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Dr. Thomas, MD
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 57663
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
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Heart rate during sleep of 33 to low?

Resolved Question:

Heart rate during sleep of 33 to low?
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Thomas, MD replied 1 year ago.
Hello
It warrants and EKG
And maybe a holter monitor.

If it has any symptoms with it you should be in the ER.

If not symptoms, EKG and 48 hour holter.
Use reply to let me know if you have further questions.
Please do not forget a positive rating.

Customer: replied 1 year ago.

I never had a heart rate of 33 during the day, this showed up during the holter monitor while a sleep, i had two 24 hours holter. And one showed a lowest heart rate of 33 and the other one 34.


 


During the normal ecg i have a QRS duration between 104 and 114 highest measured. So sometimes i have a incomplete right bundle branch block. I'm 22 years old by the way.

Expert:  Dr. Thomas, MD replied 1 year ago.
OK
In this case I would not worry.
I have reviewed your other questions about this issue and other experts have told you the same.

There is no serious abnormality on your testing.

Use reply to let me know if you have further questions.
Please do not forget a positive rating.
Customer: replied 1 year ago.

Could you explain why it changes so much? Sometimes its 70 i feel warm and fine and then 3 minutes later its 50 when lying on the couch and i have it very cold then.?

Expert:  Dr. Thomas, MD replied 1 year ago.
It is simply the way your heart conduction works.
As long as there are no abnormal blocks or arrhythmias then this is simply you.

Of course I am confident your cardiologist has told you this as well.

Use reply to let me know if you have further questions.
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Customer: replied 1 year ago.

My cardiologist is planning to place a implantable loop recorder. But this takes 4 to 6 weeks waiting time. And i really really have the feeling my body doesn't take this for longer. I also noticed that first thing in the morning my heart rate is very sensible for emotions and during the day this gets away.

Expert:  Dr. Thomas, MD replied 1 year ago.
The only other thing I would do right now is check your magnesium level, and if under 2.5 supplement.

Use reply to let me know if you have further questions.
Please do not forget a positive rating.
Customer: replied 1 year ago.

how can i check my magnesium level?

Expert:  Dr. Thomas, MD replied 1 year ago.
Simple blood test.
your doctor can order it.
Use reply to let me know if you have further questions.
Please do not forget a positive rating.
Customer: replied 1 year ago.

Its 4:30 at night now. I dont think i need to ER for this dont I?

Expert:  Dr. Thomas, MD replied 1 year ago.
No.
Use reply to let me know if you have further questions.
Please do not forget a positive rating.
Customer: replied 1 year ago.

I have a heart rate monitor at home a polar is it wise to use this in the mean while during sleep?


 

Expert:  Dr. Thomas, MD replied 1 year ago.
Only per your cardiologists instructions.
Just look at your history...you don't need to do it.
Use reply to let me know if you have further questions.
Please do not forget a positive rating.
Customer: replied 1 year ago.

okido :) i will leave it in the closet then :)

Expert:  Dr. Thomas, MD replied 1 year ago.
Try to relax.

Use reply to let me know if you have further questions.
Please do not forget a positive rating.
Customer: replied 1 year ago.

I'm trying everything to feel better! only doesnt work :(

Expert:  Dr. Thomas, MD replied 1 year ago.

You can always go to the ER, it sounds like a lot of anxiety and panic, and they can help you with this.

 

If you have any physical symptoms, as i said above, then you should go anyway.

 

 

Use reply to let me know if you have further questions. Please do not forget a positive rating.

Customer: replied 1 year ago.

Ok, so there is nothing to worry about for cardiac arrest of sudden cardiac arrest?

Expert:  Dr. Thomas, MD replied 1 year ago.
No
We have told you this before, we don't think so at all.

Please do not forget a positive rating.
Customer: replied 1 year ago.

Fine to hear.


 


Now i will go te sleep with a rested heart.


 


Thanks again.

Expert:  Dr. Thomas, MD replied 1 year ago.
Anytime.

Please do not forget a positive rating. This is the only way we are paid by ja.
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 57663
Experience: Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
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Dr. Thomas, MD
Dr. Thomas, MD
Internal med/integrative med/family med
47666 Satisfied Customers
Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc