Bradycardia & Tachycardia - is it possible to have both?
Since the last time I asked a question, I have seen three cardiologist and am now currently seeing the attending cardiologist at OHSU. This is the story: I have a history (at least a year) of Sinus Bradycardia, with an average resting heart rate around 46. They say I am not a candidat for a pacemaker until I begin passing out. My current Cardiologist ordered records from the last cardiologist, but didn't get them, so they ran a quick ekg, here is the information:
VENTRICULAR RATE 56
ATRIAL RATE 56
P-R INTERVAL 164
QRS DURATION 78
QTC 421 -
P AXIS 50 - degrees
R AXIS 3 - degrees
T AXIS 27 - degrees
EKG DIAGNOSIS Sinus bradycardia; Possible Left atrial enlargement; Left ventricular hypertrophy
So, today I was asked to go in for a Nuclear Stress Test - NON-Treadmill, here are the results:
They used Dipyridamole Infusion - 50 mg over 4 minutes
Reason for testing: Detection of Myocardial Ischemia ( RO/CAD)
VENTRICULAR RATE 44 bpm
P-R INTERVAL 170 - ms
QRS DURATION 88 - ms
QT 466 - ms
QTC 398 - ms
P AXIS 57 - degrees
R AXIS 44 - degrees
T AXIS 60 - degrees
EKG DIAGNOSIS Sinus bradycardia
At completion of the 4 minutes:
VENTRICULAR RATE 104 - BPM
P-R INTERVAL 192 - ms
QRS DURATION 82 - ms
QT 344 - ms
QTC 452 - ms
P AXIS 57 - degrees
R AXIS 44 - degrees
T AXIS 45 - degrees
EKG DIAGNOSIS Sinus Tachycardia
Possible Left atrial enlargement
Low Voltage QRS
Non Specific ST abnormality
Predicted Maximum heart rate for my age is 163 and Predicted 85% for my age is 137. My max was 110 bpm. This was 67% of predicted heart rate.
During this test I reported a headache at 1 min quickly followed up with chest pressure/pain and then at 4 minutes I had an overwhelming sense and broke into tears. At 5 minutes they administered the aminophyline - 75 mg.
So, I can't figure out how you can have bradycardia and tachycardia at the same time...is that weird? What exactly does all of this mean? Does it explain why I am so exhausted all of the time. Why I reported inconsistantly with the holter monitor? Any one have any ideas on this???? Anything you can help me to understand would be helpful. Thanks!~
Well I have a natural genetic bradycardia rhythm and I also have a SVT which is a tachycardia condition. My heart rate can go from 44 beats per minute to 229 beats per minute in the matter of 1 heartbeat. I've never heard of tachy-brady syndrome but I think what I have is different.
I would say in answer to your question though - yes someone can have both.
I think if you had anything to really worry about they would have said something to you in response to your stress test. Usually good doctors will take a little time for you to ask questions when conferring with you about test results. You seem a little anxious about the results still though so I would sggest another appointment to talk it over with him/her.
I have been diagnosed with both tachycardia and bradycardia at the same time and was told that it was also known as Sick Sinus Syndrome or also Sinus Node Dysfunction. common symptoms are Heart palpitations, chest pain, fainting or dizziness, confusion or light-headedness , facial flushing, and fatiuge. this is what i have been told and currently i am being treated with medications to counteract each. hope this was somewhat helpful.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.