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Suggest Treatment For Arrhythmia

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Posted on Wed, 12 Nov 2014
Question: About two weeks ago,I'd had 2 alcoholic drinks, when I started to have an irregular heartbeat.My heart rate was quite slow, about 50 bpm. And then it would skip. At the time, I felt very fatigued. It lasted about 10-15 minutes, and then I felt fine. It happened again about 3 days later, again, when I'd had a couple of drinks. Since I'm a slow learner, at home I had 1/2 glass of wine. And it happened again. So, ok, I'll quit drinking. Well, it happened again on Thursday of this week. I had nothing to drink.
doctor
Answered by Dr. Tushar Kanti Biswas (1 hour later)
Brief Answer:
Mostyl XXXXXXX arrythmia

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
It seems that you have intermittent bradyarrythmia, which an occur due to sinus node dysfunction. Bradycardia (slow hear beat<60 bpm -in your case 50 bpm)may be associated with fatigue and weakness.You are also having intermittent sinus pauses and /or sinus arrest with no atrial or ventricular activity and getting reverted to normal sinus rhythm of heart on its own or at times on coughing or whacking on the chest(equivalent to thumb version).
SA node dysfunction increases with advanced age, hypertension, diabetes mellitus.
You need to undergo Holter monitoring (24 hours ECG recording)and subsequently permanent pacemaker implantation(PPI).






Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Tushar Kanti Biswas (9 minutes later)
Hello? Anyone out there?

OK, can there be any causes other than my medical condition? I'm very active, work out and my job is physically demanding.
doctor
Answered by Dr. Tushar Kanti Biswas (5 minutes later)
Brief Answer:
Need to rule out cardiac arrythmia

Detailed Answer:
I have answered your query. It can be caused by your medical conditions like hypertension, diabetes and advanced age.
Holter monitoring is done by Cardiologist. Before that a 12 lead ECG with long lead II for 1 minute recording may give clue for nature of rhythm irregularity you are experiencing.
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Tushar Kanti Biswas

Internal Medicine Specialist

Practicing since :1975

Answered : 1920 Questions

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Suggest Treatment For Arrhythmia

Brief Answer: Mostyl XXXXXXX arrythmia Detailed Answer: Hi, Thank you for your query. I can understand your concerns. It seems that you have intermittent bradyarrythmia, which an occur due to sinus node dysfunction. Bradycardia (slow hear beat<60 bpm -in your case 50 bpm)may be associated with fatigue and weakness.You are also having intermittent sinus pauses and /or sinus arrest with no atrial or ventricular activity and getting reverted to normal sinus rhythm of heart on its own or at times on coughing or whacking on the chest(equivalent to thumb version). SA node dysfunction increases with advanced age, hypertension, diabetes mellitus. You need to undergo Holter monitoring (24 hours ECG recording)and subsequently permanent pacemaker implantation(PPI). Regards Dr. T.K. Biswas M.D. XXXXXXX