Treatment

• No treatment is needed if the patient is asymptomatic; the focus should be on determining the cause of the tachycardia.
• If the patient has cardiac ischemia, treatment may include drugs to slow his heart rate, such as beta-adrenergic blockers (metoprolol or atenolol) or calcium channel blockers (verapamil or diltiazem).
• Ask the patient about his use of tachycardia-triggering drugs and substances, and recommend that he abstain from alcohol, caffeine, and nicotine.
• Notify the doctor promptly if sinus tachycardia arises suddenly after an MI; it may signal an extension of the infarct.
• Provide a calm environment, and help the patient with relaxation techniques.
• Take steps to reduce the patient's fear and anxiety.

[Outline]

• Information
• Treatment