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- $Unique_ID{BRK01094}
- $Pretitle{}
- $Title{What is "Tachycardia" and What Can be Done for it?}
- $Subject{rapid heart beat beats tachycardia Circulatory electrocardiogram EKG
- paroxysmal vagal maneuvers verapamil edrophonium Digoxin electric electrical
- stimulation cardioversion arteriosclerotic cardiovascular disease Valsalva's
- maneuver electrocardiograms rhythm Arrhythmia Arrhythmias}
- $Volume{G-3}
- $Log{
- Normal Electrocardiogram*0001401.scf
- Arrhythmias: Paroxysmal Tachycardia*0001404.scf
- Arrhythmias: Ventricular Tachycardia*0001406.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- What is "Tachycardia" and What Can be Done for it?
-
-
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-
- QUESTION: My mother has been taken to the hospital several times because her
- heart, all of a sudden starts beating out of control. She called it "tack"
- something and said that her heart beat was 200 beats per minute. Could you
- please tell me more about this disease? What should she do?
-
- ------------------------------------------------------------------------------
-
- ANSWER: Your word "tack" comes from the Greek "tachy" which means "swift" and
- the name of the medical condition is "tachycardia," or the rapid beating of
- the heart. Generally this term is applied to any heart rate over 100 beats a
- minute. There are many types of tachycardia, depending upon their cause,
- which is usually determined by carefully examining the heart and evaluating
- the electrocardiogram (EKG). It is called "paroxysmal" when the condition
- starts suddenly without warning. The patient may feel faint and weak, but
- rarely passes out completely. The patient should lie down immediately and
- remain quiet and calm, to offset the effects of a lowered blood pressure which
- may be present during the attack of this rapid heart beat. There are a number
- of techniques called "vagal maneuvers" that may be attempted by trained
- personnel to break the rapid rhythm. The patient may attempt a forcible
- exhaling effort against a firmly closed mouth and glottis to increase the
- pressure in the chest area (Valsalva's maneuver) or the carotid sinus, located
- on the side of the neck, may be massaged. I stress this should only be
- attempted by trained personnel while the heart is being monitored by an EKG.
- Frequently this is all that is required to restore the heart beat to normal.
- When this is unsuccessful, various medications including verapamil or
- edrophonium may be used. Digoxin may also be used when emergency treatment
- fails, and it is possible to return the beat to normal using electrical
- stimulation (electrical cardioversion). Although this condition may be seen
- in younger people with no evidence of heart disease, in older people, like
- your mother, arteriosclerotic cardiovascular disease may be present.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-