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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?

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Dr. Laurence Badgley
General Practice

In brief: 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.

In brief: 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.
Thank
4 comments
Dr. Laurence Badgley
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. 
Dr. Laurence Badgley
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/
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