- CASE FILE
Approximately 1.5 yr history of unexplained tachycardia with 120's -130s at rest. Poor response to Beta Blockers. Ruled out Pheochromocytoma
ABOUT THIS CASE FILE
Tachycardia presented approx 1.5yrs ago. Attributed to weight gain (have since lost 50+lbs), anemia (which resolved with iron infusions), and have ruled out everything from a Pheochromocytoma to dehydration. Recent illness with sepsis and endocarditis resulting from an infected picc line while recieving TPN for a significant hiatial hernia and nonretractable vomiting. Battled electrolyte imbalance for approx 5months. Did not have classic symtoms while septic except occasional fevers x2 weeks. White count remained normal despite fevers and Sepsis. Stage 4 Kidney failure occured due to Vancomycin treatment for Endo, again without classic symptoms - just unresolving nausea. Vanc TROUGH rose from 21 to 102 over approximately 48hrs. Kidneys have since recovered. Nissen proceedure in April 2019 to repair large Hiatal Hernia (30% of stomach). Tachycardia still has not resolved however. Most recent symptoms is burning chest pain, radiating under left shoulder blade. All Labs, and EKGs are normal except for Tachcardia on EKG and monitor. Typically cannot feel palpataions unless over 140-150bms at rest. No coffee or other stimulants. No medications at this time except Lunesta, started in April 2019.