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My 39 year old son has been diagnosed with a 40 heart rate.

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My 82 year old mother...
My 39 year old son has been diagnosed with a 40 heart rate. My 82 year old mother has always had a slow heart rate. I have had 5 heart attacks and high blood pressure since 1979. Is this genetics. He has been recommended to wear a heart monitor from 48-72 hours. His job keeps him very active and he's lost 4 inches around his waist having lost at least 30 lbs down to 202 in less than a month. With his heredtary history I'm very worried.
Submitted: 8 years ago.Category: Medical
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Answered in 4 minutes by:
6/28/2010
Doctor: Dr.Sawhney, Doctor replied 8 years ago
Dr.Sawhney
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Customer reply replied 8 years ago

He says his chest hurts (could be angina) tired all the time

He suffers from gout

His Dr. has given him some meds to raise his heart rate, but does not want him to take it until all the tests are complete.

Doctor: Dr.Sawhney, Doctor replied 8 years ago
Dear

He does have bradycardia which can be due to a number of causes and these need to be ruled out before any treatment is started.Any irregularity of heart beat also needs to be ruled out and that is why a heart monitor test has been recommended for him.This is also called holter monitoring.
The causes can include myocardial infarction involving the inferior wall,environmental exposure to certain toxins, electrolyte disorders, sleep apnea,certain infections, use of drugs like beta blockers, hypoglycemia that is decreased blood sugar levels and increased intra cranial pressure.
Hypothyroidism can also cause this but with the history of weight loss this is unlikely to be a cause.
Another condition which can cause this is a sick sinus syndrome but the condition is common in elderly and is unlikely to be the cause in him at his age.
In addition to the holter monitoring he should have tests for electrolyte levels in blood, blood sugar levels, thyroid function, magnesium levels, calcium levels and toxic screen.
Though his genes may have a role to play but this does need to be investigated for proper treatment.
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