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Suggest Treatment For Sinus Arrhythmia

Posted on Sat, 6 Aug 2016

Question: Should I be concerned about having periods of conjuntional rhythm? I am male and 38 years old...also experience sinus arrhythmia at times. Thank you

Answered by Dr. Ilir Sharka (54 minutes later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that sinus arrhythmia (respiratory phasic arrhythmia) is not rarely found in normal young adults.

Also, junctional rhythm may sometimes be present in healthy individuals in the setting of increased parasympathetic nervous system activity.

So, the above findings in your heart monitor do not necessary indicate an abnormal heart condition.

It is also necessary to evaluate your clinical symptomatology.

For giving a more concrete professional opinion I would like to review the whole heart rhythm monitoring results.

Could you please upload it here for me to review?

Kind regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (24 hours later)

1. Rhythm is sinus with a sinus arrhythmia at times. Periods of junctional
rhythm were noted.
2. PR and QRS are within normal limits.
3. Occasional (387) single ve's. Few more in evenings and mornings, not many
at sleeping hours.
4. Occasional PACs: (830) single sve's, (394) paired.
Jun 9 2016 8:23AM CDT

Thank you for your reply Dr. Sharka. My mom (RN) said basically the same as you, but she was concerned that my chest discomfort has happened more than once in the last year. I experienced shortness of breath for a brief time, irregular heart beats and once or twice a fast beating of my heart. At those times my pulse was elevated around 100.
After wearing the heart monitor for 2 days; the nurse at my doctor's office called to give me the results. She read the above results and stated that they believed all was ok unless I experienced the above symtoms again. Just want to make sure I do not need to see a specialist.

Answered by Dr. Ilir Sharka (3 hours later)

Brief Answer:
Opinion as follows:

Detailed Answer:
Hello again,

Your heart monitoring results do not seem concerning. No complex arrhythmia or conductance disturbances are present.

Regarding your chest discomfort, I would recommend performing a cardiac ultrasound, chest X ray study and an exercise cardiac stress test, just to be sure that no structural heart abnormality and inducible cardiac ischemia is present (especially if coronary risk factors, such as hypertension, smoking contact, dyslipidemia, heredity for CAD, glucose metabolism disturbances, etc. are present).

You need to discuss with your attending physician on such diagnostic strategy.

Meanwhile, following a healthy life style is all what is needed.

Regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (2 hours later)

Thank you again sir. In reviewing your last response I remembered that I omitted to share with you my family history as my mom suggested, which is a major reason for my concerns. My grandmother recently passed away from a complications of a triple A. She had had a stroke and heart attack about 15 years ago. My mother also has an Abdominal Aortic Aneurysm which is monitored every 6 months. My sister has required a surgical procedure to correct heart problems and my uncle has heart problems that require a stent. In addition, we have a family history of hypertension, type 2 diabetes. I thank you again and I will take your sound advice.
PS: How am I to ensure you are paid for your services?

Answered by Dr. Ilir Sharka (14 hours later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

I am sorry for your grandmother!

Regarding your family history, I would recommend continue with a healthy lifestyle:

- avoid smoking contacts or alcohol
- use a healthy diet (low fat and sugar, rich in fibers nd omega 3 rich food, reduce salt and caffeine intake, Mediterranean diet is recommended)
- perform a lot of physical activity (walking, aerobics, recreational sports, etc.)

I would also advise you to closely monitor your blood pressure and have periodically scheduled follow ups every 6-12 months( physical exam, resting ECG, chest X ray study, abdominal ultrasound, lab blood tests).

Hope to have clarified some of your uncertainties!

Regarding my payment, I assure you that this site is very correct. I get payed as soon as you close your answer.

P.S.: And please do not forget to rate my answer!

Best wishes,

Dr. Iliri

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar