Inappropriate Sinus Tachycardia (IST)
Friday June 5, 2009
Inappropriate sinus tachycardia (IST) is a condition in which an individual’s resting heart rate is abnormally high (greater than 100 beats per minute), their heart rate increases rapidly with minimal exertion, and their rapid heart rate is accompanied by symptoms of palpitations, fatigue, and exercise intolerance. It is more common in women, and (while one hopes not) this may be why it is all too often written off by doctors as "anxiety." Read about IST, its causes and treatment, here.


i think that it is utterly wrong for doctors to pass of a condition like this as something as low as anxiety just because we are women. what a sad world this is..
I have IST and I have had it for several years. I am 22 now and I was diagnosed at 17. I firsted experienced symptoms at 16 and I was also told I needed pycho therapy. The doctor basically told me nothing was wrong with me and I was nuts! For a year I suffered with pains and many other symptoms and my doctor continued to tell me I needed counceling. It even got as bad as my license was taken away from me because my doctor sent dmv a letter stating I wasn’t in the right state of mind to drive. This was devastating to me just 16 as I was excited to drive. Finally after a year I found a specialist and was admitted into the hospital for a week of test. I was dignosed and tried a few different meds. I finally found the one for me and now I am able to live with this condition. Some doctors are simply heartless!
I was diagnosed with IST in my 20’s. After 5 sinus nodes ablations, my rhythm stabilized and I was “normal” for a period of two years. While skiing I went into a junctional rhythm. I required placement of a pacemaker. My first pacer was placed in 2000. I have had one revision and am better than ever. I walk/run marathons and continue to ski and do anything I want. I do not require any medication to control my rhythm. My heart continuest to have normal beats from the sinus node, the pacer functions when the sinus node fails. I am pacing 82% of the time.
I have had problems since 1982 when my first child was born. Nothing was ever done, but it didn’t really bother me either. Years later is has made my life miserable. I am now 49. I have had to quit work, I have a mobility cart for places that don’t supply them. I can’t take most the meds because they really upset my asthma. My doctors won’t do ablations or a pacer yet. They tell me even if they do it will not help the symptoms at this point. I also have many other things wrong. This disease really stinks. I am trying to get disability, but the government seems to think I can do something. Maybe on a rare good day, but mostly I am really fatigued. Good luck to all.
I was diagnosed with IST shortly after open heart surgery for Mitral Valve repair about 5 years ago. I have tried more meds than I can count. The doctor feels most of my issues are caused from my stressful job and the adrenaline rushes it provides.
We are still trying to find a balance of meds that will sustain me through the stressful periods of work at least long enough to make it to an early retirement which I hope will be in a few years. In the mean time I feel like I am using all my energy to keep my job and losing control of everything else. I am exhausted by the time I come home so everything is suffering from house cleaning to bill paying to even spending time with friends. All I want is to sleep. Sometimes I feel as though I will have a meltdown before I can every get free of the stressful job to see just how I would feel from that point. By the way, I am in my 40’s so feel like this illness has robbed me of some prime years. I am fortunate to have a good doctor but it isnt helping a whole lot except does give me the reassurance that it is not all in my head…that it is a real illness, more destructive internally than anyone on the outside would know…and that better days will come when I am free of the high stress job. Unfortunately, I have to stick this out as I very much need the health insurance benefits. Anyway, that is my story……