Question 1

Hey, I've been tracking my heart rate with my Apple Watch, and I'm feeling a bit concerned. I've noticed that my monthly average heart rate is usually between 42 to 126 bpm, and my resting heart rate varies from 51 to 61 BPM. When I'm walking, it averages around 65 to 107 BPM. Typically, I exercise in the evenings, and my heart rate can go above 117, with an average of 80 to 85. But here's the thingthat's got me worriedthis morning while I was just sitting and reading at the office, my watch showed a heart rate of 43 BPM. Should I be concerned about this low reading?

Accepted Answer

Having a resting heart rate between 51-61 BPM, especially if you are physically fit, can be normal. A heart rate of 43 BPM while sitting and reading might be lower than usual but not necessarily alarming if you are asymptomatic and otherwise healthy. Your exercise heart rates and walking averages seem within normal ranges. However, since your heart rate can dip quite low, it would be a good idea to discuss these readings with your healthcare provider to rule out any underlying issues like bradycardia or other cardiac conditions. They might suggest monitoring your heart rate more closely or performing additional tests if necessary.

Question 2

Hey, I'm really concerned about my mother-in-law. She had a heart attack yesterday and she's in the hospital being watched by the doctors. They've done an ECG but haven't done angiography or an Echo yet. Is angiography absolutely necessary after a heart attack? If it is, why might the doctors be taking so long to do it? I'm not sure how urgent this procedure isshouldn't it be done quickly after the heart attack?

She's stable for now, she can talk, but she's experiencing some pain in her back. I tried asking one of the doctors about the angiography and ended up getting yelled at, which has left me feeling frustrated and worried about what's happening. Is delaying angiography risky? Should we consider moving her to a different hospital?

Accepted Answer

It is important to understand the reasons behind the delay in performing angiography in your mother-in-law's case. Angiography is typically recommended to assess the extent of blockages in the coronary arteries following a heart attack. While it is an important diagnostic tool, the timing of angiography depends on various factors such as the patient's stability, overall condition, and the presence of any complications. In cases where the patient is stable and there are no urgent indications for immediate angiography, doctors may opt for a conservative approach to allow for stabilization and further assessment. The decision to delay angiography may also be influenced by the availability of resources, the presence of other medical conditions, and the overall clinical judgment of the healthcare team. It is essential to trust the expertise of the medical team caring for your mother-in-law and to have open communication with them regarding any concerns or questions you may have. If you are unsure about the reasons for the delay or if you have specific concerns about the timing of angiography, it is important to discuss these issues with the treating physicians in a respectful and collaborative manner. As for the risk of delaying angiography, while prompt intervention is generally recommended in cases of acute coronary syndrome, a short delay in stable patients may not necessarily lead to adverse outcomes. However, it is crucial to follow the guidance of the medical team and to ensure that appropriate monitoring and management are in place during this period. Moving the patient to another hospital should be considered only after careful evaluation of the reasons for the delay, the expertise of the current healthcare team, and the resources available at the alternative facility. It is important to weigh the potential benefits and risks of transferring the patient and to make an informed decision in consultation with the treating physicians. Overall, it is essential to trust the medical team's judgment, maintain open communication, and work together towards the best possible care for your mother-in-law during this critical time.

Question 3

For the past week I've been feeling dizzy and exhausted with occasional chest pain and frequent dizziness spells. My pulse is around 53 and I'm concerned this might be due to bradycardia. How serious is this and are there ways to treat it without needing surgery?

Accepted Answer

An echo and TMT along with cardiac markers are advised to the patient.Cardiologist opinion is advised

No need to stop medications , all the medications are to be continued including ecosprin.

More Cardiology Health Queries

For the past week I've been feeling dizzy and exhausted with occasional chest pain and frequent dizziness spells. My pulse is around 53 and I'm concerned this might be due to bradycardia. How serious is this and are there ways to treat it without needing surgery?

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