- Female
- 54 Years
- 29/01/2025
I'm a bit worried about my heart because I was told I have left bundle branch block and that I had a silent heart attack, even though I'm not diabetic. I had an angiography done before my knee surgery, and it showed no major blockages, just a 20% one in my right coronary artery. I've also been dealing with hypertension. Can you help me understand what might be causing the LBBB?
Answered by 1 Apollo Doctors
Possible causes for left bundle branch block (LBBB) include underlying heart conditions such as coronary artery disease, hypertension, cardiomyopathy, and heart valve disease. Since you mentioned that you are suffering from hypertension, it could be a contributing factor to your LBBB. It is important to manage your hypertension effectively to reduce the risk of further heart complications. In terms of medication, you may benefit from taking an ACE inhibitor like Lisinopril to help control your blood pressure and protect your heart. The typical dosage for Lisinopril is 10-40mg once daily. Additionally, a beta-blocker such as Metoprolol can also be prescribed to help regulate your heart rate and blood pressure. The usual dosage for Metoprolol is 25-100mg once or twice daily. It is essential to follow up with your healthcare provider regularly to monitor your heart health and adjust your treatment plan as needed.
Dr. Dhankecha Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Answered by 1 Apollo Doctors
I've been experiencing these weird palpitations for the past four months whenever I lie down, and I'm really starting to worry. I had my blood pressure, thyroid levels, ECG, and an echocardiogram checked, and everything came back normal except for the ECG showing sinus tachycardia. Also, I had Covid about ten months ago. I'm not sure what I should do next. Any advice?
Given that your BP, thyroid, ECG, and echo were normal, but you are still experiencing palpitations, particularly when lying down, it is important to further investigate potential causes. Sinus tachycardia can be due to various factors, including stress, anxiety, dehydration, or even residual effects from a previous COVID-19 infection. Since you've had COVID-19, it could also be related to post-viral syndrome, which sometimes affects the heart. You should consider consulting a cardiologist for a more detailed evaluation, which may include a 24-hour Holter monitor to track your heart rate variability over a day, especially during sleep. Additionally, ensuring adequate hydration, managing stress, and avoiding stimulants like caffeine might help reduce palpitations.
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Is it normal for my heart rate to drop below 50 when I'm in deep sleep? I've noticed my heart rate goes down to around 45 while sleeping, and it's usually around 55 when I'm just resting. Should I be concerned about this?
Yes, it is normal for the heart rate to decrease during deep sleep. A heart rate of around 45 during deep sleep and 55 at rest is within the normal range for many adults. There is no need to be concerned about this unless you are experiencing symptoms such as dizziness, fainting, or chest pain.
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.