Sinus tach

[delirium]

I posted this in the cardiac nursing section, but I wanted to repost it in General, so maybe I'll get a few more views, and maybe even a response or two.

Ok, I'm going to make it short but informative.

I am 25 y/o female, student nurse, no previous history of cardiac problems. My history includes malignant melanoma and asthma. I am on no asthma meds except my rescue inhaler (albuterol) and haven't used it for over 2 months.

Last night I was in the ER for sinus tachycardia, rate oscillating between 150-180 (went as high as 192 at one point). Was given Inderal, Adenosine, and Ativan (not in that order). Had ekg done, normal ekg with sinus tach and ST elevation. Of course I'm supposed to follow up with a cardiologist for a holter monitor, echocardiogram, and stress test.

Any insight into this? I'm not on any stimulants (had a soda for breakfast yesterday, this didn't start til about 7 pm), I'm under stress but not unusual amounts of stress.... what does the ST elevation indicate? I'd appreciate any info.

Thanks!,

Rebecca

(who is extremely tired today.... I felt like I ran a bazillion marathons yesterday)

Also, I have an appointment to f/u with my PMD but not until Tuesday.

[sharann, BSN, RN]

The Albuterol inhaler can definetely cause tachycardias. So can caffiene as we all know. The combination however can really give the ticker a jolt! Now, I also would look into the thyroid thing, to be sure. If you don't eat food and then take meds and soda, it can make you have arrythmias.

Hope you feel ok, and keep an eye on this. You are young and should be fine. See the cardio consult.

[delirium]

Thanks for all your responses.

I haven't used my rescue inhaler in over 2 months. I do have very very bad eating habits (often going most of the day without food), and I have been known to drink a caffeinated soda or two but nothing I thought was excessive.

I took the Inderal this morning.... is it common to be so sleepy? Nauseous? I'm not taking it tonight (mostly because I'm too lazy to pick it up from the pharmacy). I'm gonna call my doc about it in the am.

I am definitely following up with the cardiology consult.

Y'all rock!