Question 1

I'm a bit worried about my recent ECG results showing sinus bradycardia and incomplete RBBB. Can you help me understand what these terms mean? I've been feeling a bit more tired than usual lately; could this have anything to do with it? Should I be looking into more tests or checkups to make sure everything's alright with my heart? Its just a bit unsettling not knowing what to expect.

Accepted Answer

Sinus bradycardia is a condition where the heart beats at a slower rate than normal, typically less than 60 beats per minute. It is caused by the sinus node in the heart sending electrical signals at a slower pace. Incomplete right bundle branch block (RBBB) is a condition where there is a delay in the electrical signal conduction in the right bundle branch of the heart. Symptoms of sinus bradycardia may include dizziness, fatigue, lightheadedness, confusion, shortness of breath, and chest pain. Incomplete RBBB may not cause any symptoms on its own, but it can be associated with underlying heart conditions. Further tests that may be required for sinus bradycardia and incomplete RBBB include an electrocardiogram (ECG) to confirm the diagnosis, a Holter monitor to monitor the heart's electrical activity over a period of time, an echocardiogram to assess the heart's structure and function, and possibly a stress test to evaluate the heart's response to physical activity. For sinus bradycardia, if symptoms are severe or if the heart rate drops too low, a medication like Atropine or Isoproterenol may be prescribed. In cases where bradycardia is persistent and symptomatic, a pacemaker implantation may be necessary. For incomplete RBBB, treatment is usually focused on managing any underlying heart conditions that may be causing the conduction delay. Medications like beta-blockers or calcium channel blockers may be prescribed to help regulate the heart's electrical activity. Remember, it is important to follow up with a healthcare provider for proper evaluation and management of these conditions.

Question 2

I've been noticing this fluttering feeling under my left breast and I'm not sure if it's my heart or something with my stomach. On top of that, I keep feeling hot and cold at the same time, and my feet are freezing, even with socks on. I struggle with bad anxiety and panic attacks, plus I'm bipolar, and I've been a hypochondriac since I was little. I'm constantly worried about having a heart attack. What could be going on?

Accepted Answer

yes an ECG along with cardiac markers are advised to the patient. a psychiatric opinion is also advised to the patient

Question 3

I sometimes get these palpitations and it's really concerning. I don't usually have any chest pain or trouble breathing when it happens. I got some tests done, and my thyroid levels are alright, and the echo seems fine too. But my ECG came back showing a heart rate of 104 bpm. Is this something I should be worried about? And what can I do to bring my heart rate down?

Accepted Answer

An abnormal ECG with a heart rate of 104 bpm can be concerning, especially if you are experiencing palpitations. One way to help lower your heart rate is by taking a beta-blocker medication. This medication can help regulate your heart rate and reduce palpitations. However, it is important to consult with your healthcare provider before starting any new medication. Additionally, practicing relaxation techniques such as deep breathing exercises and avoiding stimulants like caffeine can also help lower your heart rate.

yes it is a concern immediate cardiologist opinion is required.

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