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Tachycardias (>120 bpm)

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Updated: Sep 19, 2024

CLINICAL DIAGNOSTIC MANUAL



Tachycardia, defined as a heart rate over 120 beats per minute, can be caused by fever, acute haemorrhage, hypoxia, thyrotoxicosis, severe anaemia, heart failure, pulmonary embolism, medications, or severe electrolyte imbalances. Symptoms often include shortness of breath, pallor, and weakness. Diagnostic tests include blood tests, echocardiogram, arterial blood gases, and imaging studies depending on the underlying cause.

Cause

Symptoms and Signs

Diagnostic Tests

Fever

Elevated body temperature, tachycardia

Temperature measurement, blood tests to identify the cause of fever

Acute Haemorrhage

Sudden blood loss, tachycardia, pallor

Blood tests, imaging studies

Hypoxia

Shortness of breath, cyanosis, tachycardia

Arterial blood gas analysis, pulse oximetry

Thyrotoxicosis

Weight loss, nervousness, tachycardia

Thyroid hormone levels, TSH receptor antibodies

Severe Anaemia

Fatigue, pallor, weakness, tachycardia

Complete blood count, ferritin, iron levels

Heart Failure

Shortness of breath, oedema, tachycardia

Echocardiogram, natriuretic peptides, electrocardiogram (ECG)

Pulmonary Embolism

Chest pain, shortness of breath, tachycardia

Pulmonary angiography, chest computed tomography (CT)

Medications and Drugs

Varies depending on the substance, possible tachycardia

Medical history, blood tests

Severe Electrolyte Imbalances

Dizziness, confusion, muscle weakness, tachycardia

Blood electrolytes, ECG


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