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Ask Dr. Ashori Your Own Question
Dr. Ashori
Dr. Ashori, Board Certified MD
Category: Cardiology
Satisfied Customers: 524
Experience:  Urgent Care Physician
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Can heart racing cause disequilibrium and vertigo symptoms

Customer Question

Can heart racing cause disequilibrium and vertigo symptoms as well as nausea? My heart goes above 120 when I walk around and I have tachycardia while sitting too usually 100 or more Bpm . How can I treat this if this is POTS??
Submitted: 6 months ago.
Category: Cardiology
Expert:  Dr. Ashori replied 6 months ago.

Hi Dr Ashori here. Yes, heart racing that's fast enough can certainly cause those symptoms.

Let me explain.

Expert:  Dr. Ashori replied 6 months ago.

Heart rate in the 150's is when patients start feeling dizziness, lightheadedness or problems with equilibrium.

It makes the heart beat so hard and fast that it doesn't have enough time to fill and so the brain doesn't get enough blood flow.

Expert:  Dr. Ashori replied 6 months ago.

POTS is usually first treated with stopping any medications that lower your blood pressure or your peripheral resistance.

Next we make sure the patient is doing enough exercise and drinking enough water and taking in enough salt.

Expert:  Dr. Ashori replied 6 months ago.

Thankfully your pulse isn't too high to worry about any permanent damage or changes to the heart. But if you are getting vertigo symptoms it would be worthwhile getting an EKG to see if there is anything else going on with the heart.

I am assuming you don't think you have vertigo from something like an inner ear issue? Such as benign paroxysmal positional vertigo or mennier's disease?

Customer: replied 6 months ago.
Is propranolol a good med for this situation I also jab awful anxiety. Yeah I don't have an inner ear issues they said ten years ago I have migraine related vertigo but I don't get headaches so it's strange
Expert:  Dr. Ashori replied 6 months ago.

Yes, it's a great medicine for that. It will decrease the heart rate so you will have less of a heart racing sensation.

Expert:  Dr. Ashori replied 6 months ago.

Many of my patients with long standing anxiety who don't like the antidepressant meds or xanax or benzodiazepines do really well with propranolol.

Customer: replied 6 months ago.
Ok cool I need something to help cause my vertigo and nausea have caused me to have severe anxiety and Valium 2mg isn't helping the anxiety at all
Expert:  Dr. Ashori replied 6 months ago.

Hope the propranolol will help.

Expert:  Dr. Ashori replied 6 months ago.

Hope the information I provided was helpful.

If you have other questions please let me know.

When you are done please rate this post so that I can be paid for my work.