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Heart rate keeps dropping. Have back and chest pain. Suffer from scleroderma. Are this related?

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Posted on Sun, 8 Dec 2013
Question: My heart rate keeps dropping to 48-52 in the last few days. I have upper back pain and some chest pain. I was in er yesterday and the doctor said as long as my pulse goes up when I get up its ok and I called my pcp today and she said if I didn't pass out then it was fine but I am worried that I am dying. I have scleroderma and was wondering if that can cause this.
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Answered by Dr. Shruti Rijhwani (52 minutes later)
Brief Answer: Follows. Detailed Answer: Dear Madam, Thank you for posting your query on XXXXXXX Well looking into your problem I would like to tell you that since you suffer from scleroderma a possibilty of heart involvement cannot be ruled out . What your doctor have told you is right because they are thinking this to be sinus bradycardia but I would strongly recommend a 2 D ECHO to rule out any cardiac involvement including pericardial effusion which can also lead to such symptoms . I think you should consult your cardiologist and get it done as early as possible . Take care. Dr. Shruti
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Shruti Rijhwani (4 minutes later)
I also take seroquel can this cause a slow heart beat?
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Answered by Dr. Shruti Rijhwani (11 hours later)
Brief Answer: Follows. Detailed Answer: Dear Madam , Seroquel contains quetiapine and bradycardia is reported in isolated case reports with it thus making it less likely a possibilty . Dr. Shruti
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Shruti Rijhwani (2 hours later)
I checked into the er last night and I had low potassium and magnesium and they admitted me and now talking of possible pace maker. thank you for your answers.
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Answered by Dr. Shruti Rijhwani (12 hours later)
Brief Answer: Follows. Detailed Answer: Dear Madam, I wish you a speedy recovery . Take care. Dr. Shruti
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Shruti Rijhwani

Rheumatologist

Practicing since :2008

Answered : 2366 Questions

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Heart rate keeps dropping. Have back and chest pain. Suffer from scleroderma. Are this related?

Brief Answer: Follows. Detailed Answer: Dear Madam, Thank you for posting your query on XXXXXXX Well looking into your problem I would like to tell you that since you suffer from scleroderma a possibilty of heart involvement cannot be ruled out . What your doctor have told you is right because they are thinking this to be sinus bradycardia but I would strongly recommend a 2 D ECHO to rule out any cardiac involvement including pericardial effusion which can also lead to such symptoms . I think you should consult your cardiologist and get it done as early as possible . Take care. Dr. Shruti