Electro physiology study

[adnanarsalan]

I have done my Ep study. Conclusion was POOR ANTEGRADE CONDUCTION. Finding was 1:1 @120;  intermittent CHV; no VA Conduction and Synus node is normal. What will be the gate way of recovery and come back? I am 25 years of Age and Male .

[adnanarsalan]

I'am feeling well with Sotalex  ......How many side effect has with it

[is_something_wrong]

Your Holter numbers are normal, but maybe the doctor has seen something not reflected in your numbers? A sinus rhythm in the high 30s is not uncommon during sleep..

[adnanarsalan]

My holter test is a main cause For Ep study . According to my holter test my Minimum HR-4 intervals 36 bpm and Maximum Hr-4 Intervals 124 bpm . Average Hr-24 hours 66 bpm

[is_something_wrong]

During an EP study, to test atrioventricular conduction, they artificially stimulate the atria at increasing speed until the AV node (the "gatekeeper") is starting to block impulses. This is known as the "Wenckebach point". One may think this is similar to max pulse (maximum HR during exercise) but that's not correct. When you exercise you release lots of adrenaline which both stimulate the sinus node and the AV node to allow more rapid conduction. This is seen on EKG by a shorter PR interval during exercise or anxiety or what ever is causing a naturally high heart rate.

In your case, your Wenckebach point seem to be 120 bpm. From what I know (but please understand, I'm not a doctor and this is very advanced electrocardiology) 120 bpm is low in a young man. Do you have known arrhythmias in form of heart blocks? The question from Tom is very important; why did you get the EP study?

Short runs of atrial fibrillation is a "non-specific" finding during EP studies. Not exactly normal, but not necessarily indicating any disease. Most / many hearts can be stimulated into short runs of atrial fibrillation if the atrial pacing is intense enough or with enough adrenaline.

[tom_h]

I guess my question for you is: What were you experiencing that led you to the electrophysiology study?

[adnanarsalan]

is it very bad for me?

[is_something_wrong]

1:1 @ 120 means that every impulse is conducted during atrial pacing at 120 bpm (I think..)

[tom_h]

I am merely a cardiac patient and someone who is interested in the heart.  

Antegrade Conduction describes the normal direction of the cardiac pulse, from the sinus node to the ventricles.  It sounds like you have a problem there.

I believe Intermittent CHV is the quivering or tremoring of the upper chambers of the heart, or AFib.

VA conduction, also known as Ventriculoatrial conduction or also referred to as Retrograde conduction, is the backward conduction phenomena in the heart, where the conduction comes from the ventricles or from the AV node into and through the atria.  I think that diagnosis for you is a good thing.

I can't venture a guess as what 1:1 @ 120 means, sorry.