Tachycardia sinusalis and rhinoplasty. Is this a contraindication?

Question

Im getting ready to get my rhinoplasty and I had ECG done (Im 24 yrs old). The ECG showed that I have tachycardia sinusalis. My doc says its most likely because I suffer from anxiety and moreover I dont drink enough water. Is tachycardia sinusalis contraindication for having my rhinoplasty performed? I am so worried

Robert Singer, MD · Answer

You need a pre-operative evaluation and medical clearance from your primary internist or cardiologist. There should be discussion among that physician, the anesthesiologist, and the plastic surgeon before the surgery to assure safety which should be the primary concern in any procedure. Robert Singer, MD  FACSLa Jolla, California

Toby Mayer, MD · Answer

Surgeons do surgery and your internist or cardiologist needs to review your EKG to give you clearance for a rhinoplasty. Experience surgeons will insist upon this prior to doing surgery.

James Nachbar, MD · Answer

You said that your "doc" says that this is most likely due to anxiety, and they may be right, but it makes a big difference what kind of "doc" has reviewed this.  At a minimum, you should have your own family doctor or internal medicine specialist take a look at this, and let them know you are considering elective surgery.  They will be able to tell you whether you should have a cardiologist review your situation and determine if additional studies (such as an ultrasound) will be helpful.There are a lot of things that can cause tachycardia (rapid heart beat), from the normal response to exercise or anxiety to abnormal electrical conduction pathways which could cause big trouble down the road, but which, if treated early enough (often without surgery) can be simply fixed.Finally, I recommend a physician anesthesiologist for your surgery, and if there is any question, the anesthesiologist can help tell you the best way to proceed so you will have the best chance for a safe surgery.So, if the only "doc" who has reviewed this is your surgeon (especially if they have not had a full general surgical training prior to training in plastic surgery, but even if they have), and if there is still any question, get another "doc" to take a look.

William Portuese, MD · Answer

It is important to show the EKG to your family doctor/ cardiologist and get clearance from them prior to undergoing elective cosmetic surgery. There are some medications that can also control tachycardia. It is also important to have your anesthesiologist and surgeon review the EKG prior to the  rhinoplasty surgery

Kamran Efendioglu, MD · Answer

Hi, even though all of the plastic surgeons would have some idea about the contraindication, it's best to consult the anesthesiologist who is going to give you anesthesia. Yet it's not a contraindication if it's under control. My best

Tachycardia sinusalis and rhinoplasty. Is this a contraindication?

Answers (6)

Answer: Rhinoplasty and sinus tachycardia

Answer: Rhinoplasty and sinus tachycardia

Answer: This question should be directed to the Anesthesiologist.

Answer: This question should be directed to the Anesthesiologist.

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Everything you need to know about Rhinoplasty

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Tachycardia sinusalis and rhinoplasty. Is this a contraindication?

Answers (6)

Answer: Rhinoplasty and sinus tachycardia

Answer: Rhinoplasty and sinus tachycardia

Answer: This question should be directed to the Anesthesiologist.

Answer: This question should be directed to the Anesthesiologist.

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.