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What Causes Breathing Problem While Walking In Bradycardia Patient?
Question: white male 64 had pacer installed due to bradycardia at 59. (w) about 30# o/w. walk 4 miles per day non-smoker for past 20 years. Rx simvastatin, Lisinipril QUESTION: Having trouble maintaining breath - almost out of breath in pace above a leisurely walk.
out of breath climbing stairs. Cardiologist did a heart check and said it's working fine? Your thoughts?
YYYY@YYYY
out of breath climbing stairs. Cardiologist did a heart check and said it's working fine? Your thoughts?
YYYY@YYYY
Brief Answer:
There is a need for some tests
Detailed Answer:
Dear Sir,
At first some cardiac tests are necessary:
Sometimes patients have normal pace, but it is not enough during physical activity. There are pacemakers, which pace faster during physical activity, but some don't, so your physician should find out if pacing adequately increase during physical activity.
If yes, then heart valves, contractility (systolic function) and relaxation (diastolic function) should be carefully evaluated with echocardiography. There is another good test, which let us to exclude dispnea causedby a cardiac problem, it called NT proBNP.
If all these tests come back normal, the next step will be to excludea lung problem, for which there will be a need for auscultation, chest X Rays and spirography if needed.
In case there is no problem in lungs also, I would advise you to check serum glucose and electrolytes (sodium, potassium, calcium).
Wishing you good health
In case of further questions don't hesitate to ask
Regards,
There is a need for some tests
Detailed Answer:
Dear Sir,
At first some cardiac tests are necessary:
Sometimes patients have normal pace, but it is not enough during physical activity. There are pacemakers, which pace faster during physical activity, but some don't, so your physician should find out if pacing adequately increase during physical activity.
If yes, then heart valves, contractility (systolic function) and relaxation (diastolic function) should be carefully evaluated with echocardiography. There is another good test, which let us to exclude dispnea causedby a cardiac problem, it called NT proBNP.
If all these tests come back normal, the next step will be to excludea lung problem, for which there will be a need for auscultation, chest X Rays and spirography if needed.
In case there is no problem in lungs also, I would advise you to check serum glucose and electrolytes (sodium, potassium, calcium).
Wishing you good health
In case of further questions don't hesitate to ask
Regards,
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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