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Reason for tachycardia?

I am 50 yr old woman, overweight but a consistent exerciser.
I have been having episodes of tachycardia per my Apple Watch and symptoms. I  did just complete at 24 hour Holter monitor test.

Is tachycardia more likely to be caused by weaning off Paxil, going onto Cymbalta (it's a noted side effect), sub-clinical hyperthyroidism,  anxiety or stress?

Sometimes  it is low, but it seems to jump around , less when I'm actually exercising (although it gets up to 170 ish while walking up a hill trail) and jumps around more while I'm just around the house. I didn't think I had symptoms but now I think maybe I do!! UGH!
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159619 tn?1538180937
COMMUNITY LEADER
Having just had a Holter, I assume you are under the care of a cardiologist, did they have an opinion. I doubt it's the drug change but a doctor needs to make that assessment. 170 beats per min is right at your max heart rate (220-age) and it should take much more exercise than walking up a hill to get there. Let us know what your medical provider said.
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