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Pulse rate high reason?
Hello Senior Doctor,
I have been experiencing persistent anxiety, excessive sweating, palpitations, and a resting pulse rate frequently above 100 bpm. My investigations show normal thyroid function (TSH 1.75 mIU/L, T3 and T4 within normal limits), normal hemoglobin (13.4 g/dL), and normal kidney function, thereby ruling out thyroid disorder, anemia, and chronic kidney disease as major causes.
However, the following abnormalities were detected:
• SGPT (ALT): 83.9 U/L (elevated)
• GGT: 91.6 U/L (elevated)
• Total Cholesterol: 206 mg/dL (elevated)
• LDL Cholesterol: 139 mg/dL (elevated)
• HDL Cholesterol: 34.9 mg/dL (low)
• Triglycerides: 160 mg/dL (borderline elevated)
• Fasting Blood Sugar: 101.5 mg/dL (borderline elevated)
• MCHC: Low
• RDW and RDW-SD: Elevated
Despite these investigations, the cause of my persistent tachycardia remains not clear. Advocate profession. No alcohol or smoking
Answers (14)
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Your symptoms of persistent tachycardia above 100 bpm, palpitations, excessive sweating, and anxiety â with thyroid confirmed normal â need further workup. The elevated SGPT (83.9) and GGT (91.6), combined with very low HDL (34.9), borderline triglycerides, borderline blood sugar, and the LDL/cholesterol pattern, form a picture consistent with metabolic syndrome and likely non-alcoholic fatty liver disease (NAFLD). The low MCHC and elevated RDW need iron studies and a peripheral smear. Most importantly, the triad of unexplained persistent tachycardia, profuse sweating, and anxiety must prompt ruling out phaeochromocytoma (an adrenal tumor) â this is a classic presentation for it and must not be missed even though it is rare.
Next Steps
Please see an internal medicine physician urgently with all your reports. Key additional tests needed: iron studies and peripheral smear (for MCHC/RDW), plasma or 24-hour urine metanephrines (to rule out phaeochromocytoma), and a 24-hour Holter monitor to characterize the tachycardia. Please consult me directly on Practo for a detailed evaluation.
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Get Haemoglobin, hba1c, tests for hepatitis b and c , ultrasound abdomen done and share results.
Avoid fatty, sugary food, do regular physical exercise, if obese, reduce weight.
Repeat lipid profile after 6 to 8 weeks.
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Yoga helps
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Kindly do connect and consult with me for better treatment plan and advice on your case
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Hi,
Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Need more details and history
U need to do ecg and echo if u have symptom persists
Pls consilt me through practo
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Better if you consult with general physician in nearby hospital.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Hello,
I feel these things need to be discussed in a consultation. You can book a consultation with me and let’s discuss.
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Dr. Jangale Gopal Haribhau
General Physician
9 yrs exp
Nagpur
Your thyroid, hemoglobin, and kidney tests are normal, which is reassuring. The ECG image is not very clear, but persistent resting pulse >100/min with palpitations and sweating needs further evaluation. Anxiety can contribute, but other causes should be excluded. I would advise a 24-hour Holter monitoring, 2D Echo, blood pressure assessment, serum electrolytes (especially magnesium and potassium), and consultation with a cardiologist. Avoid excess caffeine, energy drinks, and stress triggers. If you develop chest pain, breathlessness, dizziness, or fainting, seek urgent medical attention. Your elevated liver enzymes and abnormal lipid profile also need follow-up and lifestyle modification.
Next Steps
Consult a cardiologist for clinical evaluation. Get a 24-hour Holter monitoring, 2D Echo, blood pressure assessment, and serum electrolytes (potassium and magnesium). Also repeat liver function tests and lipid profile after medical review.
Health Tips
Avoid caffeine, energy drinks, smoking, alcohol, and unnecessary stress. Ensure adequate sleep, hydration, and regular physical activity as tolerated. If you develop chest pain, shortness of breath, dizziness, fainting, or a very rapid heartbeat, seek immediate medical attention.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
Will help you
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Dr. Abiram Yokesh V K
General Practitioner
Chennai
Kindly consult a physician in person.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.