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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bradycardia?

I have a resting pulse between 38 and 48 and while I am up and about in the 60s I have had an EKG and a stress test. The stress test was normal and the EKG was stage 1 bradycardia. The doctors did not tell me anything else and no additional appointments should I be worried? BTW I am age 45 5 10 285lbs.
Tue, 18 Sep 2018
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General & Family Physician 's  Response
Hello,

I understand you have a question about bradycardia. The main question of what to do about bradycardia is whether you have symptoms or not. If you do not have any symptoms such as lightheadedness, fainting, chest pain or inability to exercise, then there is no need to do anything. There are many causes of sinus bradycardia, including medications, heart disease, obstructive sleep apnea, infections, and a problem with the pacemaker in your heart. It can also just be a normal variant, sometimes seen in athletes or former athletes. I am assuming your doctors have looked for these and other causes and did not find the cause for your bradycardia.

If you have any symptoms, however, then treatment is recommended. If no other causes are found, you would normally be evaluated for a problem with your pacemaker, called sick sinus syndrome, which a heart rhythm doctor can evaluate for, and can be treated with a pacemaker.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Aaron Branch,
General & Family Physician
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What Causes Bradycardia?

Hello, I understand you have a question about bradycardia. The main question of what to do about bradycardia is whether you have symptoms or not. If you do not have any symptoms such as lightheadedness, fainting, chest pain or inability to exercise, then there is no need to do anything. There are many causes of sinus bradycardia, including medications, heart disease, obstructive sleep apnea, infections, and a problem with the pacemaker in your heart. It can also just be a normal variant, sometimes seen in athletes or former athletes. I am assuming your doctors have looked for these and other causes and did not find the cause for your bradycardia. If you have any symptoms, however, then treatment is recommended. If no other causes are found, you would normally be evaluated for a problem with your pacemaker, called sick sinus syndrome, which a heart rhythm doctor can evaluate for, and can be treated with a pacemaker. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Aaron Branch, General & Family Physician