What causes irregular heart beat, fatigue and hypertension?
Patient: Good day dr!, I am ena san diego, 31 years old female, I have a resting heart rate of 105 rpm, it gets to 120-140 with a little physical activity. I tested negative for hyperthyroidism and pheochromocytoma. I also undergone stress test and 2D-echo, my cardiologist told me that I have normal heart with a fast heart rate. He prescribed ivabradine 7.5 but didn’t give any diagnosis. Is this Inapropriate Sinus Tacychardia? Aside from a fast heart beat, I also feel tired most of the time, I am hypertensive, I have GERD, constipation, heat and cold intolerance. All of these symptoms came 3 years ago, and I have been to different doctors and no one can diagnose what I have, most of them will say everything is normal. How come it will be normal when I feel all these symtoms, help me doctor, thank you Doctor: if you have a hypertension it most probably is due to essential hypertension that means there is no specific reason for it but your physician muster roll out any underlying good causes which amounts to about 5% of patients with hypertensionIf the hypertension is the severe it can cause if regular  heartbeats if it is a sinus tachycardia that means that is the main sinus when you have fast heart rate it may most probably be due to anxiety due to poor conditioning or due to dehydration and If you have fast heart rate up to 140 the rhythm has to be seen by Ekg if a sinus then again it can be due to poor conditioning and the treatment for these conditions can be for the underlying the cause like treating the hypertension if the EKG shows any rhythm like like it real flatter than it needs a specific and tie a rhythmic treatment so if you want to send me a copy of ekg I'll be glad to see and then advise you specificallyYour fatigue can be due to depression or anxiety order to uncontrolled blood pressureRead news and fast heart rate can be there without any organic heart disease  you should pick up a reliable cardiologist and do not to visit different positions and then you'll get the answer or you can give me more details thank you very much