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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It To Be Concerned About Missing Heart Beats?

My husband had a stress tess and an echocardigram and they both said that he is missins too many heartbeats. Now they want him to wear a 7 day holter moniter to see how his heart is working? They also mention he might have to wear a pacemaker. Is this serious?
Wed, 17 Aug 2016
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Cardiologist,  's  Response
If he is missing heart beats that means he may be having long sinus pauses, or may be just PVC's. To rule out any arrhythmia, holter is necessary. And if the holter also shows Sinus pause/CHB( complete heart block), and the patient is symptomatic (persistent giddiness/ sychope/ presynchope) he may need a pacemaker. But first get holter done.

Dr Sameer
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Is It To Be Concerned About Missing Heart Beats?

If he is missing heart beats that means he may be having long sinus pauses, or may be just PVC s. To rule out any arrhythmia, holter is necessary. And if the holter also shows Sinus pause/CHB( complete heart block), and the patient is symptomatic (persistent giddiness/ sychope/ presynchope) he may need a pacemaker. But first get holter done. Dr Sameer