Dear sirs,i m 30 years old male, and i was having high pulse rate ( sinus tachycardia ) , which was mainly caused by stress and anexietyMy pulse at home was in the range of 90 - 100 bpm , but in the doctor clinic it goes up to 120 Bpm as i feel versy stressed at doctors clinic. so i did full check up on heart , and the Holter moniter showed a blood pressure average 130 - 80  and pulse rate 94 bpmthe doctor told me that the heart is fine and valves are ok , but he prescrived me a beta blocker to calm the heart down: half pill of Nebivolol 5 mg,and after i used the medication the pulse became in the range 70 - 80 bpm and i play regular sports and i feel i have bettter energyThe problem is that although my pulse is normal , but still till now when I go to doctors it goes up to 110 bpm , but once I leave the doctor office its back to normal.Does my case require surgical intervention ?? or  beta blocker is enough? And when does surgery would be neededThanks a lot for your help and support .Best regards,Sherif el kaissy
Hi, Sinus tachycardia because of is generally treated with Beta blocker and antianxiety Chat Doctor.  It does not require any surgical intervention, so you need to calm down and take the beta blocker as prescribed Plus an antianxiety