Aa
aortic aneurysm
Does anyone know if valve regurgitation would cause a pulse in the stomach? I have noticed a strong pulse in my stomach after so many days of shortness of breath and trouble breathing. A doctor examined my stomach and said it was not an aortic aneurysm and was cleared for that. Well the only other thing they found in an echo was an some minor valve regurgitation of the mitral and tricuspid valve.
If there is an AV conduction block, which is also termed a first-degree heart block if the impulse is still able to be conducted into the ventricles. So no concomitant issue with mild MVR as has been noted.
Q: "The important question is if your heart rate rise sufficient during exercise. If you can exercise with a fairly high heart rate, this is not a concern".
>>>>It is my understanding the risk with block is a slow heart rate and if heart rate is too low a pacemaker may be the therapy. The heart block of interest requires no treatment as long as the ventricular heart rate remains normal. Source: " Should the ventricular rate become low or the condition progresses to Mobitz type II, a drug that speeds the rate of electrical impulse conduction (anticholinergics or sympathomimetics) may be prescribed temporarily and cardiac depressants withheld. If Mobitz type....."
I'm not clear how exercising and normal rise in heart rate would be the test to determine there is no serious electrical disturbance from a block? It seems if the medical condition is a heart rate too low at rest that would be the distinquishing factor . Am I looking at it from an incorrect perspective? Are suggesting if the heart rate is abnomally low at rest, but increases normally with exercise there is no problem?
Thanks for your comment. Take care,
Ken
Treatment depends on the type of bl Treatment depends on the type of block. First-degree heart block requires no treatment. Exercise or drug treatment that decreases vagal tone (anticholinergics) may reverse Mobitz type I, but generally,. II develops following MI, a temporary pacemaker may be inserted prophylactically. For third-degree heart block, anticholinergics or sympathomimetics may be prescribed temporarily while a temporary pacemaker is inserted followed by placement of a permanent pacemakerock. First-degree heart block requires no treatment. Exercise or drug treatment that decreases vagal tone (anticholinergics) may reverse Mobitz type I, butTreatment depends on the type of block. First-degree heart block requires no treatment. Exercise or drug treatment that decreases vagal tone (anticholinergics) may reverse Mobitz type I, but generally, this type requires no treatment as long as the ventricular heart rate remains normal. Should the ventricular rate become low or the condition progresses to Mobitz type II, a drug that speeds the rate of electrical impulse conduction (anticholinergics or sympathomimetics) may be prescribed temporarily and cardiac depressants withheld. If Mobitz type II develops following MI, a temporary pacemaker may be inserted prophylactically. For third-degree heart block, anticholinergics or sympathomimetics may be prescribed temporarily while a temporary pacemaker is inserted followed by placement of a permanent pacemaker. Should the ventricular rate become low or the condition progresses to Mobitz type II, a drug that speeds the rate of electrical impulse conduction (anticholinergics or sympathomimetics) may be prescribed temporarily and cardiac depressants withheld. If Mobitz type II develops following MI, a temporary pacemaker may be inserted prophylactically. For third-degree heart block, anticholinergics or sympathomimetics may be prescribed temporarily while a temporary pacemaker is inserted followed by placement of a permanent pacemaker
Q: "The important question is if your heart rate rise sufficient during exercise. If you can exercise with a fairly high heart rate, this is not a concern".
>>>>It is my understanding the risk with block is a slow heart rate and if heart rate is too low a pacemaker may be the therapy. The heart block of interest requires no treatment as long as the ventricular heart rate remains normal. Source: " Should the ventricular rate become low or the condition progresses to Mobitz type II, a drug that speeds the rate of electrical impulse conduction (anticholinergics or sympathomimetics) may be prescribed temporarily and cardiac depressants withheld. If Mobitz type....."
I'm not clear how exercising and normal rise in heart rate would be the test to determine there is no serious electrical disturbance from a block? It seems if the medical condition is a heart rate too low at rest that would be the distinquishing factor . Am I looking at it from an incorrect perspective? Are suggesting if the heart rate is abnomally low at rest, but increases normally with exercise there is no problem?
Thanks for your comment. Take care,
Ken
Treatment depends on the type of bl Treatment depends on the type of block. First-degree heart block requires no treatment. Exercise or drug treatment that decreases vagal tone (anticholinergics) may reverse Mobitz type I, but generally,. II develops following MI, a temporary pacemaker may be inserted prophylactically. For third-degree heart block, anticholinergics or sympathomimetics may be prescribed temporarily while a temporary pacemaker is inserted followed by placement of a permanent pacemakerock. First-degree heart block requires no treatment. Exercise or drug treatment that decreases vagal tone (anticholinergics) may reverse Mobitz type I, butTreatment depends on the type of block. First-degree heart block requires no treatment. Exercise or drug treatment that decreases vagal tone (anticholinergics) may reverse Mobitz type I, but generally, this type requires no treatment as long as the ventricular heart rate remains normal. Should the ventricular rate become low or the condition progresses to Mobitz type II, a drug that speeds the rate of electrical impulse conduction (anticholinergics or sympathomimetics) may be prescribed temporarily and cardiac depressants withheld. If Mobitz type II develops following MI, a temporary pacemaker may be inserted prophylactically. For third-degree heart block, anticholinergics or sympathomimetics may be prescribed temporarily while a temporary pacemaker is inserted followed by placement of a permanent pacemaker. Should the ventricular rate become low or the condition progresses to Mobitz type II, a drug that speeds the rate of electrical impulse conduction (anticholinergics or sympathomimetics) may be prescribed temporarily and cardiac depressants withheld. If Mobitz type II develops following MI, a temporary pacemaker may be inserted prophylactically. For third-degree heart block, anticholinergics or sympathomimetics may be prescribed temporarily while a temporary pacemaker is inserted followed by placement of a permanent pacemaker
I am under alot of emotional stress over the fact I don't understand why I'm so dizzy and trouble breathing. I did get a bad flu virus this winter with fever and a sinus infection followed. I will look into allergies as to the reason of my sod.
The recent posts from you makes me believe parts of your symptoms are due to your fear of heart disease.
Trivial regurgitations are seen in all humans. I don't even know why they write it on the report. The mitral and tricuspid valve wouldn't work without some backflow of blood (they are passive valves that shut when ventricular pressure is higher than atrial pressure during a heartbeat, and for them to close, some blood must necessarily run back.
Your 1st degree AV block: This is not a block. It's a conduction delay. It just means that timing between atrial contraction and ventricular contraction is slightly delayed. It often happens in healthy men with high vagal activity (high activation of the resting autonomic nervous system). The important question is if your heart rate rise sufficient during exercise. If you can exercise with a fairly high heart rate, this is not a concern.
It's important not to create "diagnoses" out of nonspecific EKG and echo details. 1st degree AV block, incomplete right bundle block, early repolarization, intraventricular conduction delays, etc.. are all commonly seen in EKGs of healthy people, and they aren't diseases, just changes in the electrical patterns (I have a couple of them myself).
When my heart pumps heavily, I can easily see the pulse on my abdomen. It often happens after eating heavy meals. My aorta is measured, 1,7 cm. Just to compare, my dad didn't have any pulsations in the abdomen and his aorta measured 7,0 cm (this required surgery, which went fine).
I think you've pretty much ruled out cardiac causes of your SOB. COPD is really uncommon in young men (unless you've worked with asbestos or smoking three packs a day). Most common causes for dyspnea in young people are 1) anxiety disorders and 2) asthma / allergy.
Trivial regurgitations are seen in all humans. I don't even know why they write it on the report. The mitral and tricuspid valve wouldn't work without some backflow of blood (they are passive valves that shut when ventricular pressure is higher than atrial pressure during a heartbeat, and for them to close, some blood must necessarily run back.
Your 1st degree AV block: This is not a block. It's a conduction delay. It just means that timing between atrial contraction and ventricular contraction is slightly delayed. It often happens in healthy men with high vagal activity (high activation of the resting autonomic nervous system). The important question is if your heart rate rise sufficient during exercise. If you can exercise with a fairly high heart rate, this is not a concern.
It's important not to create "diagnoses" out of nonspecific EKG and echo details. 1st degree AV block, incomplete right bundle block, early repolarization, intraventricular conduction delays, etc.. are all commonly seen in EKGs of healthy people, and they aren't diseases, just changes in the electrical patterns (I have a couple of them myself).
When my heart pumps heavily, I can easily see the pulse on my abdomen. It often happens after eating heavy meals. My aorta is measured, 1,7 cm. Just to compare, my dad didn't have any pulsations in the abdomen and his aorta measured 7,0 cm (this required surgery, which went fine).
I think you've pretty much ruled out cardiac causes of your SOB. COPD is really uncommon in young men (unless you've worked with asbestos or smoking three packs a day). Most common causes for dyspnea in young people are 1) anxiety disorders and 2) asthma / allergy.
I have a stress echo vs cath next week. Hope its normal like the last one. Thanks for everyone help.
Your echo would show a low cardiac output if there is/was shortness of breath due to a heart issue. You can be assured the regurgitation is a physical manifestation and not in any way associated with an electrical impulse phenomonon. If the MVR is severe that can enlarge the left atrium and an enlarged atrium can disrupt electrical pathways causing an irregularity...Shortness of breath is serious, but not always associated with the heart. You may want to have your pulmonary system evaluated and go from there. The heart can be ruled out as a possible cause.
Hope this helps. Take care and keep us informed.,
Ken
Hope this helps. Take care and keep us informed.,
Ken
Could it be that the comination of a 1st degree heart block and trace regurgitation in the mitral and tricuspid would be the cause of my shortness of breath?
Heart valve regurgitation is back flow of blood from valves not tightly enclosing the valve opening. Mild, slight, trivial regurgitation is not considered medically significant and there are no symptoms and seldom progresses so that would not have abdomenal aorta pulsation implications.
If the tests reveal a consistent size of 2 cm with the length, the aorta does not have an aneursym. Sometimes the aorta is closer to the front for some people and a thin person is more apt to feel the pulsation especially when lying down in a relaxed mode.
The symptoms you may be experiencing are likely due to anxiety. It is difficult to conclude anything without a health history, medications prescribed, concomitant health issues, etc. Your doctor with that knowledge is in the position to assess your symptoms and treat.
Thank you for sharing. Take care,
Ken
If the tests reveal a consistent size of 2 cm with the length, the aorta does not have an aneursym. Sometimes the aorta is closer to the front for some people and a thin person is more apt to feel the pulsation especially when lying down in a relaxed mode.
The symptoms you may be experiencing are likely due to anxiety. It is difficult to conclude anything without a health history, medications prescribed, concomitant health issues, etc. Your doctor with that knowledge is in the position to assess your symptoms and treat.
Thank you for sharing. Take care,
Ken
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