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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abnormal Heart Rates?

For blood pressure I am advised to take Olmesar H(20), Plendil 2.5 and tonact 10. I am suffering from dizziness and heart beat sometimes comes down to 52. Prior to taking these medicines heart beat was above 70. I take regular Yogic exercise. If I move a lot from place to to place then of course heart beat comes around 70 to 75. I am now 72. Please advise. With these medicines my blood pressure is maintained around 60 and 105 for lower and higher level.
Wed, 5 Aug 2015
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Cardiologist 's  Response
Hello. Thank you for your question and welcome to HCM. I understand your concern.

My first recommendation would be that you should perform a cardiac check-up, with EKG, echocardiogram and cardiac stress test. Also, I would strongly recommend you to be put on a 24- or 48-hour Holter rhythm monitor. The figures that you provided are not extremely low, but adding symptoms such as dizzines/near-fainting/fainting, combined with the fact that you are not on medication that can slow down the heart beat (such as beta-blockers or calcium channel blockers), this picture may indicate the need for pacemaker implantation. After you get the rhythm monitor results back, you should discuss this option with your curing cardiologist.

Furthermore, I would like to clarify that dizziness commonly can come from inflammation of the inner ear. Believe it or not, it is an organ that controls our standing balance. Therefore, I would recommend you to see a otorhinolaringologist (ENT doctor). Because, if we attribute the dizziness to the inner ear, then our differential diagnosis would be easier.

I hope I was helpful. Feel free to ask again. Best regards.
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What Causes Abnormal Heart Rates?

Hello. Thank you for your question and welcome to HCM. I understand your concern. My first recommendation would be that you should perform a cardiac check-up, with EKG, echocardiogram and cardiac stress test. Also, I would strongly recommend you to be put on a 24- or 48-hour Holter rhythm monitor. The figures that you provided are not extremely low, but adding symptoms such as dizzines/near-fainting/fainting, combined with the fact that you are not on medication that can slow down the heart beat (such as beta-blockers or calcium channel blockers), this picture may indicate the need for pacemaker implantation. After you get the rhythm monitor results back, you should discuss this option with your curing cardiologist. Furthermore, I would like to clarify that dizziness commonly can come from inflammation of the inner ear. Believe it or not, it is an organ that controls our standing balance. Therefore, I would recommend you to see a otorhinolaringologist (ENT doctor). Because, if we attribute the dizziness to the inner ear, then our differential diagnosis would be easier. I hope I was helpful. Feel free to ask again. Best regards.