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Heart Disease  (Expert Forum)
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Bradycardia caused by Acid Reflux Disease?
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Bradycardia caused by Acid Reflux Disease?

by Andy, Jul 11, 2000 12:00AM
I am a 42 year old male, in good physical shape, who has been diagnosed with acid reflux disease and am currently taking

Aciphex. I have recently acquired a slow heart rate, around high 40's during the day, at rest, and into the 30,s, according to a Halter monitor at night. Before this, my heart rate was steady at around 60 bpm, at rest. The stress test, EKG, and nuclear heart imaging shows everything normal. I do not have any dizziness, lightheadness or any of the normal signs of Bradydardia, at this time, but I do get a weird fullness, sick feeling, usually after dinner, at night in my chest and stomach, which is probably related to Acid Reflux? My cardiologist wants to put a pacemaker in. I also have a mild Mitral Prolapse Valve, in which I do take antibiotics before going to the Dentist. I am very active and suffer job related stress.    My questions:

1. Can the Acid Reflux cause Bradycardia?

2. Could the Aciphex cause Bradycardia?

3. Can stress cause Bradycardia?

4. Any relationship to a Mitral Prolapse Valve?

5. What should I do next, should I get a 2nd opinion, should I wait till I get the Acid Reflux under control?  It usually takes several months to get under control and then I will go for a good while before my stomach problems return.



Thanks - Great Website!

by CCF CARDIO MD - DLB, Jul 11, 2000 12:00AM
1. No, periodic acid reflux should not lead to a sustained bradycardia.

2. No.

3. No.

4. Probably not in your case.

5. If you have no symptoms from your slow heart rate and your heart rate responds normally to exercise, and the heart rhythm is normal, there is no real need for a pacemaker. It might make sense to get another opinion before pacemaker implantation.
Member Comments (16)

by EP__, Jul 11, 2000 12:00AM
1: Acid Reflux should not have anything to do with bradycardia.

2: Some medicines are know to cause benign (usually) arrythmias in patients in their 40s.  Although this is probably not the case, it may be a good idea to stop using the Aciphex for a while to see if your heart rate returns to a more normal state.

3: Stress may caue the acid reflux, but it is doubtful that it is related to the bradycardia.  

4: Mitral Valve prolapse is a separate condition that requires independent treatment.  Requesting antibiotics before non-sterile procedures is a legitimite precaution.  However, as long as the prolapse is mild, a valve replacement surgery is not neccesary.  Nevertheless, this condition should be checked on regularly.

5: It is always a good idea to get a second opinion before agreeing to any invasive procedure.

by Terry, Jul 11, 2000 12:00AM
"EP" your "comment" is phrased as if it were learned medical advise. Are you a medical doctor? What is the source of this information? What you say might be valid and informative.  But, how do we know that, since it does not come from the Cardiologists from the Cleveland Heart Clinic who are the medical advisors to this forum?

by EP__, Jul 11, 2000 12:00AM
I am currently working at The National Heart, Lung and Blood Institute, a division of NIH.  I am working on a cardiology fellowship with some of the best cardiologists in the world.  However, I am not yet a cardiologist, and my information, although mostly legitimite, should be viewed as phrased, from a private citizen who is knowledgable, but not a proffesional.

by Richard to EP, Jul 11, 2000 12:00AM
I know that the NIH has a study using heparin coated capsules of fibroblast growth factor which are implanted in the heart to stimulate angiogenisis during bypass surgery.  Do you have an opinion on the effectiveness of this drug.

by EP__, Jul 11, 2000 12:00AM
Actually, the current study going on at DECA concerning prognosis during and after bypass surgery in high risk patients uses revascularization as a potential intervention that decreases cardiac death and total mortality in patients.  The paper should be coming out in JAMA in November (if accepted).

by Terry, Jul 11, 2000 12:00AM
EP, thanks for the clarification. Nothing personal; it's just that we've had some less than reliable information offered in the past. Sounds like you know what you're talking about.

by JR, Jul 12, 2000 12:00AM
E=MC2

hey!....im a physicist!

by CGTMHI, Jul 13, 2000 12:00AM
We have received complaints that a non-qualified person using the initials "EP" has been posting medical advice in this forum.  Please be advised that the ONLY QUALIFIED medical information in this forum, comes from doctors at The Cleveland Clinic Heart Center.  The Cleveland Clinic doctor's answers will appear indented just below the Question ("Q") and will be preceeded by the letter "A" (for answer).  We do accept comments from all, however, please be aware that people posting comments are not qualified medical professionals working with The Cleveland Clinic or Med Help International.  



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by Andy, the original question posted, Jul 14, 2000 12:00AM
I appreciate the response from "EP" and I do realize that it was not a response from a medical doctor or from The Cleveland Heart Clinic. I received the information as a comment only and not as medical advise.



I would like to hear from other people that have the same symtoms of bradycardia, that are otherwise healthy, that had this condition "just occur", that are about the same age and physical conditon, etc. Does anyone know what causes bradycardia in healthy persons, that have no other heart conditions or blockage, etc.? I have tried to "blame" the bradycardia on Acid Reflux disease or stress, but apparantly that is not the case.



Thanks

by Deb, Jul 16, 2000 12:00AM
Hi,



I had a slow hear rate too, and although I had been passing out for a few years, I had very slow heart rates that were finally caught on a holter, along with very rapid rates.  I have what is called SSS or sick sinus syndrome where the heart goes fast or slow when ever it feels like it.  I now have a pacemaker and my heart rate does not go below 70 during the day and then goes down to 60 at night during sleep.  I feel much better and not so tired all the time.  I was 41 when I got my pacer.

by EP__, Jul 18, 2000 12:00AM
Andy, arrhythmias are often idiopathic (no recognizable cause), but contributing factors could be various medications that you may take (ie. cold medicines, diet pills, allergy medicines).  Alcohol, caffeine, tobacco and rarely stress (it is possible, but not very common) could cause arrhythmias as well.  Although moderate bradycardia isn't neccesarily a serious problem, if you are noticing serious symptoms such as fainting, you should quickly consult your doctor and perhaps consider further treatments.  It may also be important that your doctor know about any family history of sudden cardiac death, to better access your risk of further heart complications.