Tachycardia: causes of rapid heartbeat and treatment in Tashkent

Other names: Пароксизмальная тахикардия, учащённое сердцебиение, наджелудочковая тахикардия, экстрасистолия

Tachycardia is a heart rate greater than 100 beats per minute at rest. In itself, increased heart rate is not a disease: the heart must speed up under stress, excitement, temperature, and dehydration. The question is always whether the acceleration of the situation is adequate. Paroxysmal tachycardia deserves special attention - an attack that begins and ends suddenly, “like a switch,” with a frequency of 150–220 per minute. Such an attack has a specific electrical cause and in many cases is cured radically.

🧾 МКБ-10: I47 🏥 Where it is treated: 6 Beginning and ending “like a switch”Halter catches a fitAblation can cure

👨‍⚕️ Which doctor

Cardiologist, arrhythmologist

🔬 Diagnostics

ECG, Holter, EchoCG, thyroid hormones

💊 Treatment

Vagal techniques, drugs, ablation

📈 Prognosis

More often favorable

⚠️ At risk

Stress, anemia, thyroid, caffeine

⏱ When to see a doctor

Planned; if you faint - urgently

🚨 See a doctor urgently

With these signs do not wait for a scheduled appointment — the condition requires emergency care.

Приступ сопровождается болью в груди, одышкой или обмороком
Пульс выше 180 в минуту
Приступ не заканчивается более 20–30 минут
Сердцебиение с резким падением давления
Приступы возникли впервые после 50 лет
Случаи внезапной смерти у молодых родственников

When a rapid heart rate is normal

Sinus tachycardia is the correct reaction of the heart to the body's needs. It develops gradually and also gradually passes.

Physical activity, emotions, pain
Increase in body temperature - approximately +10 beats per degree
Dehydration, blood loss, anemia
Caffeine, energy drinks, nicotine, alcohol
Hyperthyroidism - thyroid gland is a common and easily tested cause
A number of medications: vasoconstrictor drops, bronchodilators, hormones

Отличие от пароксизма: синусовая тахикардия «разгоняется» и «замедляется» плавно, а пароксизмальная начинается и обрывается мгновенно. Эта деталь очень помогает врачу и её стоит запомнить.

Types of rhythm disturbances

Supraventricular paroxysmal tachycardia - attacks 150–220 per minute, sudden onset and end; more often in young people, usually not life-threatening, but interferes
Atrial fibrillation is an irregular heartbeat that requires a separate approach and stroke prevention
Extrasystole - “shocks”, “fading”, interruptions; often harmless, but requires evaluation
Ventricular tachycardia is the most dangerous type, usually due to heart disease; requires urgent treatment
WPW syndrome is a congenital accessory pathway, manifested by seizures; can be treated well with ablation

Survey

ЭКГ — информативна, если снята во время приступа; вне приступа часто нормальная.
Холтеровское мониторирование 24–72 часа, при редких приступах — более длительная регистрация.
Эхокардиография — исключение структурной diseases сердца.
Анализы: общий анализ крови (анемия), ТТГ и гормоны щитовидной железы, электролиты (калий, магний), глюкоза.
Нагрузочная проба — при связи приступов с физической активностью.
Электрофизиологическое исследование — при планировании аблации.

Practical advice: if an attack occurs, try recording your pulse using a fitness bracelet or taking an ECG at a nearby location. Even a photograph of the tonometer readings with pulse rate helps the doctor.

What to do during an attack

Сесть или лечь, обеспечить доступ воздуха, не паниковать — тревога усиливает сердцебиение.
Попробовать вагусные приёмы: натужиться на задержке дыхания на 15 секунд, умыться холодной водой, глубоко и медленно подышать с удлинённым выдохом.
Не давить на глазные яблоки и не массировать шею самостоятельно — эти приёмы устарели и опасны.
Принять препарат, назначенный врачом именно для купирования приступа, если он есть.
Вызвать скорую при боли в груди, одышке, обмороке, пульсе выше 180 или приступе дольше 20–30 минут.

Treatment

Elimination of the cause: correction of anemia, treatment of hyperthyroidism, avoidance of caffeine and energy drinks, normalization of sleep
Antiarrhythmic drugs for the prevention of attacks - selected by a cardiologist
Beta blockers - for frequent attacks and sinus tachycardia due to anxiety
Radiofrequency catheter ablation - eliminates the focus or additional pathway; for supraventricular tachycardia and WPW gives a high probability of complete cure
For ventricular tachycardia and high risk - implantable cardioverter-defibrillator

Экстрасистолия у человека со здоровым сердцем в большинстве случаев не требует лечения препаратами. Гораздо эффективнее нормализовать сон, снизить потребление кофеина и алкоголя и проверить уровень калия, магния и гормонов щитовидной железы.

Services and prices for this diagnosis

Based on official price lists of Tashkent clinics. The exact cost is determined after examination.

🔬 Diagnostics

ЭКГ с расшифровкойfrom 50 000 ЭхоКГ — эхокардиография (УЗИ сердца)from 165 000

Frequently asked questions: Tachycardia and rhythm disturbances

What heart rate is considered normal?+

At rest, an adult has 60–100 beats per minute. In trained people it can be lower without any pathology. It is not only the number that matters, but also whether it corresponds to the situation and how it is transferred.

How does paroxysm differ from normal heartbeat?+

The paroxysm begins and ends suddenly, “like a switch,” with a frequency of 150–220 per minute. Normal sinus tachycardia increases and subsides gradually following exercise or excitement.

The ECG is normal, but there are seizures - what to do?+

Outside of an attack, the ECG is often normal. Holter monitoring is required, and for rare attacks, longer recording. It is useful to record the pulse during an attack in any way possible.

Are extrasystoles dangerous?+

In people with a healthy heart, single extrasystoles are usually safe and do not require medication. It is important to rule out structural heart disease, check potassium, magnesium and thyroid, improve sleep and limit caffeine.

Can ablation cure forever?+

For supraventricular tachycardias and WPW syndrome, radiofrequency ablation provides a high probability of complete cure. With other types of arrhythmia, the result depends on the mechanism and condition of the heart.

The information on this page is for reference only and does not replace a doctor consultation. Only a qualified specialist can make a diagnosis and prescribe treatment after an in-person examination.