Narrative Pathophysiology of Sinus Tachycardia: Nursing. Philadelphia: Wolters Kluwer

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Calixtro, Laidelle Jascinth M.

BSN-III

NARRATIVE PATHOPHYSIOLOGY OF SINUS TACHYCARDIA


Sinus tachycardia is a regular cardiac rhythm in which the heart beats faster than normal
and results in an increase in cardiac output. While it is common to have sinus tachycardia as
a compensatory response to exercise or stress, it becomes concerning when it occurs at rest.
(Henning,2020). Causes can involve cardiac or psychological trauma (e.g. sudden blood loss,
anemia, shock, hypervolemia, hypovolemia, heart disease, pain, hypermetabolic conditions,
fever, exercise, anxiety). This can also be attributed to medications that stimulate sympathetic
responses (e.g. catecholamines, aminophylline, atropine), stimulants (e.g. caffeine, nicotine)
and illicit drugs (e.g. amphetamines, cocaine, ecstasy). Moreover, it may be trigger by an
Autonomic Dysfunction in which results in a form of sinus form of sinus tachycardia referred to
as postural orthostatic tachycardia syndrome (POTS). If the heart rate rises, the diastolic filling
time drops. Hence, it will result in a diminished cardiac production and associated signs of
syncope and low blood pressure. Additionally, if the accelerated rate continues and the heart
can not compensate for reduced ventricular loading, the patient may experience acute
pulmonary edema.

Prognosis is chronic sinus tachycardia at rest, which needs assessment by a medical


practitioner. Early diagnosis and intervention can result in beneficial patient outcomes
depending on the underlying etiology. When sinus tachycardia is confirmed and determined to
be temporary due to natural physiological response to stress or anxiety, it frequently results in
spontaneous resolution.

REFERENCES:
Cheever, K. H., & Hinkle, J. L. (2018). Brunner & Suddarth's textbook of medical-surgical
nursing. Philadelphia: Wolters Kluwer.
Henning, A., & Krawiec, C. (2020). Sinus Tachycardia. Ncbi.nlm.nih.gov. Retrieved 28 October
2020, from https://www.ncbi.nlm.nih.gov/books/NBK553128/.
Yusuf S, Camm AJ. The sinus tachycardias. Nat Clin Pract Cardiovasc Med. 2005 Jan;2(1):44-
52. [PubMed]
Yusuf S, Camm AJ. Deciphering the sinus tachycardias. Clin Cardiol. 2005 Jun;28(6):267-
76. [PMC free article] [PubMed]

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