912]

@@FloridaDad Hi, how are you now? I am exactly in the same situation and I think it has something to do with digestion and I know it's not anxiety

[@FloridaDad]

@@harkaur2912 Hi, well I have made some progress, but not totally better yet. In the mornings are when I seem to have most of my issues and they seem to happen after I eat breakfast. The difference is now my rate will just go up into the 80s and settle back down in the 50s by 10am. I think the fascia release work really helped me, but I am still burping frequently especially during these episodes. My Functional med Drs think that I still have an issue with h.pylori, so I need to focus on killing that somehow. What was strange though is that I did some strenuous exercise a few weeks ago and it made the condition worse for about a week or so where my rate would climb quickly at random times like a panic attack, but it wasn't a panic issue. So yes, I'm still kind of lost but at least my rates aren't going crazy like they were and I'm living a mostly normal life. The best advice is to work on the Vagus nerve and focus on doing everything you can to fix digestion (i.e. diet, killing bad stomach bacteria, adding good bacteria, etc.)

[@harkaur2912]

@@FloridaDad Hi, thanks for replying. My dietitian said I have digestion issues which could be the reason. But I can't say anything until I visit my cardiologist tomorrow. She told me an acupressure point as a first aid. It is right below ring finger and pinky finger, just between the bones on left hand. Next is pinching tip of left pinky finger (including the nail). Do it for 2-3 minutes. It really works for slowing heart rate. I agree it feels like a panic attack. It's really scary. I hope you get better.

[@misssis9676]

So a few days ago I was diagnoced with IST. I mistly experience this at night and the more stressede I've been, the more frequently I experience a high puls. My heart rate is normal ly quite low, when resting (60 beats pr. minut) and the, while laying in ved I wake up and just know that now My puls will go high and I have to really focus My breath to get it back down. Any body else with these sypmtoms?

[@labanipaul5922]

Yes i have ..when I lie down on bed its getting severe my heart beating much faster..i couldn't sleep..

[@denisesilver5382]

I have POTS and I had 17 ablations a long time ago. I still feel so bad.

[@sapperstang]

I believe this happened to me last year out of the blue. I’ve always had bradycardia so this scared me. I wasn’t feeling right for awhile and all of a sudden one day I felt strange and all of a sudden my heart was beating well over 100 bpm. I was transported to the hospital and other than being fast it was a normal sinus rhythm. It went away after several minutes but would happen a couple times a day. I was given metoprolol which I eventually stopped taking under doctor’s orders. It has been seven months and it hasn’t happened since. I wore a holter for two weeks but no cause was ever found for these episodes. Since then I have drastically reduced my caffeine intake and improved my diet.

[@arunimasarkar814]

I have slightly problematic ECG, showing long leads II and inverted T

[@fatimashaikh8875]

Hi last year I was suffering from palpitations and heart beat upto 125 -130 after taking medication for one month it was gone completely. It started again this year with palpitations, chest pain, and fast heartbeat. I am currently taking ivabradine

[@jameshilton9255]

Is Ivsbradine working

[@fatimashaikh8875]

@@jameshilton9255 it was working but made me feel exhausted all the time. I couldn't do anything. I have stopped it

[@Welsh35]

I believe i have this but, my heart is in the 40s and 50s sleeping, 50 and 60s when resting and if i turn over in bed in will shoot up to 80. Some days my heart feels normal and some days my heart is 150 just walking up a stairs!

[@rebeccalindsay8377]

This is exactly like me. My ranges from 43-160 in a day

[@prashanthu7289]

@@rebeccalindsay8377 what exactly have you done..mine varies from 55 to 140..requesting for any advice if u r following some

[@rebeccalindsay8377]

@@prashanthu7289 my cardiologist has just said to continue on my beta blockers for now

[@prashanthu7289]

@@rebeccalindsay8377 thanks a lot for your reply