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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Slow Resting Heart Rate?

A friend has had to have his heart shocked with pads attached to place in a stable mode...he gets confused when this is needed..it s been done 3 times over a period of about 6 months...he listened to DR Oz on TV...as he has low energy and eye brows have reduced about half of what they were he thinks he has a Thyroid problem...he has had numerous root canals...whopping cough as a child..herpes...I checked online and it appears the procedure he is going through is bradycardia...can any of the things lead to this heart problem..he has no genetic history and is near 68 years old...thin in build.
Wed, 9 Dec 2015
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Cardiologist 's  Response
Hello. Thank you for your question and welcome to HCM. I understand your concern about your friend.

This seems as a problem with the heart conduction system. The symptoms you described lean towards syncope which happens when the heart electrical system, no matter what the cause is, shuts down. It can happen in form of various heart blocks and/or pauses, which can produce near-syncope or clear-cut syncope with a total loss of consciousness. If this is the case, it is first warranted for him to be put on a 24-hour heart rhythm monitor and determine whether the criteria of heart blocks/pauses above 2.5 seconds, are present in the reading. This test is practically an EKG sheet, registered throughout 24 hours. If these problems are detected in the above mentioned tests, combined with the symptoms, there is an indication for a permanent pacemaker to be implanted, which is a device that "fires" electrical impulses when heart's natural electrical system fails to do so. It all depends on the 24-hour reading. If there are no heart conduction abnormalities detected, other origins of these phenomena should be sought.

I hope this answers your query. Wish him a good health.

Kind regards,
Dr. Meriton
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What Causes Slow Resting Heart Rate?

Hello. Thank you for your question and welcome to HCM. I understand your concern about your friend. This seems as a problem with the heart conduction system. The symptoms you described lean towards syncope which happens when the heart electrical system, no matter what the cause is, shuts down. It can happen in form of various heart blocks and/or pauses, which can produce near-syncope or clear-cut syncope with a total loss of consciousness. If this is the case, it is first warranted for him to be put on a 24-hour heart rhythm monitor and determine whether the criteria of heart blocks/pauses above 2.5 seconds, are present in the reading. This test is practically an EKG sheet, registered throughout 24 hours. If these problems are detected in the above mentioned tests, combined with the symptoms, there is an indication for a permanent pacemaker to be implanted, which is a device that fires electrical impulses when heart s natural electrical system fails to do so. It all depends on the 24-hour reading. If there are no heart conduction abnormalities detected, other origins of these phenomena should be sought. I hope this answers your query. Wish him a good health. Kind regards, Dr. Meriton