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What Causes Slow Fluctuations In The Heart Rate?
So from time to time, about 6-8 months between episodes usually my heart rate will drop it starts in the low 60 s and goes to 40 s gradualy. Usually lasts a week+ and then goes climbing back. I take Beta Blockers, right now I take 1/2 a 25mg Tablet of Toprol-XL. Obviously you cannot make a specific diagnosis, but from your general knowledge what could be the issue. Underlying conditions. High Blood preasure (usually controlled) - Blocked R. Coronary Art. with bridging collaterals from Left. - Paraxsymal A-Fib - Super high Tryglicerides . (please forgive my spelling errors.
Mon, 11 May 2015
Hello and thanks for writing.
The symptoms you describe are not to be taken lightly as a low HR could be detrimental. a short diffrentials to be considered are:
1) Drug effect due to beta blocker that you are taking
2) Sick sinus syndrome
3) Hypothyroidism
4) Atrial Fibrillation with slow ventricular response
you should immediately consult a cardiologist to get yourself checked for these conditions. He might require certain tests like a Baseline ECG, Holter study, some bloodwork for underactive thyroid and other tests as indicated by him. You might even require a medication review but only with consultation with a doctor.
Dont get panicked by all these. It is better to be safe.
Hope it Helps.
Regards
Dr Manish Kumar Jha
The symptoms you describe are not to be taken lightly as a low HR could be detrimental. a short diffrentials to be considered are:
1) Drug effect due to beta blocker that you are taking
2) Sick sinus syndrome
3) Hypothyroidism
4) Atrial Fibrillation with slow ventricular response
you should immediately consult a cardiologist to get yourself checked for these conditions. He might require certain tests like a Baseline ECG, Holter study, some bloodwork for underactive thyroid and other tests as indicated by him. You might even require a medication review but only with consultation with a doctor.
Dont get panicked by all these. It is better to be safe.
Hope it Helps.
Regards
Dr Manish Kumar Jha
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