Year: 2025
Type: conference-paper
Study design: Case Report
Abstract: sultan tuna akgöl gür 1 , muhammet emin akgün 1 1 emergency department of ataturk university Introduction and Purpose: sinus tachycardia is a physiologic response of the body to fever, exertion, excitement, stress, shortness of breath, etc., in which the pulse rate is above 100 but the impulses originate from the sinoatrial node.No matter how physiologic the reaction of the patient, we need to correct the tachycardia by correcting the underlying cause.Materials and Methods: A 50 y male patient with known diabetes mellitus and hypertension was admitted to the emergency department with complaints of fever and joint pains for 2 days.The patient's vitals showed ta:112/68 sat:96 nb:148 fever:39.2.The patient's ECG showed sinus tachycardia with a rate of 150.The patient had cryptic tonsillitis on examination.No acute pathology was observed in external examinations.No acute pathology was observed in the patient's tests and imaging including troponin.The patient's fever was reduced to 36.8 with symptomatics.The patient stated that his complaints were relieved, but his tachycardia did not fall below 140s.When a control ECG was performed 1 hour later, elevations and depressions around 1 small square in the patient's ECG were observed and the patient was consulted to the cardiology clinic.The cardiology clinic started to perform rate-breaking intervention.After 3 doses of diltizem were repeated, the patient's ECG was observed as af with rapid ventricular response and the patient was hospitalized by cardiology.Af was corrected with cordarone infusion and the patient was discharged.Results and Conclusion: When we see sinus tachycardia in our patients, we usually do not panic because we all know that if we correct the underlying cause, the tachycardia will resolve.However, if the patient's tachycardia does not resolve and there are no other symptoms, it may be of cardiac origin or if it persists for a long time, cardiac involvement may start.Even if the patient has sinus tachycardia, we should always keep in mind the cardiac involvement and that there is no cardiac cause until the tachycardia resolves.
Source: Ataturk University - AVESIS
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7132202864
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