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Hello Dr. Sharka, This Is XXXXXXX From Canada. I Am
Question: Hello Dr. Sharka,
This is XXXXXXX from Canada. I am back for your medical expertise. Hope all is well with you in this new virtual world we are currently living in due to Covid-19.
In our communications in late 2016 you had informed based on clinical symptomatology, Roemheld syndrome was likely the condition I was suffering with.
In the past four years I have had a continuation of symptoms which appear to be caused due to a dysfunction of the vagus nerve. Unfortunately, western medicine does not give the vagus nerve attention in a lot of the symptoms (i.e. digestive, respiration, cardiac, sleep apnea, gut motility,etc)
Dr. Sharka here is the reason for my call back to you. First I will give you a bit of a preamble of what has lead me to my current cardiac condition which my doctor had submitted on a recent Holter monitor test requisition as having an "extreme bradycardia".
The last year has been especially difficult and stressful for me. I am now 75 years old and have always prided myself for being physically fit for my age and living a clean lifestyle. I have maintained a retirement job at a college for the past 8.5 years as a custodian to give me purpose and structure to my days after 30 years in the corporate world in sales and management.
I had a knee injury in September 2019 resulting in reduced hours of work while on Workman's Compensation. I have been doing intensive physiotherapy in addition to working.
Here are the conditions I currently have (some for many years): sjogrens syndrome, vitiligo, thyroid condition, sleep apnea. I have developed stomach distension in the past two years and have lost body muscle. Also, have no gag reflex and change in bowel movement; mostly constipation. Feel quite chilled most of the time.
I developed a heart rate condition around May 2020 and started monitoring my wrist pulse rate before, during and after exercising,eating, during work, while resting, etc. There are extremes in the HR with skipping and racing in these activities. The anomaly with my HR is that during stress physically and psychologically/emotionally my HR drops significantly instead of increasing (i.e. HR could suddenly drop from 68 to 48 ppm. At times has dropped to as low as 32 with skipping.)
Recent Tests:
1. Complete blood lab work .. XXXXXXX 23, 2020
2. ECG 23, 2020
3. MRI .. July 10,2020...Total brain with focus on brain stem. Complete cervical spine.
4. Holter Monitor .. 24 hr. test.. Sept.3-4,2020. Doctor requisition for " extreme bradycardia"
Dr. Sharka, I have results from all the tests and can forward to you once you request. I would appreciate your explanation in more common language the results of my Holter monitor test if you decide to carry on as my cardiologist.
I am looking forward to your response.
Regards, XXXXXXX Fodchuk
This is XXXXXXX from Canada. I am back for your medical expertise. Hope all is well with you in this new virtual world we are currently living in due to Covid-19.
In our communications in late 2016 you had informed based on clinical symptomatology, Roemheld syndrome was likely the condition I was suffering with.
In the past four years I have had a continuation of symptoms which appear to be caused due to a dysfunction of the vagus nerve. Unfortunately, western medicine does not give the vagus nerve attention in a lot of the symptoms (i.e. digestive, respiration, cardiac, sleep apnea, gut motility,etc)
Dr. Sharka here is the reason for my call back to you. First I will give you a bit of a preamble of what has lead me to my current cardiac condition which my doctor had submitted on a recent Holter monitor test requisition as having an "extreme bradycardia".
The last year has been especially difficult and stressful for me. I am now 75 years old and have always prided myself for being physically fit for my age and living a clean lifestyle. I have maintained a retirement job at a college for the past 8.5 years as a custodian to give me purpose and structure to my days after 30 years in the corporate world in sales and management.
I had a knee injury in September 2019 resulting in reduced hours of work while on Workman's Compensation. I have been doing intensive physiotherapy in addition to working.
Here are the conditions I currently have (some for many years): sjogrens syndrome, vitiligo, thyroid condition, sleep apnea. I have developed stomach distension in the past two years and have lost body muscle. Also, have no gag reflex and change in bowel movement; mostly constipation. Feel quite chilled most of the time.
I developed a heart rate condition around May 2020 and started monitoring my wrist pulse rate before, during and after exercising,eating, during work, while resting, etc. There are extremes in the HR with skipping and racing in these activities. The anomaly with my HR is that during stress physically and psychologically/emotionally my HR drops significantly instead of increasing (i.e. HR could suddenly drop from 68 to 48 ppm. At times has dropped to as low as 32 with skipping.)
Recent Tests:
1. Complete blood lab work .. XXXXXXX 23, 2020
2. ECG 23, 2020
3. MRI .. July 10,2020...Total brain with focus on brain stem. Complete cervical spine.
4. Holter Monitor .. 24 hr. test.. Sept.3-4,2020. Doctor requisition for " extreme bradycardia"
Dr. Sharka, I have results from all the tests and can forward to you once you request. I would appreciate your explanation in more common language the results of my Holter monitor test if you decide to carry on as my cardiologist.
I am looking forward to your response.
Regards, XXXXXXX Fodchuk
Hello Dr. Sharka,
This is XXXXXXX from Canada. I am back for your medical expertise. Hope all is well with you in this new virtual world we are currently living in due to Covid-19.
In our communications in late 2016 you had informed based on clinical symptomatology, Roemheld syndrome was likely the condition I was suffering with.
In the past four years I have had a continuation of symptoms which appear to be caused due to a dysfunction of the vagus nerve. Unfortunately, western medicine does not give the vagus nerve attention in a lot of the symptoms (i.e. digestive, respiration, cardiac, sleep apnea, gut motility,etc)
Dr. Sharka here is the reason for my call back to you. First I will give you a bit of a preamble of what has lead me to my current cardiac condition which my doctor had submitted on a recent Holter monitor test requisition as having an "extreme bradycardia".
The last year has been especially difficult and stressful for me. I am now 75 years old and have always prided myself for being physically fit for my age and living a clean lifestyle. I have maintained a retirement job at a college for the past 8.5 years as a custodian to give me purpose and structure to my days after 30 years in the corporate world in sales and management.
I had a knee injury in September 2019 resulting in reduced hours of work while on Workman's Compensation. I have been doing intensive physiotherapy in addition to working.
Here are the conditions I currently have (some for many years): sjogrens syndrome, vitiligo, thyroid condition, sleep apnea. I have developed stomach distension in the past two years and have lost body muscle. Also, have no gag reflex and change in bowel movement; mostly constipation. Feel quite chilled most of the time.
I developed a heart rate condition around May 2020 and started monitoring my wrist pulse rate before, during and after exercising,eating, during work, while resting, etc. There are extremes in the HR with skipping and racing in these activities. The anomaly with my HR is that during stress physically and psychologically/emotionally my HR drops significantly instead of increasing (i.e. HR could suddenly drop from 68 to 48 ppm. At times has dropped to as low as 32 with skipping.)
Recent Tests:
1. Complete blood lab work .. XXXXXXX 23, 2020
2. ECG 23, 2020
3. MRI .. July 10,2020...Total brain with focus on brain stem. Complete cervical spine.
4. Holter Monitor .. 24 hr. test.. Sept.3-4,2020. Doctor requisition for " extreme bradycardia"
Dr. Sharka, I have results from all the tests and can forward to you once you request. I would appreciate your explanation in more common language the results of my Holter monitor test if you decide to carry on as my cardiologist.
I am looking forward to your response.
Regards, XXXXXXX Fodchuk
This is XXXXXXX from Canada. I am back for your medical expertise. Hope all is well with you in this new virtual world we are currently living in due to Covid-19.
In our communications in late 2016 you had informed based on clinical symptomatology, Roemheld syndrome was likely the condition I was suffering with.
In the past four years I have had a continuation of symptoms which appear to be caused due to a dysfunction of the vagus nerve. Unfortunately, western medicine does not give the vagus nerve attention in a lot of the symptoms (i.e. digestive, respiration, cardiac, sleep apnea, gut motility,etc)
Dr. Sharka here is the reason for my call back to you. First I will give you a bit of a preamble of what has lead me to my current cardiac condition which my doctor had submitted on a recent Holter monitor test requisition as having an "extreme bradycardia".
The last year has been especially difficult and stressful for me. I am now 75 years old and have always prided myself for being physically fit for my age and living a clean lifestyle. I have maintained a retirement job at a college for the past 8.5 years as a custodian to give me purpose and structure to my days after 30 years in the corporate world in sales and management.
I had a knee injury in September 2019 resulting in reduced hours of work while on Workman's Compensation. I have been doing intensive physiotherapy in addition to working.
Here are the conditions I currently have (some for many years): sjogrens syndrome, vitiligo, thyroid condition, sleep apnea. I have developed stomach distension in the past two years and have lost body muscle. Also, have no gag reflex and change in bowel movement; mostly constipation. Feel quite chilled most of the time.
I developed a heart rate condition around May 2020 and started monitoring my wrist pulse rate before, during and after exercising,eating, during work, while resting, etc. There are extremes in the HR with skipping and racing in these activities. The anomaly with my HR is that during stress physically and psychologically/emotionally my HR drops significantly instead of increasing (i.e. HR could suddenly drop from 68 to 48 ppm. At times has dropped to as low as 32 with skipping.)
Recent Tests:
1. Complete blood lab work .. XXXXXXX 23, 2020
2. ECG 23, 2020
3. MRI .. July 10,2020...Total brain with focus on brain stem. Complete cervical spine.
4. Holter Monitor .. 24 hr. test.. Sept.3-4,2020. Doctor requisition for " extreme bradycardia"
Dr. Sharka, I have results from all the tests and can forward to you once you request. I would appreciate your explanation in more common language the results of my Holter monitor test if you decide to carry on as my cardiologist.
I am looking forward to your response.
Regards, XXXXXXX Fodchuk
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello XXXXXXX
I am glad to hear from you again on Ask a Doctor service!
First, I would like to apologize for the delay in answering because of a busy day on the hospital!
I passed carefully through your question and would explain that the episodes of bradycardia that you describe, could be related to an increased vagal nerve activity, which may lead to vaso-vagal syndrome or vaso-vagal attacks.
In this situation, the heart goes into bradycardia during extreme physical activity, anxiety, fear or pain. This may cause fainting and loss of conscience during such physical or emotional activities.
This could be the reason, underlying such Holter findings.
Another test to consider would be an exercise cardiac stress test or stress echo, because sometimes, these episodes can be related to coronary artery disease.
I would be glad to review your tests reports for a second professional opinion, whenever you will be able to upload them!
Hope you will find this information helpful!
I remain at your disposal whenever you need!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello XXXXXXX
I am glad to hear from you again on Ask a Doctor service!
First, I would like to apologize for the delay in answering because of a busy day on the hospital!
I passed carefully through your question and would explain that the episodes of bradycardia that you describe, could be related to an increased vagal nerve activity, which may lead to vaso-vagal syndrome or vaso-vagal attacks.
In this situation, the heart goes into bradycardia during extreme physical activity, anxiety, fear or pain. This may cause fainting and loss of conscience during such physical or emotional activities.
This could be the reason, underlying such Holter findings.
Another test to consider would be an exercise cardiac stress test or stress echo, because sometimes, these episodes can be related to coronary artery disease.
I would be glad to review your tests reports for a second professional opinion, whenever you will be able to upload them!
Hope you will find this information helpful!
I remain at your disposal whenever you need!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello XXXXXXX
I am glad to hear from you again on Ask a Doctor service!
First, I would like to apologize for the delay in answering because of a busy day on the hospital!
I passed carefully through your question and would explain that the episodes of bradycardia that you describe, could be related to an increased vagal nerve activity, which may lead to vaso-vagal syndrome or vaso-vagal attacks.
In this situation, the heart goes into bradycardia during extreme physical activity, anxiety, fear or pain. This may cause fainting and loss of conscience during such physical or emotional activities.
This could be the reason, underlying such Holter findings.
Another test to consider would be an exercise cardiac stress test or stress echo, because sometimes, these episodes can be related to coronary artery disease.
I would be glad to review your tests reports for a second professional opinion, whenever you will be able to upload them!
Hope you will find this information helpful!
I remain at your disposal whenever you need!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello XXXXXXX
I am glad to hear from you again on Ask a Doctor service!
First, I would like to apologize for the delay in answering because of a busy day on the hospital!
I passed carefully through your question and would explain that the episodes of bradycardia that you describe, could be related to an increased vagal nerve activity, which may lead to vaso-vagal syndrome or vaso-vagal attacks.
In this situation, the heart goes into bradycardia during extreme physical activity, anxiety, fear or pain. This may cause fainting and loss of conscience during such physical or emotional activities.
This could be the reason, underlying such Holter findings.
Another test to consider would be an exercise cardiac stress test or stress echo, because sometimes, these episodes can be related to coronary artery disease.
I would be glad to review your tests reports for a second professional opinion, whenever you will be able to upload them!
Hope you will find this information helpful!
I remain at your disposal whenever you need!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, I have provided some attachments. Please review them.
Hi, I have provided some attachments. Please review them.
Hi, I have provided some attachments. Please review them.
Hi, I have provided some attachments. Please review them.
Hello Dr. Sharka,
Thank you for your response to my request. No problem with the delay in answering; I understand you must be extremely busy at the hospital with Covid and such.
Please note I have provided two attachments for your review.
1. MRI.. July 10,2020. Total brain with focus on brain stem.
Also, complete cervical spine.
2. 0000..Holter monitor test Sept.3-4,2020 with results report Sept.8,2020..Note the 24hr. Holter included a 1.5 hrs. of intensive physiotherapy; 6 hrs. of sleep; and 4 hrs. of physical custodial work at the college I am employed at.
3. ECG. XXXXXXX 23,2020; I couldn't get the results to you; the system could not upload because the report was more than 2MB. However; here are the ECG summary highlights:
Vent.Rate 52 bpm
PR internal 218 ms
QRS duration 110 ms
QT/QTc 418/388 ms
P-R-T axes 81 60 75
Sinus bradycardia with 1st. degree AV block.
Incomplete right bundle branch block.
Borderline ECG.
Any other information you require, I would be glad to help.
Please note that I have an "Unlimited Specialist" monthly package with Health Care Magic for "Ask A Doctor".
I look forward to your reviews.
Thank you.
Regards, XXXXXXX Fodchuk
Thank you for your response to my request. No problem with the delay in answering; I understand you must be extremely busy at the hospital with Covid and such.
Please note I have provided two attachments for your review.
1. MRI.. July 10,2020. Total brain with focus on brain stem.
Also, complete cervical spine.
2. 0000..Holter monitor test Sept.3-4,2020 with results report Sept.8,2020..Note the 24hr. Holter included a 1.5 hrs. of intensive physiotherapy; 6 hrs. of sleep; and 4 hrs. of physical custodial work at the college I am employed at.
3. ECG. XXXXXXX 23,2020; I couldn't get the results to you; the system could not upload because the report was more than 2MB. However; here are the ECG summary highlights:
Vent.Rate 52 bpm
PR internal 218 ms
QRS duration 110 ms
QT/QTc 418/388 ms
P-R-T axes 81 60 75
Sinus bradycardia with 1st. degree AV block.
Incomplete right bundle branch block.
Borderline ECG.
Any other information you require, I would be glad to help.
Please note that I have an "Unlimited Specialist" monthly package with Health Care Magic for "Ask A Doctor".
I look forward to your reviews.
Thank you.
Regards, XXXXXXX Fodchuk
Hello Dr. Sharka,
Thank you for your response to my request. No problem with the delay in answering; I understand you must be extremely busy at the hospital with Covid and such.
Please note I have provided two attachments for your review.
1. MRI.. July 10,2020. Total brain with focus on brain stem.
Also, complete cervical spine.
2. 0000..Holter monitor test Sept.3-4,2020 with results report Sept.8,2020..Note the 24hr. Holter included a 1.5 hrs. of intensive physiotherapy; 6 hrs. of sleep; and 4 hrs. of physical custodial work at the college I am employed at.
3. ECG. XXXXXXX 23,2020; I couldn't get the results to you; the system could not upload because the report was more than 2MB. However; here are the ECG summary highlights:
Vent.Rate 52 bpm
PR internal 218 ms
QRS duration 110 ms
QT/QTc 418/388 ms
P-R-T axes 81 60 75
Sinus bradycardia with 1st. degree AV block.
Incomplete right bundle branch block.
Borderline ECG.
Any other information you require, I would be glad to help.
Please note that I have an "Unlimited Specialist" monthly package with Health Care Magic for "Ask A Doctor".
I look forward to your reviews.
Thank you.
Regards, XXXXXXX Fodchuk
Thank you for your response to my request. No problem with the delay in answering; I understand you must be extremely busy at the hospital with Covid and such.
Please note I have provided two attachments for your review.
1. MRI.. July 10,2020. Total brain with focus on brain stem.
Also, complete cervical spine.
2. 0000..Holter monitor test Sept.3-4,2020 with results report Sept.8,2020..Note the 24hr. Holter included a 1.5 hrs. of intensive physiotherapy; 6 hrs. of sleep; and 4 hrs. of physical custodial work at the college I am employed at.
3. ECG. XXXXXXX 23,2020; I couldn't get the results to you; the system could not upload because the report was more than 2MB. However; here are the ECG summary highlights:
Vent.Rate 52 bpm
PR internal 218 ms
QRS duration 110 ms
QT/QTc 418/388 ms
P-R-T axes 81 60 75
Sinus bradycardia with 1st. degree AV block.
Incomplete right bundle branch block.
Borderline ECG.
Any other information you require, I would be glad to help.
Please note that I have an "Unlimited Specialist" monthly package with Health Care Magic for "Ask A Doctor".
I look forward to your reviews.
Thank you.
Regards, XXXXXXX Fodchuk
Brief Answer:
My opinion as follows:
Detailed Answer:
Dear XXXXXXX
You can upload the ECG as a picture attached to the question, JPG format, which is not too large.
Anyway, I still think about possible vaso-vagal syndrome, which could the cause of episodes of bradycardia.
An enhanced vagal tone can lead to bradycardia and 1st degree AV block too.
I would also like to know if you have every performed an exercise cardiac stress test or a stress echo?
Have you ever experienced chest pain during physical exercise?
Regarding the bulging disc in the cervical vertebral column, which has lead to possible spinal cord injury, I don't think that it is related to such episodes of bradycardia, but it can lead to neck pain irradiating in the arms, and a cervical collar may be needed time after time.
The changes in the brain vessels, may indicate the need for daily baby aspirin. Do you take it?
I remain at your disposal whenever you need!
Please let me know about everything!
Regards,
Dr. Iliri
My opinion as follows:
Detailed Answer:
Dear XXXXXXX
You can upload the ECG as a picture attached to the question, JPG format, which is not too large.
Anyway, I still think about possible vaso-vagal syndrome, which could the cause of episodes of bradycardia.
An enhanced vagal tone can lead to bradycardia and 1st degree AV block too.
I would also like to know if you have every performed an exercise cardiac stress test or a stress echo?
Have you ever experienced chest pain during physical exercise?
Regarding the bulging disc in the cervical vertebral column, which has lead to possible spinal cord injury, I don't think that it is related to such episodes of bradycardia, but it can lead to neck pain irradiating in the arms, and a cervical collar may be needed time after time.
The changes in the brain vessels, may indicate the need for daily baby aspirin. Do you take it?
I remain at your disposal whenever you need!
Please let me know about everything!
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
My opinion as follows:
Detailed Answer:
Dear XXXXXXX
You can upload the ECG as a picture attached to the question, JPG format, which is not too large.
Anyway, I still think about possible vaso-vagal syndrome, which could the cause of episodes of bradycardia.
An enhanced vagal tone can lead to bradycardia and 1st degree AV block too.
I would also like to know if you have every performed an exercise cardiac stress test or a stress echo?
Have you ever experienced chest pain during physical exercise?
Regarding the bulging disc in the cervical vertebral column, which has lead to possible spinal cord injury, I don't think that it is related to such episodes of bradycardia, but it can lead to neck pain irradiating in the arms, and a cervical collar may be needed time after time.
The changes in the brain vessels, may indicate the need for daily baby aspirin. Do you take it?
I remain at your disposal whenever you need!
Please let me know about everything!
Regards,
Dr. Iliri
My opinion as follows:
Detailed Answer:
Dear XXXXXXX
You can upload the ECG as a picture attached to the question, JPG format, which is not too large.
Anyway, I still think about possible vaso-vagal syndrome, which could the cause of episodes of bradycardia.
An enhanced vagal tone can lead to bradycardia and 1st degree AV block too.
I would also like to know if you have every performed an exercise cardiac stress test or a stress echo?
Have you ever experienced chest pain during physical exercise?
Regarding the bulging disc in the cervical vertebral column, which has lead to possible spinal cord injury, I don't think that it is related to such episodes of bradycardia, but it can lead to neck pain irradiating in the arms, and a cervical collar may be needed time after time.
The changes in the brain vessels, may indicate the need for daily baby aspirin. Do you take it?
I remain at your disposal whenever you need!
Please let me know about everything!
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Good Day Dr. Sharka,
I couldn't figure how to convert my XXXXXXX 23,2020 ECG from PDF to JPG; however, I can send it as a "Share" or "Forward" off my email Inbox. I would need a forwarding email for these;or, is it possible to use as an "Attachment" into the the body of the question page?
I will be responding to the rest of your letter questions in a follow up reply.
Have a good day.
Regards, XXXXXXX Fodchuk
I couldn't figure how to convert my XXXXXXX 23,2020 ECG from PDF to JPG; however, I can send it as a "Share" or "Forward" off my email Inbox. I would need a forwarding email for these;or, is it possible to use as an "Attachment" into the the body of the question page?
I will be responding to the rest of your letter questions in a follow up reply.
Have a good day.
Regards, XXXXXXX Fodchuk
Good Day Dr. Sharka,
I couldn't figure how to convert my XXXXXXX 23,2020 ECG from PDF to JPG; however, I can send it as a "Share" or "Forward" off my email Inbox. I would need a forwarding email for these;or, is it possible to use as an "Attachment" into the the body of the question page?
I will be responding to the rest of your letter questions in a follow up reply.
Have a good day.
Regards, XXXXXXX Fodchuk
I couldn't figure how to convert my XXXXXXX 23,2020 ECG from PDF to JPG; however, I can send it as a "Share" or "Forward" off my email Inbox. I would need a forwarding email for these;or, is it possible to use as an "Attachment" into the the body of the question page?
I will be responding to the rest of your letter questions in a follow up reply.
Have a good day.
Regards, XXXXXXX Fodchuk
Brief Answer:
Emails are not allowed on this platform.
Detailed Answer:
Dear XXXXXXX
We are not allowed to communicate by email on this site.
Anyway, you can ask the Ask a Doctor team service for assistance, whenever you are not able to upload your reports.
Please let me know about everything!
Regards,
Dr. Iliri
Emails are not allowed on this platform.
Detailed Answer:
Dear XXXXXXX
We are not allowed to communicate by email on this site.
Anyway, you can ask the Ask a Doctor team service for assistance, whenever you are not able to upload your reports.
Please let me know about everything!
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Emails are not allowed on this platform.
Detailed Answer:
Dear XXXXXXX
We are not allowed to communicate by email on this site.
Anyway, you can ask the Ask a Doctor team service for assistance, whenever you are not able to upload your reports.
Please let me know about everything!
Regards,
Dr. Iliri
Emails are not allowed on this platform.
Detailed Answer:
Dear XXXXXXX
We are not allowed to communicate by email on this site.
Anyway, you can ask the Ask a Doctor team service for assistance, whenever you are not able to upload your reports.
Please let me know about everything!
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr, Sharka,
Just wanted to answer some of your questions.
I have done a lot of research on the vagus nerve since 2016 when you informed a strong possibility I had Roemheld syndrome with the symptoms I had presented to you then.
I also think a strong possibility of vaso-vagal syndrome currently with my health conditions.
This google quote basically summarizes what can cause vagal tone imbalance:
"Any kind of GI distress can put pressure on the nerve and irritate it, with a hiatal hernia being a frequent culprit. Poor posture along with muscular imbalances can also cause the vagus nerve to misfire, as can excess alcohol or spicy foods. Stress can inflame the nerve, along with fatigue and anxiety."
I don't drink alcohol; but I certainly have a lot of stress currently in my life.
Answering your questions:
1. I had cardiac stress tests back in early 1980's when I started suffering with severve panic attacks after my father's death. Results of the tests always rated my heart condition as of an athelete. I have had no echo done.
2. I have no chest pain during physical exercise.
3. I don't take daily aspirin.
I will put together a more detailed bio of my health which has basically been my whole life of having an anxious personality.
Till next time,
Regards, XXXXXXX Fodchuk
Just wanted to answer some of your questions.
I have done a lot of research on the vagus nerve since 2016 when you informed a strong possibility I had Roemheld syndrome with the symptoms I had presented to you then.
I also think a strong possibility of vaso-vagal syndrome currently with my health conditions.
This google quote basically summarizes what can cause vagal tone imbalance:
"Any kind of GI distress can put pressure on the nerve and irritate it, with a hiatal hernia being a frequent culprit. Poor posture along with muscular imbalances can also cause the vagus nerve to misfire, as can excess alcohol or spicy foods. Stress can inflame the nerve, along with fatigue and anxiety."
I don't drink alcohol; but I certainly have a lot of stress currently in my life.
Answering your questions:
1. I had cardiac stress tests back in early 1980's when I started suffering with severve panic attacks after my father's death. Results of the tests always rated my heart condition as of an athelete. I have had no echo done.
2. I have no chest pain during physical exercise.
3. I don't take daily aspirin.
I will put together a more detailed bio of my health which has basically been my whole life of having an anxious personality.
Till next time,
Regards, XXXXXXX Fodchuk
Hello Dr, Sharka,
Just wanted to answer some of your questions.
I have done a lot of research on the vagus nerve since 2016 when you informed a strong possibility I had Roemheld syndrome with the symptoms I had presented to you then.
I also think a strong possibility of vaso-vagal syndrome currently with my health conditions.
This google quote basically summarizes what can cause vagal tone imbalance:
"Any kind of GI distress can put pressure on the nerve and irritate it, with a hiatal hernia being a frequent culprit. Poor posture along with muscular imbalances can also cause the vagus nerve to misfire, as can excess alcohol or spicy foods. Stress can inflame the nerve, along with fatigue and anxiety."
I don't drink alcohol; but I certainly have a lot of stress currently in my life.
Answering your questions:
1. I had cardiac stress tests back in early 1980's when I started suffering with severve panic attacks after my father's death. Results of the tests always rated my heart condition as of an athelete. I have had no echo done.
2. I have no chest pain during physical exercise.
3. I don't take daily aspirin.
I will put together a more detailed bio of my health which has basically been my whole life of having an anxious personality.
Till next time,
Regards, XXXXXXX Fodchuk
Just wanted to answer some of your questions.
I have done a lot of research on the vagus nerve since 2016 when you informed a strong possibility I had Roemheld syndrome with the symptoms I had presented to you then.
I also think a strong possibility of vaso-vagal syndrome currently with my health conditions.
This google quote basically summarizes what can cause vagal tone imbalance:
"Any kind of GI distress can put pressure on the nerve and irritate it, with a hiatal hernia being a frequent culprit. Poor posture along with muscular imbalances can also cause the vagus nerve to misfire, as can excess alcohol or spicy foods. Stress can inflame the nerve, along with fatigue and anxiety."
I don't drink alcohol; but I certainly have a lot of stress currently in my life.
Answering your questions:
1. I had cardiac stress tests back in early 1980's when I started suffering with severve panic attacks after my father's death. Results of the tests always rated my heart condition as of an athelete. I have had no echo done.
2. I have no chest pain during physical exercise.
3. I don't take daily aspirin.
I will put together a more detailed bio of my health which has basically been my whole life of having an anxious personality.
Till next time,
Regards, XXXXXXX Fodchuk
Brief Answer:
I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
Thank you for the additional information!
As we have discussed earlier in our thread , it seems an autonomic dysfunction, involving vagus nerve may explain your symptomatology.
Anyway, when considering your ECG (RBBB, first degree AV block), your particular heart rate variation, bradycardia during stressful activity, skipped heart beats , first it is necessary to follow some diagnostic steps:
1- A structural heart disorder needs to be excluded by a cardiac imaging test (cardiac ultrasound or cardiac MRI)
2- Secondly, it is necessary to exclude an ongoing thyroid imbalance, which is not rare even during hormone replacement therapy (synthroid). That is why it is necessary checking thyroid hormone levels (TSH, fT3, fT4).
3- The final step would be to investigate a possible Sick Sinus Syndrome. Persistent with bradycardia and inability to increase heart rate during physical activity could be a sign of a cardiac conductance disturbance (Sick Sinus Syndrome). In such case bradycardia may be combined with extrasystolic arrhythmia, tachyarrhythmia and even sino-atrial and atrio-ventricular blocks.
Besides Holter monitoring, exercise stress test could help to investigate the level of heart rate increase during physical activity. In case heart rate doesn't increase proportionally with exercise level, Sick Sinus Syndrome would be suspected.
Hope you will find this information helpful!
Please let me know in case of further questions!
I would be glad to answer to all of your questions!
Wishing a nice weekend,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
Thank you for the additional information!
As we have discussed earlier in our thread , it seems an autonomic dysfunction, involving vagus nerve may explain your symptomatology.
Anyway, when considering your ECG (RBBB, first degree AV block), your particular heart rate variation, bradycardia during stressful activity, skipped heart beats , first it is necessary to follow some diagnostic steps:
1- A structural heart disorder needs to be excluded by a cardiac imaging test (cardiac ultrasound or cardiac MRI)
2- Secondly, it is necessary to exclude an ongoing thyroid imbalance, which is not rare even during hormone replacement therapy (synthroid). That is why it is necessary checking thyroid hormone levels (TSH, fT3, fT4).
3- The final step would be to investigate a possible Sick Sinus Syndrome. Persistent with bradycardia and inability to increase heart rate during physical activity could be a sign of a cardiac conductance disturbance (Sick Sinus Syndrome). In such case bradycardia may be combined with extrasystolic arrhythmia, tachyarrhythmia and even sino-atrial and atrio-ventricular blocks.
Besides Holter monitoring, exercise stress test could help to investigate the level of heart rate increase during physical activity. In case heart rate doesn't increase proportionally with exercise level, Sick Sinus Syndrome would be suspected.
Hope you will find this information helpful!
Please let me know in case of further questions!
I would be glad to answer to all of your questions!
Wishing a nice weekend,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
Thank you for the additional information!
As we have discussed earlier in our thread , it seems an autonomic dysfunction, involving vagus nerve may explain your symptomatology.
Anyway, when considering your ECG (RBBB, first degree AV block), your particular heart rate variation, bradycardia during stressful activity, skipped heart beats , first it is necessary to follow some diagnostic steps:
1- A structural heart disorder needs to be excluded by a cardiac imaging test (cardiac ultrasound or cardiac MRI)
2- Secondly, it is necessary to exclude an ongoing thyroid imbalance, which is not rare even during hormone replacement therapy (synthroid). That is why it is necessary checking thyroid hormone levels (TSH, fT3, fT4).
3- The final step would be to investigate a possible Sick Sinus Syndrome. Persistent with bradycardia and inability to increase heart rate during physical activity could be a sign of a cardiac conductance disturbance (Sick Sinus Syndrome). In such case bradycardia may be combined with extrasystolic arrhythmia, tachyarrhythmia and even sino-atrial and atrio-ventricular blocks.
Besides Holter monitoring, exercise stress test could help to investigate the level of heart rate increase during physical activity. In case heart rate doesn't increase proportionally with exercise level, Sick Sinus Syndrome would be suspected.
Hope you will find this information helpful!
Please let me know in case of further questions!
I would be glad to answer to all of your questions!
Wishing a nice weekend,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
Thank you for the additional information!
As we have discussed earlier in our thread , it seems an autonomic dysfunction, involving vagus nerve may explain your symptomatology.
Anyway, when considering your ECG (RBBB, first degree AV block), your particular heart rate variation, bradycardia during stressful activity, skipped heart beats , first it is necessary to follow some diagnostic steps:
1- A structural heart disorder needs to be excluded by a cardiac imaging test (cardiac ultrasound or cardiac MRI)
2- Secondly, it is necessary to exclude an ongoing thyroid imbalance, which is not rare even during hormone replacement therapy (synthroid). That is why it is necessary checking thyroid hormone levels (TSH, fT3, fT4).
3- The final step would be to investigate a possible Sick Sinus Syndrome. Persistent with bradycardia and inability to increase heart rate during physical activity could be a sign of a cardiac conductance disturbance (Sick Sinus Syndrome). In such case bradycardia may be combined with extrasystolic arrhythmia, tachyarrhythmia and even sino-atrial and atrio-ventricular blocks.
Besides Holter monitoring, exercise stress test could help to investigate the level of heart rate increase during physical activity. In case heart rate doesn't increase proportionally with exercise level, Sick Sinus Syndrome would be suspected.
Hope you will find this information helpful!
Please let me know in case of further questions!
I would be glad to answer to all of your questions!
Wishing a nice weekend,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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Hello Dr. Sharka,
I have just uploaded four reports; for your information, which are my XXXXXXX 23,2020 lab results of blood work.
Thank you for your test recommendations.
My medical doctor for the past 11 years is Dr. Ramful. To avoid the normal long wait time for imaging tests I get a requisition from my doctor for private tests which I pay for.
Do you recommend a cardiac MRI or ultrasound?
I will see my medical doctor early week Oct. 5 and request requisitions for cardiac imaging and blood work for a complete thyroid, TSH, fT3, fT4.
I will research Sick Sinus Syndrome and follow up with my feedback and questions.
Yes, I certainly find all the information helpful. I am proactive and have a passion for medical knowledge as related to my health conditions and needs. I appreciate you being open to my questions.
Likewise to you; have a healthy and safe weekend.
Regards, XXXXXXX Fodchuk
I have just uploaded four reports; for your information, which are my XXXXXXX 23,2020 lab results of blood work.
Thank you for your test recommendations.
My medical doctor for the past 11 years is Dr. Ramful. To avoid the normal long wait time for imaging tests I get a requisition from my doctor for private tests which I pay for.
Do you recommend a cardiac MRI or ultrasound?
I will see my medical doctor early week Oct. 5 and request requisitions for cardiac imaging and blood work for a complete thyroid, TSH, fT3, fT4.
I will research Sick Sinus Syndrome and follow up with my feedback and questions.
Yes, I certainly find all the information helpful. I am proactive and have a passion for medical knowledge as related to my health conditions and needs. I appreciate you being open to my questions.
Likewise to you; have a healthy and safe weekend.
Regards, XXXXXXX Fodchuk
Hello Dr. Sharka,
I have just uploaded four reports; for your information, which are my XXXXXXX 23,2020 lab results of blood work.
Thank you for your test recommendations.
My medical doctor for the past 11 years is Dr. Ramful. To avoid the normal long wait time for imaging tests I get a requisition from my doctor for private tests which I pay for.
Do you recommend a cardiac MRI or ultrasound?
I will see my medical doctor early week Oct. 5 and request requisitions for cardiac imaging and blood work for a complete thyroid, TSH, fT3, fT4.
I will research Sick Sinus Syndrome and follow up with my feedback and questions.
Yes, I certainly find all the information helpful. I am proactive and have a passion for medical knowledge as related to my health conditions and needs. I appreciate you being open to my questions.
Likewise to you; have a healthy and safe weekend.
Regards, XXXXXXX Fodchuk
I have just uploaded four reports; for your information, which are my XXXXXXX 23,2020 lab results of blood work.
Thank you for your test recommendations.
My medical doctor for the past 11 years is Dr. Ramful. To avoid the normal long wait time for imaging tests I get a requisition from my doctor for private tests which I pay for.
Do you recommend a cardiac MRI or ultrasound?
I will see my medical doctor early week Oct. 5 and request requisitions for cardiac imaging and blood work for a complete thyroid, TSH, fT3, fT4.
I will research Sick Sinus Syndrome and follow up with my feedback and questions.
Yes, I certainly find all the information helpful. I am proactive and have a passion for medical knowledge as related to my health conditions and needs. I appreciate you being open to my questions.
Likewise to you; have a healthy and safe weekend.
Regards, XXXXXXX Fodchuk
Brief Answer:
I remain at your disposal.
Detailed Answer:
Dear XXXXXXX
Yes, I would recommend performing a cardiac ultrasound or a cardiac MRI ( which is a more accurate test for the heart compared to the cardiac ultrasound) in order to help examine your heart structure and function.
It is also important checking thyroid hormone levels.
I would be glad to review all your tests for a second professional opinion!
Please let me know about everything!
Regards,
Dr.Iliri
I remain at your disposal.
Detailed Answer:
Dear XXXXXXX
Yes, I would recommend performing a cardiac ultrasound or a cardiac MRI ( which is a more accurate test for the heart compared to the cardiac ultrasound) in order to help examine your heart structure and function.
It is also important checking thyroid hormone levels.
I would be glad to review all your tests for a second professional opinion!
Please let me know about everything!
Regards,
Dr.Iliri
Above answer was peer-reviewed by :
Dr. Yogesh D
Brief Answer:
I remain at your disposal.
Detailed Answer:
Dear XXXXXXX
Yes, I would recommend performing a cardiac ultrasound or a cardiac MRI ( which is a more accurate test for the heart compared to the cardiac ultrasound) in order to help examine your heart structure and function.
It is also important checking thyroid hormone levels.
I would be glad to review all your tests for a second professional opinion!
Please let me know about everything!
Regards,
Dr.Iliri
I remain at your disposal.
Detailed Answer:
Dear XXXXXXX
Yes, I would recommend performing a cardiac ultrasound or a cardiac MRI ( which is a more accurate test for the heart compared to the cardiac ultrasound) in order to help examine your heart structure and function.
It is also important checking thyroid hormone levels.
I would be glad to review all your tests for a second professional opinion!
Please let me know about everything!
Regards,
Dr.Iliri
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
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