Arrhythmia and Bundle Branch Diagnonis

[Hmann]

I

[axg9504]

Don't feel alone there are probably many like you out there. I for one have been pursuing this for 4 years. I get dizzy after running for a few minutes. It always happens after I stop and catch my breath and start a few minutes later. My real problem however is that sometimes AFTER exercise I fall into bradycardia (40's and below) that can last for several hours. I have also had the symptoms you mentioned on doing light yard work. However there are some days when I can do a lot more than others with no problems. My EP has suggested a pacemaker too. I'm stalling I don't want to put one in until I have problems without doing any exercise

[CCF-M.D.-MJM]

Hello Hmann,

I am not sure what to think of the stomach wall hardening either -- that certainly doesn't sound cardiac.  Your other symptoms do sound related to heart rate.  If you couldn't get your heart rate above 140 with exercise, I don't think persantine will get it their either -- but persantine doesn't need heart rate to achieve adequate stress test results.  I agree that perusing a stress test is important to rule out other causes for your symptoms.

It sounds like you may have conduction system disease in your heart -- this is the electrical side of cardiology -- versus coronary artery disease which we call plumbing.  Once you rule out coronary disease, it is probably worth seeing an electrophysiologist about a pacemaker.  Chronotropic incompetence is a big word that means your heart rate does not appropriately increase for a given physiologic demand.  We treat this quite effectively with a pacemaker.

I agree that looking into coronary problems is first, but once that is done, look to the electrical side because that is my bet on where your problems might be.


I hope this helps and thanks for posting.