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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Bradycardia Cause Fainting And Palpitations?

Hi, I am a 21-year-old female. For the last day or two I have been feeling a little faint and have been experiencing mild but noticeable heart palpitations. I am a healthy weight, my diet is good, I ensure I am drinking plenty of fluids and have no serious health issues. The only thing that may be of note is a diagnosis of bradycardia with a BPM of 56 and consequent to this a slightly lower than normal blood pressure rate. Could these be contributing to my recent feelings of faintness and awareness of my heart beating?
Tue, 6 Oct 2015
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Cardiologist 's  Response
Hello!

Welcome and thank you for asking on HCM!

I understand your concern and would explain that your symptoms may be related to orthostatic hypotension.

These values of heart rate are not very low, but a persistent bradycardia could also explain palpitations (escaped beats during bradycardia) and fainting.

I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x ray study and some blood lab tests (complete blood count, fasting glucose, kidney and liver function tests, blood electrolytes, etc).

A head up tilt test is necessary to rule in/out possible orthostatic hypotension.

An ambulatory 24-48 hours monitoring and a cardiac ultrasound are necessary if suspicions of a persistent bradycardia are raised.

Hope to have been helpful!

Best regards,

Dr. Iliri
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Does Bradycardia Cause Fainting And Palpitations?

Hello! Welcome and thank you for asking on HCM! I understand your concern and would explain that your symptoms may be related to orthostatic hypotension. These values of heart rate are not very low, but a persistent bradycardia could also explain palpitations (escaped beats during bradycardia) and fainting. I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x ray study and some blood lab tests (complete blood count, fasting glucose, kidney and liver function tests, blood electrolytes, etc). A head up tilt test is necessary to rule in/out possible orthostatic hypotension. An ambulatory 24-48 hours monitoring and a cardiac ultrasound are necessary if suspicions of a persistent bradycardia are raised. Hope to have been helpful! Best regards, Dr. Iliri