Sinus tachycardia - Revision history

Rossdonaldson1: /* Evaluation */

2025-07-30T17:06:33Z

Evaluation

← Older revision		Revision as of 17:06, 30 July 2025
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	==Evaluation==		==Evaluation==
	[[File:Tachycardia.png\|thumb\|Algorithm for the Evaluation of Sinus Tachycardia]]		[[File:Tachycardia.png\|thumb\|Algorithm for the Evaluation of Sinus Tachycardia]]
			[[File:Sinustachy.jpg\|thumb\|Sinus tachycardia on 12-lead [[ECG]]]]
	===Workup===		===Workup===
	*[[ECG]]		*[[ECG]]
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	===Diagnosis===		===Diagnosis===
	~~[[File:Sinustachy.jpg\|thumb\|Sinus tachycardia on 12-lead [[ECG]]]]~~
	*Based on [[ECG]]		*Based on [[ECG]]
	**Look for regular rate and presence of p-waves to support diagnosis of sinus tachycardia		**Look for regular rate and presence of p-waves to support diagnosis of sinus tachycardia

Rossdonaldson1: /* Differential Diagnosis */

2023-11-01T19:24:10Z

Differential Diagnosis

← Older revision		Revision as of 19:24, 1 November 2023
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	{{Tachycardia (narrow) DDX}}		{{Tachycardia (narrow) DDX}}
	{{Tachycardia (wide) DDX}}		{{Tachycardia (wide) DDX}}
			{{Palpitations DDX}}

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* Background */

2021-02-27T19:12:48Z

Background

@@ Line 5: / Line 5: @@
 *Usually seen as a secondary response to a primary medical condition
-===Causes of [[sinus tachycardia]]===
+{{Sinus tach DDX}}
 ==Clinical Features==

Rossdonaldson1: /* Causes */

2021-02-27T18:44:26Z

Causes

← Older revision		Revision as of 18:44, 27 February 2021
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	*Usually seen as a secondary response to a primary medical condition		*Usually seen as a secondary response to a primary medical condition

	===Causes===		===Causes of [[sinus tachycardia]]===
	*Emotional or psychiatric causes		*Emotional or psychiatric causes
	**Pain, anger, or [[anxiety]]		**Pain, anger, or [[anxiety]]

ClaireLewis: /* Causes */

2019-09-26T16:17:45Z

Causes

← Older revision		Revision as of 16:17, 26 September 2019
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	*[[Dehydration]]/[[hypovolemia]]		*[[Dehydration]]/[[hypovolemia]]
	*[[Anemia]]		*[[Anemia]]
	*Drug/[[alcohol intoxication]] (particularly [[sympathomimetic]] or [[anticholinergic ~~drugs~~]], but may also be seen in [[salicylate toxicity\|aspirin]], [[theophylline toxicity\|theophylline]], or other ingestions)		*Drug/[[alcohol intoxication]] (particularly [[sympathomimetic]] or [[anticholinergic toxicity\|anticholinergic]] drugs, but may also be seen in [[salicylate toxicity\|aspirin]], [[theophylline toxicity\|theophylline]], or other ingestions)
	*Drug/[[alcohol withdrawal]]		*Drug/[[alcohol withdrawal]]
	*[[Anion gap acidosis]]		*[[Anion gap acidosis]]

ClaireLewis at 16:17, 26 September 2019

2019-09-26T16:17:23Z

← Older revision		Revision as of 16:17, 26 September 2019
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	===Causes===		===Causes===
	*Emotional or psychiatric causes		*Emotional or psychiatric causes
	**Pain, anger, or anxiety		**Pain, anger, or [[anxiety]]
	*Response to [[fever]] (about 10 bpm per degree C > 37.0)		*Response to [[fever]] (about 10 bpm per degree C > 37.0)
	* [[SIRS]] (from infection or other causes)		* [[SIRS]] (from infection or other causes)
	*Dehydration/~~Hypovolemia~~		*[[Dehydration]]/[[hypovolemia]]
	*[[Anemia]]		*[[Anemia]]
	*Drug/[[alcohol intoxication]] (particularly sympathomimetic or anticholinergic drugs, but may also be seen in aspirin, theophylline, or other ingestions)		*Drug/[[alcohol intoxication]] (particularly [[sympathomimetic]] or [[anticholinergic drugs]], but may also be seen in [[salicylate toxicity\|aspirin]], [[theophylline toxicity\|theophylline]], or other ingestions)
	*Drug/[[alcohol withdrawal]]		*Drug/[[alcohol withdrawal]]
	*[[Anion gap acidosis]]		*[[Anion gap acidosis]]
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	*[[Cardiac tamponade]]		*[[Cardiac tamponade]]
	*[[Myocardial contusion]]		*[[Myocardial contusion]]
	*[[~~Cardiac~~ valvular disease]]		*Cardiac [[valvular disease]]
	*Hyper or [[hypoglycemia]]		*[[Hyperglycemia\|Hyper]] or [[hypoglycemia]]
	*[[Myocardial infarction]]		*[[Myocardial infarction]]
	*[[Pheochromocytoma]]		*[[Pheochromocytoma]]

	==Clinical Features==		==Clinical Features==
	*[[Palpitations]]		*Tachycardia
			*+/- [[Palpitations]]

	==Differential Diagnosis==		==Differential Diagnosis==
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	**CBC		**CBC
	**BMP		**BMP
	**~~UTox~~		**[[Utox]]
	**Urine pregnancy		**Urine pregnancy
	*Consider:		*Consider:
	**Empiric treatment for anxiety or pain (e.g. [[benzodiazepine]] or [[NSAID]])		**Empiric treatment for [[anxiety]] or [[analgesia\|pain]] (e.g. [[benzodiazepine]] or [[NSAID]])
	**[[Urinalysis]]		**[[Urinalysis]]
	**TSH		**TSH
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	==Management==		==Management==
	*Tailored to specific cause of sinus tachycardia:		*Tailored to specific cause of sinus tachycardia:
	**Fluids for dehydration		**[[IVF\|Fluids]] for dehydration
	**Blood for hemorrhage		**[[pRBCs\|Blood]] for hemorrhage
	**~~Thombolytics~~ for [[PE]]		**[[Anticoagulation]]/[[thrombolytics]] for [[PE]]
	**Antibiotics and fluids for sepsis		**[[Sepsis antibiotics\|Antibiotics]] and fluids for [[sepsis]]
	**Benzodiazepines for alcohol withdrawal		**[[Benzodiazepines]] for [[alcohol withdrawal]]
	**Supportive care for intoxication		**Supportive care for intoxication
	*If no cause identified, treat with caution		*If no cause identified, treat with caution
	**Beta blockers or other ~~anti-dysrhythmics~~ are not appropriate for unexplained sinus tachycardia as patient may require elevated heart rate to maintain appropriate cardiac output depending on underlying cause		**[[Beta blockers]] or other [[antiarrhythmics]] are '''not''' appropriate for unexplained sinus tachycardia as patient may require elevated heart rate to maintain appropriate cardiac output depending on underlying cause
	**May consider discharge with strict return precautions if no clear cause identified and no serious pathology suspected after careful work-up		**May consider discharge with strict return precautions if no clear cause identified and no serious pathology suspected after careful work-up
	***Ensure close follow-up and strict return precautions		***Ensure close follow-up and strict return precautions

Rossdonaldson1: /* Differential Diagnosis */

2019-04-05T06:36:33Z

Differential Diagnosis

← Older revision		Revision as of 06:36, 5 April 2019
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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Tachycardia (narrow) DDX}}		{{Tachycardia (narrow) DDX}}
			{{Tachycardia (wide) DDX}}

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* Differential Diagnosis */

2019-04-05T06:30:00Z

Differential Diagnosis

← Older revision		Revision as of 06:30, 5 April 2019
Line 29:		Line 29:

	==Differential Diagnosis==		==Differential Diagnosis==
			{{Tachycardia (narrow) DDX}}

	==Evaluation==		==Evaluation==

Rossdonaldson1 at 04:33, 5 April 2019

2019-04-05T04:33:49Z

← Older revision		Revision as of 04:33, 5 April 2019
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	*Usually seen as a secondary response to a primary medical condition		*Usually seen as a secondary response to a primary medical condition

	==~~Clinical Features~~==		===Causes===
	*[[Palpitations]]

	==~~Differential Diagnosis==~~
	~~[[File:Tachycardia.png\|thumb\|Algorithm for the Evaluation of Sinus Tachycardia]]~~
	*Emotional or psychiatric causes		*Emotional or psychiatric causes
	**Pain, anger, or anxiety		**Pain, anger, or anxiety
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	*[[Myocardial infarction]]		*[[Myocardial infarction]]
	*[[Pheochromocytoma]]		*[[Pheochromocytoma]]

			==Clinical Features==
			*[[Palpitations]]

			==Differential Diagnosis==


	==Evaluation==		==Evaluation==
			[[File:Tachycardia.png\|thumb\|Algorithm for the Evaluation of Sinus Tachycardia]]
	===Workup===		===Workup===
	*[[ECG]]		*[[ECG]]

Rossdonaldson1: /* Clinical Features */

2019-04-05T04:33:06Z

Clinical Features

← Older revision		Revision as of 04:33, 5 April 2019
Line 6:		Line 6:

	==Clinical Features==		==Clinical Features==
			*[[Palpitations]]

	==Differential Diagnosis==		==Differential Diagnosis==