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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 22084
Experience:  MD
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Hello, Yesterday they called an ambulance for me, because

Resolved Question:

Hello,


Yesterday they called an ambulance for me, because of a high heart rate,

The Ambulance staff noticed a "Sinus Arrythmia" i dont know what this means?



The ECG was exactly the same as the one they saw did earlier this week with a higher heart rate.

link with the ECG
http://postimg.org/image/hrunl49c3/



The cardiologist in the hospital told me that i was fine and i was send home when the heart rate droped back to my "normal" slow heart rate while laying in the hospital bed of 50 BPM.



What means sinus arrythmia? Is it dangerous?

I also have a sleeping heart rate of 34 bpm is this dangerous?



Dear regards,



Teije
Submitted: 11 months ago.
Category: Medical
Expert:  Dr Basu replied 11 months ago.

Dr. D.J. :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Dr. D.J. :

Hi there,


This is Dr. D.J., experienced Internal Medicine Specialist.


I am here to address your concerns and provide great service.

Dr. D.J. :

I took a look at your ekg.

Dr. D.J. :

Sinus arrhythmia means extra heart beats in between the normal beats.

Dr. D.J. :

This can occur sometimes normally.

Dr. D.J. :

Sometimes, there may be abnormal conduction system in the heart causing excess conduction and heart beats.

Dr. D.J. :

Heat rate of 34 at sleep is little too low but possible in people with increased vagal tone.

Dr. D.J. :

Vagal tone reduces the heart rates seen commonly in atheletes.

Customer:

Hello, and thanks for your answer!

Dr. D.J. :

In summary, this is not concerning.

Customer:

I'm not athlete at all i smoke for 6 years but i have sport allot 4 years ago

Dr. D.J. :

ok

Dr. D.J. :

your resting heart rate runs lower around 50s.

Dr. D.J. :

That suggests increased vagal tone.

Customer:

the last execersing is did was a year ago and was allott of fitniss

Dr. D.J. :

There is no other abnormality in your EKG.

Dr. D.J. :

ok

Dr. D.J. :

probably you still have that fitness left in you.

Customer:

i did a stresstest and i got op to 300 watts and a heart rate of 197

Customer:

and i haven't exercised for a long time

Customer:

my concern is that i dont wake up during sleep because its get to low

Customer:

is this possible?

Dr. D.J. :

do you feel dizzy and tired?

Customer:

yes sometimes im very dizzy

Customer:

but on the 24 holter the said it was impossible for the heart rate

Customer:

that it was caused by the heart rate

Dr. D.J. :

ok

Customer:

blood pressure is a little bit high normally 140/70

Dr. D.J. :

that is more reliable test.

Dr. D.J. :

Still, you can see a cardiologist for further evaluation.

Customer:

yes i see a cardiologist this thursday. couple of last questions. Is it possible that it is a sick sinus syndrome? Or what else that can cause the slow heart rate?

Dr. D.J. :

Yes that is one possibility.

Dr. D.J. :

This should be ruled out with a longer holter monitor say for example for 3 to 7 days.

Customer:

Is it common for people at my age of 22?

Dr. D.J. :

it is not that common --but can happen.

Dr. D.J. :

there is also congenital defects in the heart conduction system and pacemaker

Customer:

Ok so i can think of increased vagal tone,

Customer:

Because if i get op moving my heart rate shoots to 100 and then decreases during couple of secconds

Dr. D.J. :

ok

Dr. D.J. :

Sick sinus is unlikely since your heart rate also goes up.

Dr. D.J. :

There is another condition called tachy-brady syndrome due to the conduction system defect.

Dr. D.J. :

This can cause both low and high heart rates.

Dr. D.J. :

Treatment is with permanent pacemaker if symptoms are bothersome.

Customer:

Ok

Customer:

how do they diagnose this?

Customer:

sorry for the deep and allot questions but i'm scared something is wrong

Dr. D.J. :

that is also diagnosed with holter monitor for 3-5 days.

Dr. D.J. :

Also there is something called electrophysiological study of the heart to detect the conduction system problem.

Customer:

if they do a test like that do they know it than right away?

Dr. D.J. :

Yes after the test

Customer:

so i can conclude

Customer:

tonight i aint gonna die

Customer:

and probarly not soon either

Dr. D.J. :

no you wont.

Dr. D.J. :

do not worry

Customer:

uuh is it smart if i have the symptoms occur again to go to ER right away or call 911?

Dr. D.J. :

yes you should for another check .

Dr. D.J. :

If the symptoms persist for more than 5 minutes then yes you should.

Customer:

luckly the did a ecg yesterday during a attack

Customer:

and they said it was sinus tachycardia

Customer:

but sometimes i have sinus arrythmia

Dr. D.J. :

ok

Dr. D.J. :

that is still not serious as per se.

Customer:

how do you mean?

Dr. D.J. :

as I discussed above

Dr. D.J. :

Nothing changes

Dr. D.J. :

the above opinions remain valid.

Customer:

ah so nothing to worry about?

Dr. D.J. :

not at all.

Customer:

that is a big releave

Customer:

no more questions! time to sleep

Dr. D.J. :

please do not worry.

Dr. D.J. :

Best wishes

Customer:

Thanks for the answers!

Dr. D.J. :

very welcome

Customer:

And enjoy your day in the beautifull city new york!

Dr. D.J. :

Thank you very much

Dr. D.J. :

It was my pleasure to help you today.
Best wishes,
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Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 22084
Experience: MD
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