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What causes bradycardia?

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Posted on Mon, 4 May 2015
Question: I am male 59YO, my heart beat was always between 68-72, up until recently I trained regulary in a GYM, last 6 months I have not, and I have put on weight, I notice about Christmas time 2014 my heart rate had dropped to about 44/min, I was not worried, now I have an app on my phone and i monitor it, I have been between 44 and 54, whilst doing some excise it may go to 100, however in the past 36hrs it has remained between 30-39 I have not and never have in the past 13 years slept well, sleeping is getting worse, should I be worried. YYYY@YYYY
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Answered by Dr. Suresh Heijebu (15 minutes later)
Brief Answer:
Need Holter and Treadmill testing.

Detailed Answer:
Hi Sir.

I understand your concern.

Yes you seem to have bradycardia with possible heart block.

The cause and the nature can be definitely found out on baseline ECG and 24 hr Holter ECG followed by Treadmill testing.

Many cases respond to medical therapy.

But few cases need pace maker installation of permanent pacemaker.

You need not worry much since many cases can be treated adequately.

Report to your Cardiologist immediately for the aforesaid investigations.

Sleeping can get difficult with heart rhythm abnormalities.

Post your further queries if any.
Thank you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Suresh Heijebu (6 minutes later)
Thank you Doctor I appreciate your straight answer, thanks, I am booked in for treadmill and Holster testing 4th May, 2.5 weeks away, Do you think I am in any immediate danger , I should be OK to wait till then, don't you think, I was just little XXXXXXX it went down to low 30;s and not higher than 39 so suddenly, I would be very grateful for your advice.
doctor
Answered by Dr. Suresh Heijebu (8 hours later)
Brief Answer:
Nothing to worry if you are asymptomatic.

Detailed Answer:
Hi Sir,

Welcome again.

There is no immediate danger in your case since you are asymptomatic.

You should report to EMR if you have symptoms like dizziness,loss of consciousness,palpitations etc..

Try to prepone your test if possible as Low heart rate should be attended as early as possible.

Post your further queries if any,

Thank you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Suresh Heijebu

General & Family Physician

Practicing since :2010

Answered : 3664 Questions

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What causes bradycardia?

Brief Answer: Need Holter and Treadmill testing. Detailed Answer: Hi Sir. I understand your concern. Yes you seem to have bradycardia with possible heart block. The cause and the nature can be definitely found out on baseline ECG and 24 hr Holter ECG followed by Treadmill testing. Many cases respond to medical therapy. But few cases need pace maker installation of permanent pacemaker. You need not worry much since many cases can be treated adequately. Report to your Cardiologist immediately for the aforesaid investigations. Sleeping can get difficult with heart rhythm abnormalities. Post your further queries if any. Thank you.