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A 18-year-old female asked:

Sinus tachycardia heart rate 138. at home its always less than 100.doc ordered ecg because i had palpitations.i hv palp at home also.cause fr concern?

1 doctor answer1 doctor weighed in
Dr. Laurence Badgley
General Practice 54 years experience
Be aware POTS & MPV: 23yo female having tachycardia & her MD is evaluating. Etiologies to keep in mind, related to her sex & age, are Hyperthyroidism, Postural Orthostatic Tachycardia Syndrome, POTS, Mitral Valve Prolapse, MPV & Joint Hypermobility Syndrome, JHS, which is associated with both POTS & MVP. Evaluation for JHS can be provided by an Osteopath, and via criteria provided in the "comments" section below.
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Dr. Laurence Badgley
General Practice 54 years experience
Provided original answer
More women than men are "double jointed"; benign Joint Hypermobility Syndrome, JHS. Ease of childbirth probably explanatory, & these women are more subject to mechanical joint injuries & fibromyalgia; as discussed on my Pain Syndrome board at Quora.com. See Brighton Criteria for confirmation of JHS. 
Aug 31, 2015
Dr. Laurence Badgley
General Practice 54 years experience
Provided original answer
If Joint Hypermobility Syndrome is suspected, then the Beighton Hypermobility Scoring System needs to be reviewed:  http://hypermobility.org/help-advice/hypermobility-syndromes/beighton-score/
Aug 31, 2015
Dr. Laurence Badgley
General Practice 54 years experience
Provided original answer
Osteopaths are trained in general medicine & are experts of musculoskeletal functions & disorders. They are adept at diagnosing soft tissue causes of chronic pain disorders; especially common ones secondary to mundane injuries. 
Aug 31, 2015
Last updated Aug 31, 2015

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