A 29 yr old female presented with persistent sinus tachycardia, HR of > 140/min. She has a strange history of palpitation more on taking food and after meals. Thyroid, echo, holters,CXR PA view,CBC and all other routine investigations - within normal limits. She also has h/o 2-3 cardiologists consultations and was placed on either b- blockers or ivabradine to control the heart rate. Attached below are her investigations and ECG. Kindly give your valuable opinions and comments.

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@Dr. Shigil Mathew see this article on gastric carcinoid , diagnosis topic ncbi.nlm.nih.gov/pmc/articles/PMC1768473/
Read the article...thank you for that information.I did know a bit about carcinoid tumours but not like this...thanks a lot...saved it for future reference...
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Sinus tachycardia foll food dd- carcinoid, neuroendicrine tumor of gut, hyperthyroidism, gerd, peptic ulcer disease
Anxiety attack is a dd
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Look fr pheochomocytoma Urinary vma Also check insulin levels Get psychiatrist consultation
Psvt . Catheter ablation& Radio-frequency ablation
Ecg: Supraventricular tachycardia RBBB
ECG-Sinus tachycardia. RBBB. ST depressed V4-v6. Give him N blocker.
B.(BETA)
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Marie complex tachycardia ?SVT Can think of adenosine Or Cardarone Or Deltiazem
PT fused S.tachycardia Ruled out different causes of same
This sinus tachycardia with left ventricular hypertrophy
Sinus tachycardia Treat as psychosomatic disese
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