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Tachycardia, or an elevated heart rate, can impair coronary artery perfusion by reducing the time available for diastolic filling when the heart relaxes. Since coronary blood flow primarily occurs during diastole, an increased heart rate shortens this phase, potentially leading to insufficient oxygen delivery to the myocardium. This can exacerbate conditions like ischemia, especially in individuals with existing coronary artery disease. Additionally, the increased myocardial oxygen demand associated with tachycardia can further strain the coronary circulation.

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