Hello dear See as per clinical history it seems combination of both heart related impact and post viral impact. Since there is already presence of sinus tachycardia so definitely medication are required to control it. Bp is fine but joint pain and lethargy/ weakness could be attributed to post dengue effects probably due to recovery. Iam suggesting some tests for confirmation Please share the result with cardiologist in person for better clarity Also take medication only on confirmation of exact diagnosis by concerned physician Serum troponin Serum LDH ECG echo repeat X ray chest Esr repeat CBC repeat Crp Cck Mb Lft Rft Serum ferritin Regards
Given the detailed history you provided, it’s entirely possible that your symptoms could be attributed to a combination of factors. The heart palpitations and tachycardia, especially along with the normal structural findings, make conditions like Inappropriate Sinus Tachycardia (IST) or Postural Orthostatic Tachycardia Syndrome (POTS) worth considering, especially given the persistent higher heart rates. Both of these conditions can sometimes follow viral illnesses and might explain the range of symptoms including palpitations, body aches, and possibly even the sensations of difficulty breathing. Additionally, post-viral syndrome could be playing a role, considering your dengue fever a few months back, which is known to have lingering effects for some individuals. Autonomic dysfunction can present with inclusively diverse symptoms like those you’ve described, including tingling, cold extremities and the sensation of throat tightness. Anxiety can definitely exacerbate these types of symptoms, though it might not be the primary cause.
In terms of further evaluations, a tilt table test or a 24-hour Holter monitor might provide more insight into your heart rate patterns and potentially confirm a diagnosis like POTS. It’s also notable that your Vitamin B12 levels are on the lower side; addressing this through diet or supplementation could help with some neurological symptoms like tingling and numbness. Given the raised CRP and ESR levels, it might suggest some continuing inflammatory process, although they are still relatively nonspecific. Lifestyle measures can also help manage symptoms: staying well hydrated, increasing salt intake (unless contraindicated), wearing compression stockings, and implementing regular gentle exercise can sometimes alleviate symptoms of orthostatic intolerance. Ensuring adequate rest, managing stress through mindfulness or other stress-reduction techniques can support overall well-being. Considering medication options like beta-blockers sometimes assist with controlling tachycardia if it’s significantly impacting life, but this would require further discussion with your cardiologist. If symptoms don’t improve or worsen significantly, you might want to see a specialist with a focus on autonomic disorders for additional management strategies.
