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I had 5 bypasses July 2017. I think I may be going in and…

I had 5 bypasses...

I had 5 bypasses July 2017. I think I may be going in and out of A-fib. Pulse fluctuating from low 30s to mid 70s . Short of breath ( nor non stop ), and bp. From 176/108 to 134/82

Doctor's Assistant: Is this consistent, or is there some fluctuation in blood pressure?

Fluctuating

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Have type 2 diabetes

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Answered in 16 minutes by:
3/28/2018
Dr. Muneeb Ali
Category: Medical
Satisfied Customers: 9,885
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine
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Hi,
Welcome to JA and thanks for this question. I'm sorry to hear about your symptoms. Actually fluctuating heart rate of this sort with a raised blood pressure can be indicative of various irregular heart rhythms and not just atrial fibrillation. Usually atrial fibrillation would cause a rapid heart rate in excess of 100 beats per min, in your situation the heart rate is on the lower side, it is possible that you could have devloped a heart block which is a condition in which there is obstruction to the conduction of electrical current in the heart. This would need an immediate EKG to be diagnosed and depending on the degree of the block, a pacemaker may be needed.

Another cause of this could be premature ventricular contractions which can cause normal heart rate monitors to falsely read the heart rate as being very slow which is why again an EKG would be necessary in this case.

There are various rhythm abnormalities which could be causing the problem here, but the fact that you do have a history of heart disease and diabetes and the blood pressure is also on the high side means that you should be evaluated AS SOON AS POSSIBLE in the ER with an EKG. I would strongly suggest that you visit the ER as soon as possible.

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