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31 years
I woke sudanly middle of the night sweting quick pulse and pain under the heart . i went to er several times did the test there is nothing i also put holter also nothing.
Aug 25, 2014

Dr. Rania Mousa General Medicine
The ventricles are the heart's two lower chambers. They fill with blood from the top chambers of the heart (atria) and send it to the lungs and through the aorta to be circulated throughout the body.
Tachycardia is a heart rate of greater than 100 beats per minute.
A normal heart rate is 60 to 100 beats per minute at rest.
Ventricular tachycardia is a regular, faster-than-normal heart rate that begins in the heart's lower chambers.
it is a pulse rate of more than 100 beats per minute, with at least three irregular heartbeats in a row.
In most patients with ventricular tachycardia the rate is in the range of 170 beats per minute or more.
SO how much are yours and who measures them for you ,have you gone at the time of symptoms to the ER and they checked your heart rate and found it high or it is only your estimation .

Your heart rate is controlled by electrical signals transmitted across the heart muscle. When something goes wrong and signals are sent too rapidly, tachycardia can occur.

Two causes might be :

>Heart related ventricular taccycardia :

Most often, ventricular tachycardia is caused by other heart problems such as coronary artery disease, high blood pressure, an enlarged heart (cardiomyopathy) or heart valve disease. It also can develop after a heart attack (myocardial infarction) or after heart surgery because of scar tissue that forms on the heart.

In others, it occurs in the absence of heart disease or any other clearly identified causes.
Ventricular tachycardia can develop in people who do not have heart disease

In these individuals, the condition can be caused by:

> certain medications(look for your medications )
> an imbalance in electrolytes (the minerals that regulate heart rhythm you can check your blood chemistry for electrolytes )
> excessive caffeine or alcohol consumption(try to eliminate them from your routine and check if symptoms gone after a period )
>recreational drugs or exercise, or certain genetically transmitted conditions.

Ventricular tachycardia may be diagnosed by

-Continuous ambulatory electrocardiogram (Holter monitor), you have done
-ECG you ,have done
-Intracardiac electrophysiology study (EPS)
-Loop recorder
-Blood chemistries and other tests may be done.
-echocardiogram, and exercise testing

however ,have you checked with a cardiologist ?it is advisable to check with a cardiologist and tell him your symptoms and concerns .to make a full exam and tests and to diagnose the responsible cause
Patients presenting in sustained VT may respond acutely to carotid sinus massage, Valsalva maneuvers, or intravenous adenosine or verapamil
However ,at the mean time cut off caffeine in coffee and soda ,sleep well ,have rest times ,check for the cause by a cardiologist .
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