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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abnormal ECG, Sinus Bradycardia. Family History Of Heart Attack. Meaning?

Hi I just came back from the hospital my ecg is abnormal and my vent. rate is 42
do you know what does that mean? Why it is too low. I know there are no blockage
i am 38 and an athlete... but not a runner
PR interval 134 ms, qrs duration 86ms, T/QTC 470/392 ms, P-R-T axes 47 85 51. Marked sinus bradycardia Abnormal ECG. FYI my mother died from heart attack at age 42, no known heart disease prior to that for her but all 6 brothers and sisters of my mother either died from heart attack or had heart attack. But I have always been healty, play volleyball and skinny. like my father. My mom's family were not obese but a little over avarage for weight.
Fri, 19 Jul 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

     42 is rather low – even for an athlete...
     It may not be a blockage of the arteries but a problem of the nerves – disease of the conduction system may be responsible! HOLTER (24 to 48 hour ambulatory monitoring) / or event monitor – needs to be done to analyse and plan for further management.... ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – may all be necessary for further assessment and assistance.
     If there are no clues, there are advanced investigations – Electro Physiological Studies (EPS) > it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. Though the test is the gold standard, it is INVASIVE and is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST.
     The treating doctor may suggest them depending on need, based on his assessment of the situation. / A pacemaker may ultimately be necessary...

Take care
Wishing speedy recovery
God bless
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Abnormal ECG, Sinus Bradycardia. Family History Of Heart Attack. Meaning?

Hi friend, Welcome to Health Care Magic 42 is rather low – even for an athlete... It may not be a blockage of the arteries but a problem of the nerves – disease of the conduction system may be responsible! HOLTER (24 to 48 hour ambulatory monitoring) / or event monitor – needs to be done to analyse and plan for further management.... ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – may all be necessary for further assessment and assistance. If there are no clues, there are advanced investigations – Electro Physiological Studies (EPS) it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. Though the test is the gold standard, it is INVASIVE and is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST. The treating doctor may suggest them depending on need, based on his assessment of the situation. / A pacemaker may ultimately be necessary... Take care Wishing speedy recovery God bless