Summary of Your Case:
Age: 25 years
Diagnosis: Sinus tachycardia (confirmed by ECG and echo — both normal)
Initial Pulse Rate: 100–114 bpm, probably due to stress or anxiety
Treatment: Took Propranolol 10 mg (a beta-blocker) for 4 months
Result: Pulse became normal (80–95 bpm) and stayed normal even after stopping the medicine
💡 Simple Explanation:
What is Sinus Tachycardia?
It means your heart beats faster than normal, but the rhythm is regular.
Common in stress, anxiety, overthinking, lack of sleep, or dehydration.
Not dangerous if heart structure is normal (which it is in your case — echo is normal).
Why Did Propranolol Help?
Propranolol slows down the heart rate and reduces anxiety symptoms.
It’s often used short-term in cases of stress-induced high pulse.
Why is Your Pulse Normal Now Without Medicine?
That’s a good sign!
It means your body has adapted, and your stress levels may be better controlled now.
After stopping the medicine, your heart is maintaining normal rate on its own — very common.
Is ECG Needed Again?
If you feel completely fine (no palpitations, dizziness, chest discomfort), no repeat ECG is needed right now.
But, if you feel anxious or want reassurance, one repeat ECG can be done — no harm.
Is There Any Problem Now?
No. Your pulse between 80–95 bpm is normal.
Occasional rise up to 108–109 bpm (with exertion, tension, or hunger) is still acceptable.
As long as you feel well, no medicine is needed now.
✅ Final Advice:
No danger or heart problem is seen based on your reports and response.
Try to manage stress naturally: deep breathing, exercise, and good sleep.
You can continue monitoring your pulse occasionally.
No need to restart propranolol unless advised by a doctor for new symptoms.
📌 Reference: Harrison’s Manual of Medicine – Sinus tachycardia is often physiologic or due to anxiety, and treatment is usually not needed once triggers are removed.
Answered2025-06-26 11:58:24
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