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Tachycardia

life science Maturity 11-13 Next article →

Your heart works hard to pump blood through your body. Sometimes, it beats much faster than it should while you are resting. This is called tachycardia. The word comes from Greek words meaning "quick" and "heart." For adults, a resting heart rate over 100 beats per minute is usually considered tachycardia.

Electrocardiogram of Ventricular Tachycardia
Electrocardiogram of Ventricular Tachycardia

A fast heart rate is not always a bad thing. It can be a normal response to exercise or feeling fear. However, it can also happen because of electrical problems inside the heart. When the heart beats too fast, it might not pump blood efficiently. This means the body and the heart itself might not get enough blood flow.

There are many different ways the heart can beat too fast. Doctors often group these into two main types. They look at a tool called an electrocardiogram, or ECG, to see the rhythm. They check the width of the QRS complex, which is a part of the heart signal. If the signal is narrow, it is called a narrow complex tachycardia. These often start in the upper parts of the heart, called the atria. If the signal is wide, it is a wide complex tachycardia. These usually start in the bottom parts of the heart, called the ventricles.

Electrocardiogram of Ventricular Tachycardia
Electrocardiogram of Ventricular Tachycardia

Many different things can cause the heart to speed up. Some causes are simple, like being thirsty or having a fever. Stress and panic attacks can also trigger a fast heart rate. Some people have medical conditions like hyperthyroidism or anemia. There are even special muscle issues, like McArdle's disease, that cause an unusual heart rate during exercise. In McArdle's, the heart tries to help by pumping extra fast to deliver fuel to the muscles. Other causes include using certain drugs or having a problem with the heart's natural pacemaker.

Electrocardiogram of Ventricular Tachycardia
Electrocardiogram of Ventricular Tachycardia

Doctors use specific numbers to know when a heart rate is too high. These numbers change depending on how old a person is. For a baby only 1 to 2 days old, a rate over 159 beats per minute is tachycardia. For a child aged 3 to 4 years, the cutoff is 137 beats per minute. For teenagers and adults, the number is usually 100 beats per minute. Doctors must also look at the whole clinical picture to understand the patient. They check if the person is stable or unstable. An unstable person might have organs that are not working correctly.

Electrocardiogram of Ventricular Tachycardia
Electrocardiogram of Ventricular Tachycardia

Treating tachycardia depends on the type of fast rhythm. If a person is stable, doctors might use physical moves called vagal maneuvers to slow the heart. They might also use medicine to help. If a person is unstable, they may need something called cardioversion. This is a way to help the heart return to a normal rhythm quickly. Some types of tachycardia, like ventricular tachycardia, can be very dangerous if they last a long time. Doctors work hard to find the right way to help the heart beat steadily again.

Electrocardiogram of Ventricular Tachycardia
Electrocardiogram of Ventricular Tachycardia
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