Persistent Elevated Heart Rate: Neurology or Cardiology? - Neurology

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Persistent elevated heart rate, particularly when resting at levels between 100-110 beats per minute, can be concerning and warrants a thorough evaluation. Your symptoms of numbness in the hands and face could potentially be related to several underlying conditions, and it's essential to approach this systematically.

Firstly, let's address the elevated heart rate. A resting heart rate above 100 beats per minute is classified as tachycardia. While a transient increase in heart rate can occur due to various factors such as anxiety, stress, dehydration, or physical exertion, a consistent elevation may indicate an underlying issue. Common causes of persistent tachycardia include hyperthyroidism, anemia, dehydration, or cardiac conditions such as arrhythmias. Given your history of anxiety, it's also possible that stress and anxiety could be contributing to your elevated heart rate.

The symptoms of numbness in your hands and face are particularly noteworthy. These could be related to several factors, including anxiety (which can cause hyperventilation and lead to tingling sensations), neurological issues, or even vascular problems. It's crucial to differentiate whether these symptoms are primarily neurological or cardiovascular in nature.
In terms of which specialist to consult, both cardiology and neurology could be relevant, but the choice may depend on the predominant symptoms and your medical history. If your primary concern is the elevated heart rate and any associated cardiac symptoms (like palpitations or chest pain), starting with a cardiologist would be appropriate. They can perform necessary tests such as an electrocardiogram (EKG), echocardiogram, or Holter monitor to assess your heart's rhythm and function.

On the other hand, if the numbness and tingling sensations are more pronounced and concerning, a neurologist may be the better choice. They can evaluate for conditions such as peripheral neuropathy, multiple sclerosis, or other neurological disorders that could explain your symptoms.

In some cases, it may be beneficial to see both specialists. A cardiologist can rule out any cardiac causes for your symptoms, while a neurologist can investigate potential neurological issues.
In the meantime, consider lifestyle modifications that can help manage your heart rate and anxiety. Regular physical activity, adequate hydration, a balanced diet, and stress management techniques such as mindfulness or cognitive behavioral therapy can be beneficial. If anxiety is a significant factor, discussing this with your primary care physician or a mental health professional may also be helpful.

In summary, persistent elevated heart rate and associated symptoms like numbness should not be ignored. Consulting with a cardiologist is a good first step, but depending on your symptoms, a referral to a neurologist may also be warranted. A comprehensive evaluation will help determine the underlying cause and appropriate management for your condition.