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Rapid heart beat Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Rapid heart beat. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had the rapid heart beat (tachycardia)?

    Why: to determine if acute or chronic.

  2. Is the rapid heart beat (tachycardia) constant or intermittent?

    Why: Constant rapid heart beat (tachycardia) may signify hyperthyroidism, fever or overuse of caffeine and other drugs. Intermittent rapid heart beat is more likely related to a heart arrhythmia.

  3. If the rapid heart beat is intermittent, does it start suddenly?
  4. If the rapid heart beat is intermittent, how long does it last?
  5. Is there a simple explanation for the rapid heart beat?

    Why: There is a normal heart rate increase as a response to various situations such as exercise, exertion, large meal, emotion, nervousness, anxiety, stress, worry, excitement and anger.

  6. Past medical history?

    Why: e.g. Rheumatic fever, heart attack, hypertension, cardiomyopathy, stroke (atrial fibrillation increases the risk of stroke 5 fold), myocarditis, heart failure, panic attacks.

  7. Medications?

    Why: Many medications may cause rapid heart beat e.g. nasal decongestants; digoxin; almost all anti-arrhythmic drugs (medications taken for abnormal heart rhythms) may worsen existing arrhythmias or provoke new arrhythmias in some people (such as amiodarone, sotalol, verapamil, diltiazem, procainamide, disopyramide, quinidine, lignocaine, flecainide and beta -blockers); thyroid medications; some appetite suppressants; ventolin; theophylline; hydralazine; minoxidil.

  8. Dietary history?

    Why: e.g. MSG in Chinese food may precipitates a racing heart beat in some people.

  9. Alcohol history?

    Why: some people are sensitive to the effects of alcohol and experience rapid heart beat and palpitations as a side effect.

  10. Cigarette smoking?

    Why: some people are sensitive to effects of nicotine and experience rapid heart beat and palpitations.

  11. Illicit drug use?

    Why: e.g. cocaine, marijuana, amphetamines - may cause rapid heart beat and palpitations.

  12. Caffeine intake? Including coffee, tea, Coke or chocolate

    Why: some people are sensitive to effects of caffeine and experience rapid heart beat and persistent or intermittent palpitations.

  13. Palpitations (unpleasant awareness of the beating of the heart)?

    Why: Palpitations do not always imply "racing" of the heart.

  14. Chest pain during an attack of racing heart beat?

    Why: may indicate angina, heart attack, aortic stenosis.

  15. Shortness of breath during an attack of racing heart beat?

    Why: may indicate anxiety with hyperventilation (rapid breathing), mitral stenosis, cardiac failure, asthma, anemia.

  16. Dizziness or faintness during an attack of rapid heart beat?

    Why: may indicate a more severe arrhythmia such as sick sinus syndrome, complete heart block, aortic stenosis or associated cerebrovascular disease.

  17. Fever?

    Why: Fever itself may cause a rapid heart beat, but must consider bacterial endocarditis and rheumatic fever.

  18. Passing copious amounts of urine after an attack of rapid heart beat?

    Why: is characteristic of paroxysmal Supraventricular tachycardia (PSVT).

  19. Symptoms of hyperthyroidism?

    Why: e.g. palpitations, increased heart rate, preference for cooler weather, increased appetite, weight loss, increased sweating, tremor, nervousness, irritability, diarrhea, lack of menstrual periods, frequent urination.

  20. Symptoms of congestive cardiac failure?

    Why: e.g. palpitations, rapid heart rate, shortness of breath, swelling of the ankles and lower legs.

  21. Symptoms of anxiety?

    Why: e.g. nervousness, shakiness, tremor, restlessness, irritability, insomnia, poor concentration, heart palpitations, racing heart, sweating, dizziness, diarrhea, lump in throat and frequency of urination.

  22. Panic attacks?

    Why: recurrent panic attacks occur in Panic disorder and may cause sudden, unexpected, short-lived episodes of intense anxiety.

  23. Symptoms of Phaeochromocytoma?

    Why: e.g. paroxysmal episodes of headache, pallor, sweating, chest tightness, tremor and heart palpitations.

  24. Symptoms of menopause?

    Why: e.g. hot flushes, night sweats, heart palpitations, lightheadedness, dry vaginal, dry skin, headaches and sometimes diffuse hair loss.

Conditions listing medical symptoms: Rapid heart beat:

The following list of conditions have 'Rapid heart beat' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Rapid heart beat or choose View All.

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Conditions listing medical complications: Rapid heart beat:

The following list of medical conditions have 'Rapid heart beat' or similar listed as a medical complication in our database.


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