Bradycardia treatment

[XSwimmer]

A recent EKG revealed a very slow heart rate (low 40s). I am a very active, fit 43 yo. male who runs 5 miles 3x/week. I don't get dizzy or lightheaded. There is no chest pain or shortness of breath. What should I be concerned about at this stage? What would the treatment be?

I have recently taken Potassium supplements which, I understand, can cause electrolyte imbalances and a slow heart rate. I no longer take them. I have a history of ventricular tachycardia, diagnosed 1993. Several EP studies...release on Corgard. Biopsy revealed viral attack at some stage. Heart Cath. showed no significant signs of heart disease. Two Radiofrequency Ablations have nearly corrected the arrhythmia. I am no longer on Corgard and enjoy a very physical workout regimen.

I was a competitve swimmer for 17 years and still remain very active at 43.

[XSwimmer]

Thanks for your insight(s). I heard that the followup treatment would be, possibly, a pacemaker. I do have an appointment with my Cardiologist at UPMC Presbyterian Hospital...great docs. And you're right, since I am asymptomatic...may just be routine followups to keep an eye on things.

Thanks again!

[itdood]

If it's not symptomatic then treatment is usually not necessary.

Sounds like you have an athletic heart which usually have low resting pulse rates.

The only way I'm aware of to treat bradycardia (if it becomes symptomatic) is with a pacemaker.  Again, no symptoms, not required.

BTW, my resting will sometimes get into the high 40s and I'm no longer athletic at all....I used to be.

I've heard of folks with very athletic hearts getting into the 30s with no symptoms.

The other thing to consider is that endurance athletes are 5x more likely to develop arrhythmias than the general population.  Tons of exercise doesn't necessarily mean a better heart or longevity.  My 95 year old grandmother avoided exercise at all costs, except gardening :-)

[chuparosa]

I think your questions is better answered by your doctor.

I have bradycardia. I don't know how low my heart rate is. However, my doctor asked me if I am symptomatic, which I am not, so he has chosen to do nothing about it.