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What causes breathing problem while walking in bradycardia patient?

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Posted on Fri, 27 May 2016
Question: white male 64 had pacer installed due to bradycardia at 59. (w) about 30# o/w. walk 4 miles per day non-smoker for past 20 years. Rx simvastatin, Lisinipril QUESTION: Having trouble maintaining breath - almost out of breath in pace above a leisurely walk.
out of breath climbing stairs. Cardiologist did a heart check and said it's working fine? Your thoughts?

YYYY@YYYY
doctor
Answered by Dr. Lilit Baghdasaryan (1 hour later)
Brief Answer:
There is a need for some tests

Detailed Answer:
Dear Sir,

At first some cardiac tests are necessary:
Sometimes patients have normal pace, but it is not enough during physical activity. There are pacemakers, which pace faster during physical activity, but some don't, so your physician should find out if pacing adequately increase during physical activity.
If yes, then heart valves, contractility (systolic function) and relaxation (diastolic function) should be carefully evaluated with echocardiography. There is another good test, which let us to exclude dispnea causedby a cardiac problem, it called NT proBNP.
If all these tests come back normal, the next step will be to excludea lung problem, for which there will be a need for auscultation, chest X Rays and spirography if needed.
In case there is no problem in lungs also, I would advise you to check serum glucose and electrolytes (sodium, potassium, calcium).

Wishing you good health

In case of further questions don't hesitate to ask

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Lilit Baghdasaryan

Cardiologist

Practicing since :2007

Answered : 1536 Questions

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What causes breathing problem while walking in bradycardia patient?

Brief Answer: There is a need for some tests Detailed Answer: Dear Sir, At first some cardiac tests are necessary: Sometimes patients have normal pace, but it is not enough during physical activity. There are pacemakers, which pace faster during physical activity, but some don't, so your physician should find out if pacing adequately increase during physical activity. If yes, then heart valves, contractility (systolic function) and relaxation (diastolic function) should be carefully evaluated with echocardiography. There is another good test, which let us to exclude dispnea causedby a cardiac problem, it called NT proBNP. If all these tests come back normal, the next step will be to excludea lung problem, for which there will be a need for auscultation, chest X Rays and spirography if needed. In case there is no problem in lungs also, I would advise you to check serum glucose and electrolytes (sodium, potassium, calcium). Wishing you good health In case of further questions don't hesitate to ask Regards,