I have idiopathic sinus tachycardia and although it was controlled on Atenolol 25mg I have been getting symptoms again, mainly my heart skipping numerous times a day, to conincide with this when I feel my pulse there is a pause to co-incide with the skip.
My doctor upped my Atenolol to 50mg daily but although the symptoms have reduced they are still there but feel like they are suppressed.
Anyway I have a 24hr ECG booked for next week, will enough still be picked up even though I'm on the Atenolol. GP said not to come off it.
You don't state your age or gender or how long you have had the tachycardia and whether any medications other than Atenolol have been tried. I am not quite sure what is meant by "idiopathic sinus tachycardia." Have such conditions as hyperthyroidism (overactive thyroid gland) been ruled out?
Atrial premature beats and paroxysmal supraventricular tachycardias may be seen in the same individual and a brief pause after the premature beat is to be expected.
I would agree that one has to make the correct diagnosis of what is occurring, and a 24 hour ECG study should help. Causes for persistent tachycardia should be ruled out. Assuming the premature beats are of a benign variety, other treatment modalities might be tried.
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