I've been having bouts where my heart rate spikes up to 100-105, and I've noticed some mild chest pain with that. When this happens, my heart rate is usually under 100, and my blood pressure is 12680, plus my sugar and thyroid levels are normal. My ECG came back showing sinus tachycardia. Could you guide me on what kind of medicine might help with this?

Answered by 1 Apollo Doctors

Dr Anshul Maheshwari

General Practitioner

MBBS
5+ Yrs

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I cannot view attachments, but given your description of symptomsintermittent high heart rate, mild chest pain, and an ECG showing sinus tachycardiait's important to address these issues carefully. Since your blood pressure and thyroid levels are normal, your symptoms could be related to stress, anxiety, or other non-cardiac causes.

Medications such as beta-blockers (e.g., metoprolol) may help manage sinus tachycardia and associated symptoms, but these should only be taken under the supervision of a healthcare provider. Additionally, lifestyle modifications such as reducing caffeine and alcohol intake, practicing relaxation techniques, and ensuring adequate hydration and sleep can be beneficial.

Please consult your healthcare provider for a thorough evaluation and personalized treatment plan, including whether medication is necessary.

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Answered 04/07/2025

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Understanding Sinus Tachycardia and Symptoms
- Sinus tachycardia is a condition where the heart rate is elevated due to increased electrical activity. Common causes include stress, anxiety, or dehydration.
Importance of Medical Evaluation
- A cardiologist should evaluate your symptoms. Additional tests like an echocardiogram or Holter monitoring may be necessary to identify underlying issues.
Medication Options
- Beta-blockers: These can help control heart rate and alleviate symptoms.
- Calcium channel blockers: Considered if beta-blockers are unsuitable.
Lifestyle and Supportive Measures
- Manage stress and avoid triggers such as caffeine. Regular follow-up is crucial.
When to Seek Immediate Medical Attention
- Seek help if you experience worsening chest pain, dizziness, or fainting.
Relevant Medical Specialties
- A cardiologist plays a key role in managing this condition.
Medication Brands Available in India
- Common beta-blockers include Metoprolol and Atenolol. Amlodipine is a calcium channel blocker option.

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Answered 10/09/2025

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I'm really concerned because I was told my ECG showed NSR incomplete, and I'm experiencing some weird symptoms like heaviness in my head, weakness, lower back ache, mild chest pain on the left side, and even some gastritis. Could this all be related? Should I be worried about how these symptoms are connected?

Based on your symptoms, it is important to address each issue individually. For the incomplete NSR on ECG, it may indicate a potential heart rhythm abnormality. To help regulate your heart rhythm, you can take a beta-blocker like Metoprolol (25-50mg) once daily. For the heaviness in head and weakness, it could be related to your blood pressure. You can take Amlodipine (5-10mg) once daily to help lower your blood pressure and improve blood flow. For lower back ache, you can take Ibuprofen (400-600mg) every 6-8 hours as needed for pain relief and inflammation reduction. For the mild pain in the left chest, it is important to rule out any cardiac issues. You can take Aspirin (81mg) daily to help prevent any potential clot formation. For gastritis, you can take Omeprazole (20mg) once daily before breakfast to reduce stomach acid and alleviate symptoms.