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What Does "sinus Rhythm With Marked Sinus Arrhythmia" Mean?
Question: Hi,
After some palpitations, I had an EKG. It said "sinus rhythm with marked sinus arrhythmia". He said it was okay to exercise but then also referred me to a cardiologist - but I can't see him for a few weeks.
Should I exercise and what is marked sinus arrhythmia? Should I be worried? Because I am!
After some palpitations, I had an EKG. It said "sinus rhythm with marked sinus arrhythmia". He said it was okay to exercise but then also referred me to a cardiologist - but I can't see him for a few weeks.
Should I exercise and what is marked sinus arrhythmia? Should I be worried? Because I am!
Brief Answer:
please see details.
Detailed Answer:
Respected madam
1. If palpitations were associated with dizziness, loss of consciousness, blackout, marked chest pain or breathlessness, do see a cardiologist or internist on priority. Do not do exercise in such a case.
2. In absence of any such symptoms and if palpitations were not regular and if you do not have any other symptoms, likelihood of a structural heart disease is low. Per say, sinus rhythm with sinus arrhythmia is not worrisome at all. However before going for exercise it would be prudent to get yourself examined by a cardiologist/ internist. If you can get a cardiac ultrasound/ ECHO and that turns out to be normal, it will be really reassuring.
Feel free to discuss further.
Sincerely
Sukhvinder
please see details.
Detailed Answer:
Respected madam
1. If palpitations were associated with dizziness, loss of consciousness, blackout, marked chest pain or breathlessness, do see a cardiologist or internist on priority. Do not do exercise in such a case.
2. In absence of any such symptoms and if palpitations were not regular and if you do not have any other symptoms, likelihood of a structural heart disease is low. Per say, sinus rhythm with sinus arrhythmia is not worrisome at all. However before going for exercise it would be prudent to get yourself examined by a cardiologist/ internist. If you can get a cardiac ultrasound/ ECHO and that turns out to be normal, it will be really reassuring.
Feel free to discuss further.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have dizziness - but only upon standing up too fast after laying down. Vertigo. Not sure if it's related or not. I have mild pain from time to time in my left chest area with some in my arm and left hand (a finger or two). But this could be from stress and I'm an anxiety sufferer. I was not nauseous or sweating or out of breath. Just a tad scared... but I didn't panic. There is heart disease in my family though.
Exercise really helps my stress level, so I would prefer to continue. However, I don't want to have a heart attack. The exercise I'm doing is quite rigorous (very intense) and I've been doing so since 3 mos before my palpitations - which lasted for one night and til the next am.
I have an appt for the 24th to see a cardiologist. Is it your suggestion I do not exercise until then or can I return to them starting tomorrow?
Thanks so much in advance. I already feel a bit better about this.
Exercise really helps my stress level, so I would prefer to continue. However, I don't want to have a heart attack. The exercise I'm doing is quite rigorous (very intense) and I've been doing so since 3 mos before my palpitations - which lasted for one night and til the next am.
I have an appt for the 24th to see a cardiologist. Is it your suggestion I do not exercise until then or can I return to them starting tomorrow?
Thanks so much in advance. I already feel a bit better about this.
Brief Answer:
please refrain from vigorous exercise for now.
Detailed Answer:
Dear Madam
1. Dizziness only only fast standing and not during episodes of palpitation is not considered to be associated with etiology of palpitation.
2. Let me make you understand this palpitation work up. Whenever we receive a patient with palpitation, we ask for warning signs as I mentioned above. If anyone of them is there, like a blackout, we take it as emergency. Else we do a workup to determine three things. First of these is determining heart rate rhythm at time of palpitation. That is usually feasible if patient had an ECG at time of palpitation or we catch it during subsequent episodes by ECG/ Holter/Loop recorder etc. Second is to look for any condition which can manifest in the baseline ECG. Third is to determine presence of a structural heart disease.
3. I do not see any changes which suggest rhythm disorder in the ECG. There are no ECG or holter monitor recording available of time of palpitation. Only thing left is to determine presence of structural heart disease. This can be best ruled out by a cardiac ultrasound or examination by an expert physician. That's why I asked you to get any one of these. If your primary doctor is experienced and confident enough that he don't suspect a structural heart disease after your examination then it is good enough.
4. Occasional mild chest pain, not related to exercise / stress, lasting less than a minute, not involving whole chest is considered atypical of anginal heart disease.
5. I think you should not be worried as your doctor has assured you and also your ECG did not reveal any issue. But, to be on safer side avoid vigrous exercises till your cardiology consultation.
Sincerely
Sukhvinder
please refrain from vigorous exercise for now.
Detailed Answer:
Dear Madam
1. Dizziness only only fast standing and not during episodes of palpitation is not considered to be associated with etiology of palpitation.
2. Let me make you understand this palpitation work up. Whenever we receive a patient with palpitation, we ask for warning signs as I mentioned above. If anyone of them is there, like a blackout, we take it as emergency. Else we do a workup to determine three things. First of these is determining heart rate rhythm at time of palpitation. That is usually feasible if patient had an ECG at time of palpitation or we catch it during subsequent episodes by ECG/ Holter/Loop recorder etc. Second is to look for any condition which can manifest in the baseline ECG. Third is to determine presence of a structural heart disease.
3. I do not see any changes which suggest rhythm disorder in the ECG. There are no ECG or holter monitor recording available of time of palpitation. Only thing left is to determine presence of structural heart disease. This can be best ruled out by a cardiac ultrasound or examination by an expert physician. That's why I asked you to get any one of these. If your primary doctor is experienced and confident enough that he don't suspect a structural heart disease after your examination then it is good enough.
4. Occasional mild chest pain, not related to exercise / stress, lasting less than a minute, not involving whole chest is considered atypical of anginal heart disease.
5. I think you should not be worried as your doctor has assured you and also your ECG did not reveal any issue. But, to be on safer side avoid vigrous exercises till your cardiology consultation.
Sincerely
Sukhvinder
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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