Sensitivity: Heart Rate Concerns After Anesthesia

Q: Sensitivity: Heart Rate Concerns After Anesthesia

Hello： Most cases of palpitations or increased heart rate may be caused by tension or anxiety. <br>If it is indeed of a pathological nature, it is advisable to check for underlying medical conditions such as anemia or hyperthyroidism. <br>I recommend visiting an internal medicine

Sensitive constitution

Since I had an endoscopy, I may have a sensitive constitution and am allergic to anesthetics and muscle relaxants.
Now, without exercising, my heart rate can reach 116 beats per minute in the morning, and it usually stays around 90, whereas it used to be only 75.
My weight is 43 kg.
If this is an allergy, could it last more than three days? I even have allergic reactions to Sitalopram.

Xiao Xiao, 30~39 year old female. Ask Date: 2007/05/24

Dr. Zhuang Junbin reply Cardiology

Hello: Most cases of palpitations or increased heart rate may be caused by tension or anxiety.
If it is indeed of a pathological nature, it is advisable to check for underlying medical conditions such as anemia or hyperthyroidism.
I recommend visiting an internal medicine clinic.
The sensitivity you mentioned seems to differ from true drug allergies.
Drug allergies do not necessarily lead to an increased heart rate.
Generally, being more sensitive refers to having a stronger reaction to medications, but it does not necessarily indicate an allergy.

Reply Date: 2007/05/24

More Info

When it comes to understanding the sensitivity of heart rate concerns after anesthesia, particularly in the context of your experiences with gastrointestinal procedures and potential allergic reactions, several factors need to be considered.

Firstly, it is important to recognize that the heart rate can be influenced by a variety of factors, including anxiety, physical condition, and medication effects. In your case, you mentioned experiencing a heart rate of 116 beats per minute upon waking and an average of around 90 beats per minute during the day, which is higher than your previous baseline of 75 beats per minute. This increase in heart rate could be attributed to several factors, including anxiety related to your previous experiences with anesthesia, potential allergic reactions, or even the body's response to the stress of the procedure itself.

Regarding your concerns about allergies to anesthetic agents and muscle relaxants, it is crucial to differentiate between an allergic reaction and a physiological response to medication. Allergic reactions typically manifest as skin rashes, swelling, or respiratory difficulties, while physiological responses can include changes in heart rate, blood pressure, and overall body function. If you have a known sensitivity to certain medications, it is essential to inform your healthcare provider before any procedure, as they can take precautions to avoid those substances or provide alternatives.

In terms of the duration of allergic reactions, they can vary significantly depending on the individual and the specific allergen involved. Some allergic reactions can resolve within a few hours, while others may take days to fully subside. If you suspect that your increased heart rate is related to an allergic reaction, it is advisable to consult with your healthcare provider for a thorough evaluation. They may recommend allergy testing or a referral to an allergist for further assessment.

Additionally, your weight of 43 kg may also play a role in how your body metabolizes medications. Individuals with lower body weight may experience more pronounced effects from medications, including anesthetics, which can lead to increased heart rates or other side effects. It is essential to discuss your weight and any concerns about medication dosages with your healthcare provider, as they can adjust dosages based on your specific needs.

Moreover, if you are experiencing persistent symptoms such as elevated heart rates, it is crucial to monitor these changes closely. Keeping a record of your heart rate, any associated symptoms, and the circumstances surrounding these episodes can provide valuable information for your healthcare provider. They may recommend further testing, such as an electrocardiogram (ECG) or Holter monitor, to assess your heart's rhythm and function over time.

In conclusion, while it is understandable to be concerned about heart rate changes following anesthesia, it is essential to approach this issue holistically. Factors such as anxiety, medication sensitivity, and individual physiological responses all play a role in how your body reacts. Open communication with your healthcare provider is key to addressing your concerns and ensuring that you receive appropriate care tailored to your specific situation. If you continue to experience significant heart rate fluctuations or other concerning symptoms, do not hesitate to seek medical advice for further evaluation and management.

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