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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bradycardia, Vasovagal Syncope, Sudden Rise In Heart Rate. Taking Treatment For Low Heart Rate, Frequent Loss Of Consciousness, In The Process Of Weaning Flurocortisone. Advice?

I have been wearing a heart rate monitor(exercise type) for the past couple of days due to low heart rate. When I took it off, it said the average was 56 today. I know that I had dips into the high 30 s because that is when I was short of breath. But, it said the maximum heart rate today was 192. I did no strenuous work outs. I am seeing a cardio electrophysiologist next week. Am I ok to wait or do I need to contact my cardiologist today? I am seeing him for low heart rate, losing consciousness a lot, I have neurocardiogenic syncope , and low blood pressure . They are pulling me off of flurocortisone today. Would that make it run high? I am just concerned that the high rate may be a problem in addition to the bradycardia and vasovagal syncope?
Wed, 20 Jun 2012
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Cardiologist,  's  Response
Hello! I have carefully gone through your complaints & the discussion. Here, I would like to suggest you that --
1) The symptoms are most probably caused by a cardiac pacemaker defect, the 'sick sinus syndrome'.
2) Due to impaired capacity of the natural cardiac pacemaker, the SA Node, your heart rate is usually remaining low, the bradycardia, heart rate less than 60 beats per minute.
3) This bradycardia sometimes causes sudden episodes of tachycardias, heart rate more than 100bpm.
The condition is known as 'Bradycardia induced Tachyarrhythmias' which may be potentially dangerous.
4) You are advised to have an urgent consultation with an eminent cardiologist, as you are required to be investigated further.
5) After the final diagnosis, It would be decided whether you are required to have a permanent artificial cardiac pacemaker implant or not.
Thanks & take care of yourselves!
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Bradycardia, Vasovagal Syncope, Sudden Rise In Heart Rate. Taking Treatment For Low Heart Rate, Frequent Loss Of Consciousness, In The Process Of Weaning Flurocortisone. Advice?

Hello! I have carefully gone through your complaints & the discussion. Here, I would like to suggest you that -- 1) The symptoms are most probably caused by a cardiac pacemaker defect, the sick sinus syndrome . 2) Due to impaired capacity of the natural cardiac pacemaker, the SA Node, your heart rate is usually remaining low, the bradycardia, heart rate less than 60 beats per minute. 3) This bradycardia sometimes causes sudden episodes of tachycardias, heart rate more than 100bpm. The condition is known as Bradycardia induced Tachyarrhythmias which may be potentially dangerous. 4) You are advised to have an urgent consultation with an eminent cardiologist, as you are required to be investigated further. 5) After the final diagnosis, It would be decided whether you are required to have a permanent artificial cardiac pacemaker implant or not. Thanks & take care of yourselves!