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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dizziness, Stomach Gas, Low Heart Beat. Holter Report Shows PVC, Ventricular Couplets, Ectopic Beats, Sinus Tachycardia. Treatment?

Hi, 1. I am 37 years old , 5 8 , 70 KG , having low heart rate . 2. My heart rate goes to 40 during midnight ( 12:00 to 3:00) 3. As per holter report , Avegare heart rate is 63. With High 121 in the morning. 4. 757 PVCs in holter report. 5. 107 ventricular couplets. 6. Isolated superventricular ectopic beats with multiple ventricular runs and ventricularTachycardia. Sinus with ocational block artial premature beats. 7. I feel dizziness while driving in night. Feel stressed at work out of anxity. I also have problem of Gas in stomack.
Wed, 11 Jul 2012
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Cardiologist,  's  Response
Hi!
According to the above description provided, It appears to be 'bradycardia induced tachyrrhythmias'
In youngsters this might be asymptomatic & benign condition & a simple way to correct it temporarily may be overdrive pacing, meaning running, which increases the heart rate & thereby reduces the symptoms.
But if it continues to be problematic a better choice would be to have a permanent pacemaker implant.
If with further investigations, an anomalous pathway is found then RFCA- radiofrequency catheter ablation would be curative treatment. So, please have a consultation with an eminent cardiologist to undergo further investigations. Thanks & take care!
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Dizziness, Stomach Gas, Low Heart Beat. Holter Report Shows PVC, Ventricular Couplets, Ectopic Beats, Sinus Tachycardia. Treatment?

Hi! According to the above description provided, It appears to be bradycardia induced tachyrrhythmias In youngsters this might be asymptomatic & benign condition & a simple way to correct it temporarily may be overdrive pacing, meaning running, which increases the heart rate & thereby reduces the symptoms. But if it continues to be problematic a better choice would be to have a permanent pacemaker implant. If with further investigations, an anomalous pathway is found then RFCA- radiofrequency catheter ablation would be curative treatment. So, please have a consultation with an eminent cardiologist to undergo further investigations. Thanks & take care!