Tachycardia with chest pain, fainting, dangerously low blood pressure?

Question
Hello doctor,
I have symptoms of high normal heart rate above 125 beats / min, the highest is 146 beats / minute or have a feeling of chest pain, dizziness, sometimes fainting, accompanied by measured blood pressure no more than 90. The doctor asked me if my heart rate is fast with chest pain, fainting, dangerously low blood pressure? Thanks for the advice doctor.
Anonymous customer
Answer
Answered by Master, Doctor Dao Kim Phuong - Department of Examination, Vinmec Times City International General Hospital.
Hello,
With the question “Is rapid heart rate with chest pain, fainting, dangerously low blood pressure? ”, the doctor replied as follows:
The symptoms described are abnormal, suggesting a dangerous tachyarrhythmia. You need to see a cardiologist right away. The doctor will directly examine and prescribe a number of paraclinical methods such as electrocardiogram, blood pressure and orthostatic heart rate measurement (sitting/lying and standing), attaching a 24-hour heart rate monitor (Holter ECG) ; Echocardiography, blood tests, if necessary, cardiac electrophysiology to detect the type of arrhythmia. From there, specific treatment and advice can be given.
If you still have questions about tachycardia with chest pain, fainting, low blood pressure, you can go to a medical facility under Vinmec Health System for early examination and treatment. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!