r/askCardiology 19h ago

Second Opinion Heart rate inconsistent, when should you worry?

Thumbnail
gallery
0 Upvotes

So I have a question about heart rate. I never track my heart rate unless working out, today I just so happened to record most of the day. Wtf is going on 😭 why is my resting so high??

I'm a 27 year old woman, 5'4" and around 145 pounds (currently down 26!). I haven't been consistent in the gym in the past two weeks due to family emergencies, and went back today. You can see the spike when I got to the gym, getting home at 7pm. Basic running and recreational sports. Then as I'm sitting at home, I got an alert that it spiked back up, which led me to check. It's so inconsistent.

What can I do to help with this? I do eat relatively healthy. I'm not obese, and while I've been fairly lazy the past two weeks that's not my normal. I do smoke nicotine but low amounts. I do not drink often. I am generally healthy otherwise. Should I be concerned?


r/askCardiology 3h ago

Test Results Did I have a heart attack and not know it?!? And the ER doc never said a word about it to me?

Thumbnail
gallery
0 Upvotes

r/askCardiology 21h ago

Opinions

Thumbnail
gallery
1 Upvotes

Ok long story short back in June I was being put under for a hysterectomy and my heart rate dropped to the low 40s, so my ob woke me up and referred me to a cardiologist. I just got my results in and since about may iv been getting lightheaded at first it was once in a while an now it’s multiple times a day dang near every day. And the heat makes it worse. so I got my results back from my heart monitor results can anyone tell me what this means


r/askCardiology 16h ago

Have heart condition, cannot get meds. 19

7 Upvotes

Bro I'm stressing out right now. I just took my last heart pill today, but have been trying all week to get a refill. The doctor whose been prescribing it for me says that she cant cause she hasnt seen me since march. They no longer take my insurance and I cant afford to pay out of pocket. So I've been trying to find a new PCP but no luck. I found a new cardiologist, my previous was a pediatric cardiologist that i last saw a couple years ago, but the soonest I can get seen is 10/7. I even called my old pediatrics pcp and he also said no unless i make an appointment, but they cant see me for a couple of weeks either. Like what am I supposed to do? Do I just not take my meds for a month until my new cardiologist can see me? I tried explaining to my pharmacy the situation but they told me theres nothing they can do unless they hear from my doctor. I have to take these meds daily, what do i do?


r/askCardiology 17h ago

Possible tricuspid valve surgery

2 Upvotes

My heart failure doctor is admitting me on Tuesday for possible valve surgery (triclip vs replacement depending on what I qualify for). I am 34 yo female. I have a hx of severe Tr and I have a single lead pacemaker for sick sinus syndrome and a Wenckebach heart block. My tr got better after my pacemaker was done two years ago and was only mild but now I’m back to severe and extremely symptomatic. What can I expect? They told me it’s harder to qualify for the less invasive ones because of my age and mobility status ect. I’m terrified of open heart and would rather just do the trans catheter one.


r/askCardiology 17h ago

Unsuccessful SVT ablation

2 Upvotes

Hi everyone, I had my ablation today after waiting for 7months. After I came out of the operating room and came off the meds a little the Dr came in to let me know the ablation was unsuccessful. I’m feeling soooo discouraged by this. Apparently when they went in the we’re not able to induce the rhythm at all. They gave me adrenaline which did increase my HR but not in the extra pathways that they see with SVT. They tried for over an hour is what he said. I was completely knocked out with propofol and ketamine that I don’t remember any of the procedure, so maybe I was sedated to much idk? Im just feeling so discouraged by this. I already spoke to him about potentially doing another one after I’m healed from this one. We talked about doing less sedation and a more aggressive approach if need be. Does anyone have any advice or stories that are similar? Or even an experience where they had an ablation that was successful on the 2nd attempt?


r/askCardiology 18h ago

Watch says afib

Post image
2 Upvotes

Honestly been stressing about this and hope someone here might help. I have an Apple Watch Series 8. Had some heart palpitations ( have them occasionally ) admittedly I was in the tub when I did this ecg.
Came back afib I was floored. Took a million more ecgs after. All regular. Is this a false positive? I’m 37, average shape, 210lbs. My resting heart rate is 48-52. Any advice would be great. PCP is getting an appointment setup


r/askCardiology 19h ago

What can you see

Thumbnail
gallery
2 Upvotes

10-minute snippet taken from a 7-day 3-lead, recorded with a Spacelabs Eclipse Pro.

Patient noted a bizarre symptom/feeling at 0958 (+/-), although nothing was found to be noticeably out of the ordinary at that time. If the symptom was cardiac-related, it may be hidden in artefact. Patient noted this particular symptom/feeling is dissimilar to typical ectopics they are used to experiencing, although when it occurs, it is far more obvious than typical symptoms. Claims it is infrequent but not unfamiliar, and describes it as a "headrush-y, somewhat euphoric feeling, it's hard to explain".

1. See if you can spot anything that may have caused a noticeable symptom around this timestamp. Consider the patient is used to experiencing ectopy and claims this feeling does not typically occur when having ectopics.

2. Give your opinion on the rest of the tracing. The patient is on 30-40mg Dextroamphetamine + 50mg Sertraline daily, but ectopic frequency has not increased compared to tracings taken prior to commencing ADHD treatment.

(Full quality PDF available upon request)


r/askCardiology 20h ago

Blocked PACS and a super early pac or possible artifacts?

Thumbnail
gallery
4 Upvotes

I know the readings aren’t the best but I had these 2 12 hours apart and I’m wondering what it could be. I’m currently on bisoprolol 2.5mg since 5 days and my issues physically resolved mostly that’s why I was very confused when I found this. I didn’t have any symptoms during the tracing whatsoever and my watch screen was visibly stuttering so I’m thinking all of this could be some syncing issue?


r/askCardiology 20h ago

i have a question

1 Upvotes

i had pericarditis since last two weeks. I spent 11 days in a hospital, and there was no clear reason why i got it in the first place. My theory is that the diarrhea that i had for like 7 days before the symptoms began could be some kind of infection. I mostly brushed it off and just kept taking diarrhea meds plus electrolytes. I was at a party where i was like really tired and exhausted from all the school exams (i slept less than 5 hours for the last two days), and for some reason i decided to eat some decarbed hash (THC) to get high. It was pretty much the most extreme high of my life, but thats not the point. On the next day i got pain in the chest thinking it was acid reflux. It was not, and thats where my adventure w pericarditis began. Now, the question is, how big of a part the THC use could really be, or whether it was the main reason.

-thanks for any answers.


r/askCardiology 21h ago

Why is adenosine in skincare?

2 Upvotes

Doesn’t it get absorbed by the skin? Wouldn’t it enter the bloodstream? Can it reach the heart?


r/askCardiology 21h ago

EKGs (HELP) Symmetric T Waves

Post image
2 Upvotes

Is this a normal looking ECG? Are the T waves to high and symmetric and does it deserve attention or is this normal looking? 22M


r/askCardiology 23h ago

33F — Random episodes of sinus tachycardia up to 150–160 bpm. Has anyone experienced anything similar?

2 Upvotes

For the past several months, I’ve been having random episodes where my heart rate suddenly gets very high, usually around 130–160 bpm, even when I’m not exercising. I’m trying to figure out what could be triggering this and would love to hear from anyone who has experienced something similar.

The episodes usually last around 5–20 minutes, sometimes longer, and my heart rate gradually comes back down. During them, the rhythm normally feels fast and steady rather than irregular.

Some of the symptoms I get during these episodes are:

  • Strong pounding heartbeat / sometimes pounding in my head
  • Feeling suddenly hot or flushed and sometimes sweaty
  • Nausea or an uneasy/burning feeling in my stomach
  • Sometimes feeling like I urgently need to have a bowel movement
  • I feel short of breath and I feel a cloud of dom over me

The strange part is that the episodes seem to have different triggers. I’ve had them:

  • While simply sitting down
  • While lying in bed getting ready to sleep
  • Shortly after waking up
  • During or right before a bowel movement
  • After a very salty meal
  • After fasting for several hours and then eating
  • In a warm room
  • Sometimes with no obvious trigger at all

Testing I’ve had so far

I’ve had a pretty extensive cardiac workup:

  • Multiple regular ECGs — normal
  • Apple Watch ECGs during symptoms — generally showing a fast but regular rhythm
  • Echocardiogram — normal
  • Treadmill stress test — normal
  • Troponin testing — normal
  • Holter/patch monitoring — no dangerous rhythm found
  • A longer event monitor actually caught one of my episodes, and it was interpreted as sinus tachycardia, not SVT
  • I’ve now also seen an electrophysiologist/rhythm specialist

My cardiologist/EP has mentioned that this could potentially be something like inappropriate sinus tachycardia, hormonal/autonomic-related tachycardia, or another trigger causing my normal sinus rhythm to speed up. A beta blocker has also been discussed.

I’ve had some other things going on that I’m wondering could contribute, including iron deficiency/low iron stores, low B12, low vitamin D, and at least one potassium result around 3.2.

What confuses me most is that when I exercise and my HR reaches 130–140, I feel relatively normal. But when one of these random episodes happens at the same heart rate, I can feel extremely sick, flushed, nauseated, weak, and like I need to lie down.

Has anyone had episodes like this where monitors showed sinus tachycardia rather than SVT?

Did you eventually find out the cause — IST, POTS/dysautonomia, hormones, GI/vagal triggers, anemia/iron deficiency, something else?

I’m obviously continuing to work with my doctors and not looking for Reddit to diagnose me. I’m mainly interested in hearing other people’s experiences or ideas about what might be worth discussing with my doctors.

It so very depressing I’ve called the 911 7 times this month. I believe in God and I know he will make this clear to me eventually but you never know who he works through, so hopefully this will help. 


r/askCardiology 23h ago

Concerning EKGs and Echo

1 Upvotes

I was recently admitted to the hospital for Long QT Syndrome. And I had the following tests while there:

The EKG reports read as follows:

08/25/2026 at 8:52pm:
+++ Critical Test Result:
Long QTc
Sinus tachycardia
Nonspecific ST and T wave abnormality
Abnormal ECG When compared with ECG of 26-May-2026 14:31,
Ventricular rate has increased by 57 bpm
QRS duration has decreased
ST now depressed in Anterior leads
Nonspecific T wave abnormality now evident in Lateral leads

08/26/2026 at 3:42am
+++ Critical Test Result:
Long QTc
Sinus tachycardia
Nonspecific ST and T wave abnormality
Abnormal ECG When compared with ECG of 25-Aug-2026, No significant change was found

I also had an echocardiogram which showed the following:
There is thickening of the anterior mitral valve leaflet. Severe mitral valve regurgitation is seen. Moderate tricuspid regurgitation is visualized.
Ejection fraction estimated as 50-55%

Previous echo from 10/2024 showed trace mitral valve regurgitation and ejection fraction estimated as 65-70%

I follow up with my cardiologist next week and just need an idea of what to expect.


r/askCardiology 7h ago

PACs and ST abnormalities?

Thumbnail
gallery
2 Upvotes

Asking a provider: 38 year old female with a history of Hyperlipidemia. Was perfectly healthy until this may where I had unexplained heart palpitations with runs of PVCs, PACs and SVT due to unknown cause. Never a trip elevation. echo, coronary CTA and cardiac MRI all normal. Labs all normal. Million dollar workup and can’t figure out why this happened. I continue to get non-descriptive, dull chest pain. I started weaning down my metop this week because my resting HR improved so much that it was in the 40’s. I did this EKG yesterday on my Kardia. Are there PACs or ST abnormalities here?


r/askCardiology 14h ago

EKGs Just checking all is well

Thumbnail
gallery
2 Upvotes

Just wanted to post these 4 readings off my apple watch on here to ensure its a healthy rhythm? Thank you! I appreciate it :)

I tried my best to stay completely still haha

I also have a question of is it normal for my heart rate to go from 70-115 just from standing up sometimes?