Talk:Tachycardia

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Please Do Not Post Your Personal Medical Problems

This is the talk page for the Tachycardia article, and discussions here should be somehow related to improving that article. Please review the talk page guidelines. See also What Wikipedia is not. MoodyGroove 13:51, 30 December 2006 (UTC)MoodyGroove

Intro unclear
“Tachycardia typically refers to a heart rate that exceeds the normal range for a resting heart rate (heart rate in an inactive or sleeping individual).”
 * When I first read this it confused me it doesn’t read well.
 * To me inactive or sleeping individual could mean the same as resting?
 * But isn’t a lower heart rate for inactive or sleeping individual normal?
 * I though the heart rate would drop below normal resting rate when asleep?
 * Again I'm just getting even more confused if this could be written a bit clearer that would be great. — Preceding unsigned comment added by 86.0.140.137 (talk) 17:41, 26 February 2012 (UTC)

VTach
This should go on a new-to-written VT page:

''Often, ventricular fibrillation is preceded by ventricular tachycardia. While these are both fast rhythms in the lower chambers of the heart (the left and right ventricles), ventricular tachycardia is a more organized rhythm which usually still gives marginal cardiac output, while ventricular fibrillation is described as chaotic activity of the ventricles. While ventricular tachycardia can lead to ventricular fibrillation, it is often self-limiting. Ventricular fibrillation never converts to sinus rhythm, and will always lead to death if it is not terminated quickly. Ventricular tachycardia may be associated with an adequate blood pressure to perfuse the brain. Often, however, the heart is beating too fast for blood to enter the heart, causing a low blood pressure and decreased perfusion of the brain and other vital organs. In ventricular fibrillation, since the electrical activity in the ventricle is chaotic, there's no organized pumping of blood, and therefore there is no blood perfusion of the brain.'' JFW | T@lk  08:02, 21 November 2005 (UTC)

Ventricular tachycardia
I'm going to move Ventricular tachycardia into it's own page. Basically, Tachycardia should just give you an overview of the different types of tachycardia and point the reader to other pages such as Ventricular tachycardia, Sinus tachycardia, and Supraventricular tachycardia. Ksheka 21:03, 31 December 2006 (UTC)
 * Done.Ksheka 21:24, 1 January 2007 (UTC)

Gold standard?
Not to nit-pick, but the following line is not quite right: The gold standard of cardiac rhythm analysis is the electrocardiogram.  While I'm not an electrophysiologist, my guess is that the gold standard of cardiac rhythm analysis is the intracardiac electrogram performed as part of an electrophysiologic study (EP study). This is not commonly performed. The most commonly used diagnostic tools to determine the nature of a cardiac rhythm are the 12 lead EKG and the telemetry rhythm strip. Ksheka 21:29, 1 January 2007 (UTC)

Anxiety
It's odd that this article does not mention anxiety, which is a common cause of tachycardia. Generalized Anxiety Disorder (GAD) is a vastly more common cause than rare adrenal tumors which are mentioned in the article. DonPMitchell 05:49, 7 February 2007 (UTC)
 * Emotional states are almost always a direct clue to what the heart is doing. Not just in terms of rate but rhythm. However there is a problem here establishing cause from correlation. Is anixiety causing abnormal heart activity or is abnormal heart activity manifesting as ainxiety?RotogenRay (talk) 15:20, 8 September 2014 (UTC)

Ecstacy
What happens if I take some gurners and I have tachycardia? Am I at greater risk of heart attack or should I be OK?
 * If you have concerns about the health effects of recreational drug use, I suggest you take it up with your personal physician or perform some Google searches. It's really not appropriate to ask for medical advice of any kind on a Wikipedia talk page. MoodyGroove 04:35, 18 March 2007 (UTC)MoodyGroove
 * The question is valid, and not something I would necessarily expect a doctor to know. Excessive levels of serotonin peripherally act as a vasoconstrictor, narrowing the blood vessels; raising blood pressure. A heart attack is different from fibrillations which may accompany extreme instances of tachycardia, though it's worth noting that cocaine use has been more solidly linked to cardiotoxicity. However, this may be in part loosely related to the difference in habits of cocaine users and those who use MDMA. However there is an interaction between MDMA and another substituited phenethylamine 25I-NBOME which can produce life threatening tachycardia and fibrillations. I believe the NBOME also has efficacy at adrenergic receptors. From the information I've gathered about complications of such drug-syndromes, THERE IS NO HELPFUL INFORMATION IN THIS ARTICLE ABOUT WHAT TO DO FOR TACHYCARDIA. On the one hand, no assumptions are made about underlying conditions. But for all intents and purposes, if someone is sitting here and their heart is clipping on at ~180bpm, it's going to be very difficult for them to even read this article, let alone try to figure out what to do themselves to address their issue. As I see it, there are two practical alternatives. Either somehow get the heart to slow down, or put a load on it. If someone with tachycardia could manage to boil some water and make hibiscus and/or hawthorne tea it would likely be of great relief to their cardiovascular system. In the instance this is not possible, the greatest danger is that you might pass out where you stand, because your brain isn't getting enough oxygen. This is especially true of tachycardia complicated by vasoconstriction- the heart encounters too much resistance to be able to effectively pump blood as the blood pressure is too high with no activity (assuming this is resting-state tachycardia). To load the heart correctly, one must engaage the rest of the muscles in the body, especially the diaphram. If the rest of one's body is put into a rythm, such as breathing deeply while walking or running, the heart will follow and it's much easier for blood to flow to the rest of the body. Fibrillations subside as a regular rythm is maintained in this instance. You'll likely find the most dangerous aspect of MDMA to be the thermogenic/dehydrating properties.RotogenRay (talk) 15:20, 8 September 2014 (UTC)

Discussion of the specific treatment of medical disorders beyond generalities is patently beyond the scope of an encyclopedia, and is inappropriate unless the information is provided and verified through a credentialed medical practitioner for obvious reasons. 2605:A601:4515:F400:35A4:F235:A55C:8044 (talk) 23:53, 19 April 2019 (UTC)

Coffee
I don't want to edit this article but I think someone should mention coffee as a cause to high heart beat and what to do if their pulse was 121.

=
====== I have postoperatory tachycardia after a bypass surgery. I found nothing about that problem in the article. —Preceding unsigned comment added by 76.10.132.191 (talk) 22:36, 11 August 2008 (UTC)

Bananas
"This can happen in response to a decrease in bananas" - eh? —Preceding unsigned comment added by 60.234.30.50 (talk) 21:54, 6 March 2009 (UTC)

Famous People
I am deleting this section and the related Miley Cyrus reference. Not sure if vandalism or hearsay but definitely a HIPAA violation unless common public knowledge and also not relevant to article. --Coppermallow (talk) 22:21, 23 March 2009 (UTC)
 * Miley self-disclosed the condition in 2009 in her autobiography Miles to Go. Janers0217 (talk) 06:00, 29 December 2012 (UTC)

Treatment
Just making some minor changes to text to explain medical terms, clarifying things for nonmedical personnel.--Coppermallow (talk) 18:10, 26 March 2009 (UTC)

How Fast?
Are we really sure of this? It seems a bit fast. Really fast. Gingermint (talk) 02:47, 28 September 2009 (UTC)

1-2 days: >159 beats per minute (bpm) 3-6 days: >166 bpm 1-3 weeks: >182 bpm 1-2 months: >179 bpm 3-5 months: >186 bpm 6-11 months: >169 bpm 1-2 years: >151 bpm 3-4 years: >137 bpm 5-7 years: >133 bpm 8-11 years: >130 bpm 12-15 years: >119 bpm >15 years - adult: >100 bpm

---

Also, It isn't clear to me if this is from birth or conception. I think one would assume birth, but some clarification would be nice. Jonathan Caldwell, Columbus, OH (talk) 09:17, 30 September 2009 (UTC)

Global Changes
I am rewording some of the text and removing some unnecessary components. As it was, it seemed as if this text was lifted directly from a textbook and was too technical. Some of the details are not necessary to explain the term though the medical relevance of tachycardia will be left intact.--Coppermallow (talk) 18:54, 26 March 2009 (UTC)

Pronunciation
It would be useful to include in the intro the pronunciation of Tachycardia. I'm not too familiar with IPA, but could someone who is edit that in? — Preceding unsigned comment added by 129.94.141.156 (talk) 00:42, 9 June 2011 (UTC)

Copyright problem removed
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helpful to add EKG for each type of tachycardia
I would find it useful if a picture showing a normal ekg and a ekg with the specific irregularty diplicted. The irregularity could be highlighted to make it easier to identify.38.110.36.2 (talk) 17:54, 5 March 2014 (UTC)
 * you can be the guinea for that one;)RotogenRay (talk) 15:20, 8 September 2014 (UTC)

Tachycardia not tachyarrhythmia
It seems the article focus on tachyarrhythmia, however tachycardia is a general term that used for increased heart rate. I suggest that the section of DDx moved to tachyarrhythmia and we should write the article more general. Baqeri (talk) 21:31, 17 December 2014 (UTC)
 * Both can be discussed here. Both or often used interchangably. Doc James  (talk · contribs · email) 09:29, 28 May 2015 (UTC)


 * Doc James and I had differing views on the way to write certain bits (portions of the lede) so as to handle that question. I deferred to his preference because I realized while pondering it that differentiating nonpathologic tachycardia from pathologic tachycardia is complicated by the fact that relative tachycardia with regular rate and ECG WNL could represent either one by a chain of causation so multivariate as to be clinically obscure. In other words, you maybe can't determine which it is, and you have to reach all the way back into the deepest philosophy of nosology if you wanted to try (defining what counts as pathologic and what counts as physiologic—surely Olympic-athlete physiologic perfection is not the only definition of "not pathologic", so then where is the "line", who "has a disorder" because they aren't Olympian, when is regular but high rate "truly" arrythmic?). And in simpler words, if an apparently healthy person in an exercise physiology lab has a heart rate of 120 when you think they probably ought to have a heart rate of 100, the reason why could be so obscured from your detection, and multivariate, that you can't label it definitively. That's my line of thought, anyway. I welcome anyone to add to it. Quercus solaris (talk) 22:58, 29 May 2015 (UTC)
 * If we have high quality sources commenting on these two terms being used differently than I think we should have a section that contains the discussion. I have always seem them used interchangeably and have not see usage differ depending on if one is physiological versus pathological. Also keep in mind the definition includes "resting" Doc James  (talk · contribs · email) 11:53, 30 May 2015 (UTC)

Not quite- "Exercise" is an example of "appropriate" sinus Tachycardia as opposed to inappropriate sinus tachycardia. Medically, in practice anyways, Sinus Tachycardia which is not pathological is simply referred to as "appropriate sinus tachycardia". Any tachycardia which is not a "sinus" rhythm is by inherent definition "pathological", if you carefully study your basic cardiology. 2605:A601:4515:F400:35A4:F235:A55C:8044 (talk) 00:03, 20 April 2019 (UTC)

What is the asterisk for?
"100* bpm"? — Preceding unsigned comment added by 2601:9:480:DF76:E90D:960:828:3105 (talk) 22:53, 19 April 2015 (UTC)
 * No idea. removed it. Doc James  (talk · contribs · email) 09:30, 28 May 2015 (UTC)

Actually, its there because while most sources say "100 beats a minute" as constituting tachycardia, there are a few sources out there that say 110. Also, in pediatrics rates above 100 can be normal. (as in neonates, for example.) If you don't know why something is there you should ask first before removing it. 2605:A601:4515:F400:35A4:F235:A55C:8044 (talk) 23:56, 19 April 2019 (UTC)

Suggestion: a semi-logarithmic diagram (dots, not line) showing the BPM numbers in Diagnosis section, with Age as the logarithmic axis. That would illustrate how a resting rate may be dangerous when higher (red area) than those points. It would just be an illustration of the data already available, nothing more - nothing less, so there's no original research in it. TGCP (talk) 09:05, 16 October 2020 (UTC)

Sources Needed Tags
Please note that in the discussion of the various types of tachycardia, I have inserted the sources needed tag for material which is completely un-sourced. Please remember the policy about the requirement for valid sources and the prohibition on original research. Thank you. 2605:A601:4515:F400:35A4:F235:A55C:8044 (talk) 23:58, 19 April 2019 (UTC)

Sepsis and Tachycardia
Article previously stated that patients in sepsis are considered in a state of tachycardia if their heart rate surpassed 90BPM.

The Sepsis-3 definition, as defined in 2016-2017, removed heart rate from their diagnostic criteria.

The current diagnostic criteria does include breaths per minute, but breaths per minute are not necessarily a correlate of tachycardia.

Therefore, I removed the statement that patients in sepsis can have a tachycardia diagnosis if their heart rate is above 90BPM.

Sources:

https://jamanetwork.com/journals/jama/fullarticle/2492881

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5538252/

https://www.frontiersin.org/articles/10.3389/fped.2018.00425/full#B1 EverywhereBlair (talk) 02:01, 12 July 2022 (UTC)