Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
173 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Having shortness of breath, difficulty breathing after meals. ECG showed sinus arrythmia and sinus braycardia. Suggest?

Answered by
Dr.
Dr. Luchuo Engelbert Bain

General & Family Physician

Practicing since :2009

Answered : 3092 Questions

default
Posted on Tue, 24 Sep 2013 in Hypertension and Heart Disease
Question: I've been having shortness of breath, difficulty breathing (not as bad now) after eating certain meals, and moderate exercising, walks.

ECG a month ago showed sinus arrythmia, 2 days later normal. An ECG 2 weeks later showed sinus braycardia..
BP first test was between 125-135/85, second time 144/85 and hb in low 40's.
recently pb was 110/80.
Chest CT came clear, heart stress test did not require a follow up...though I have not seen the results.

Any idea what can be causing this, and if this is something serious where I should see a heart specialist?
doctor
Answered by Dr. Luchuo Engelbert Bain 56 minutes later
Brief Answer:
Need a cardiac ultrasound/heart echography

Detailed Answer:
Hi and thanks for the query,

It is almost certain that you got a problem with the heart. Shortness of breath is very characteristic of heart failure, especially when associated with effort. Low heart rate, as low as 40 needs exclusion of a problem with the pacemaker of the heart (Sinoartrial node) and other electrical transmission bundles in the heart to be evaluated. A key examination that you deserve is a cardiac (heart) ultrasound and 24 hour monitoring of the heart rate and rhythm.

It could be interesting to know if you also have any past history of heart disease in the family, any notion of swelling of your limbs and night coughs.

You need to book an appointment in the nearest reference hospital in your area to see a cardiologist. I think it is serious enough and deserves some urgent medical attention. While awaiting to see your cardiologist, your electrolyte abnormalities (Calcium, Potassium and Sodium) to start adequate therapy. A low salt diet might be one of the most important crucial life style modifications as you await to see a heart specialist (cardiologist).

You shall be able to book for a heart specialist/cardiologist in all or almost all reference hospitals. Your primary care physician shall be of utmost help. A cardiac/heart ultrasound is urgently required.

Thanks and kind regards. feel free asking any further questions for clarification if need be. Wishing you good health.

Bain LE, MD
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  
Treatment/Therapy ,  
Lab Tests ,  

Recent questions on  Night cough

doctor1 MD

Mt 2 year olds right tonsil has been enlarged for at least 2 weeks maybe more , as this is only when i noticed it.... the doctor said there is no...

doctor1 MD

hi i'm 5 and a half mths. pregnant,i have terrible chest congestion i've tried robituusin,i've been drinking hot tea,broth and plenty of water but...

doctor1 MD

Hi doctor, my 4yr 8 months old son weighing 18kg had fever from monday evening till thursday. Gave meftalp. Friday he was fine but from that night...

doctor1 MD

hello doctor. I have a grandfather with TB.my family who has been taking care of him told me that it seems the medicines prescribed by his doctor...

doctor1 MD

Hi My 3.5 years old boy has been suffering from coughing and wheezing from past 2 weeks or so. He has this issue in weather conditions as in...

doctor1 MD

My wife is suffering from cough for the last 2-3 days and taking Grilinctus cough syrup 5 ml twice daily but still she is not recovered from that,...

doctor1 MD

I developed a cough in December followed a few days later by cold symptoms. Chest pain and coughing up mucus so went to the doctor who said i had...