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I Am 41 Year Old Female In Good General Health.
Question: I am 41 year old female in good general health. I was getting night sweats once every two weeks. my doctor put a heart monitor. it showed that heart rate does slow down to the 30s at times. there is a type of conduction delay that is happening but short lived.it isnt one of the ones that puts me at risk for fainting or serious heart complications. I am very concerned. Please advise your thoughts and what I should do.
I do good amount of exercise 4 to 5 days a week.
I do good amount of exercise 4 to 5 days a week.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome to - Ask a Doctor - service!
I understand your concern and would like to explain that low heart rate may be a common finding in well trained individuals; also in an apparently normal individual during sleep.
Anyways, it is necessary to directly review your Holter monitoring report for a more precise professional opinion.
Please, could you upload you monitoring report here?
I remain at your disposal for further discussions.
Kind regards,
Dr. Ilir Sharka
cardiologist
I would explain as follows:
Detailed Answer:
Hello!
Welcome to - Ask a Doctor - service!
I understand your concern and would like to explain that low heart rate may be a common finding in well trained individuals; also in an apparently normal individual during sleep.
Anyways, it is necessary to directly review your Holter monitoring report for a more precise professional opinion.
Please, could you upload you monitoring report here?
I remain at your disposal for further discussions.
Kind regards,
Dr. Ilir Sharka
cardiologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your response. I have attached the monitor report. Please give me your detailed analysis and recommendation. Thanks.
Brief Answer:
Clinical investigations are required before therapy.
Detailed Answer:
Hello again!
I reviewed your uploaded Holter monitoring report and would like to explain that there are episodes of atrioventricular block (cardiac conductance abnormality), it seems that besides AV block grade II Mobitz 1 (with junctional escape beats) there appears also episodic AV block grade II Mobitz 2. Considering the presence of your symptomatology at night it is necessary reviewing the indication of pacemaker implantation.
But. before getting to a therapeutic conclusion, it is necessary to investigate any potential cause of cardiac conductance abnormality (AV block); it could be an inflammation such as myocarditis or other systemic inflammation./infection. Besides other tests, cardiac MRI could be helpful to elucidate a possible etiology.
You should discuss with your attending doctor on the above mentioned issues.
Hope to have been helpful!
Kind regards,
Dr. Iliri
Clinical investigations are required before therapy.
Detailed Answer:
Hello again!
I reviewed your uploaded Holter monitoring report and would like to explain that there are episodes of atrioventricular block (cardiac conductance abnormality), it seems that besides AV block grade II Mobitz 1 (with junctional escape beats) there appears also episodic AV block grade II Mobitz 2. Considering the presence of your symptomatology at night it is necessary reviewing the indication of pacemaker implantation.
But. before getting to a therapeutic conclusion, it is necessary to investigate any potential cause of cardiac conductance abnormality (AV block); it could be an inflammation such as myocarditis or other systemic inflammation./infection. Besides other tests, cardiac MRI could be helpful to elucidate a possible etiology.
You should discuss with your attending doctor on the above mentioned issues.
Hope to have been helpful!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your detailed reply.
You have mentioned that Cardiac MRI could be helpful. You have also indicated other tests. What other tests do you suggest. Thank you.
You have mentioned that Cardiac MRI could be helpful. You have also indicated other tests. What other tests do you suggest. Thank you.
Brief Answer:
I would explain:
Detailed Answer:
Hello again!
I would explain that when considering AV block (cardiac conductance disturbances) in a young individual it is necessary to exclude/confirm first any specific underlying causes.
So, inflammatory heart disorders like viral myocarditis, sarcoidosis, Lyme disease, etc. should be first ruled in/out as they have specific management strategies.
Cardiac MRI would be a valuable medical test in thus regard.
Other test should be performed as well before. Cardiac ultrasound, complete blood count, thyroid, liver and renal function tests; inflammatory markers should be checked as well (PCR, ESR, complement titer, antibody titers if any specific infectious/inflammatory disorders is suspected).
Lysozyme, ACE, urinary calcium in suspected sarcoidosis, etc.
It is important to review a careful medical history to guide the differential diagnostic workup.
Hope to have been helpful!
Kind regards,
Dr. Iliri
I would explain:
Detailed Answer:
Hello again!
I would explain that when considering AV block (cardiac conductance disturbances) in a young individual it is necessary to exclude/confirm first any specific underlying causes.
So, inflammatory heart disorders like viral myocarditis, sarcoidosis, Lyme disease, etc. should be first ruled in/out as they have specific management strategies.
Cardiac MRI would be a valuable medical test in thus regard.
Other test should be performed as well before. Cardiac ultrasound, complete blood count, thyroid, liver and renal function tests; inflammatory markers should be checked as well (PCR, ESR, complement titer, antibody titers if any specific infectious/inflammatory disorders is suspected).
Lysozyme, ACE, urinary calcium in suspected sarcoidosis, etc.
It is important to review a careful medical history to guide the differential diagnostic workup.
Hope to have been helpful!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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