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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Sinus Node Dysfunction And Bradycardia

My mother , 82 years, diagonosed sinus node dysfunction and bradycardia. Her heart rate is 62 b.p.m. , when she feels good. It was tested in e.c.g and e.p study. She is taking olsar 20 m.g + metoprolol 50 mg in the mng. and telmisartan 40mg in the night. Please, suggest treatment options.
Mon, 21 Jan 2019
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General & Family Physician,  's  Response
Hello,

As long as your mother doesn't have any symptoms from the bradycardia, such as lightheadedness, fainting, or weakness from the low heart rate, there is no need for any treatment.

If her heart rate stays close to 60 bpm, I would not expect any problems from this.

If she does develop symptoms as I mentioned, one possibility would be to look at the Metoprolol to see if that can be switched with another medication, as metoprolol lowers the heart rate.

But if that fails, the main treatment for symptomatic bradycardia would be a pacemaker.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Aaron Branch, General & Family Physician
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Suggest Treatment For Sinus Node Dysfunction And Bradycardia

Hello, As long as your mother doesn t have any symptoms from the bradycardia, such as lightheadedness, fainting, or weakness from the low heart rate, there is no need for any treatment. If her heart rate stays close to 60 bpm, I would not expect any problems from this. If she does develop symptoms as I mentioned, one possibility would be to look at the Metoprolol to see if that can be switched with another medication, as metoprolol lowers the heart rate. But if that fails, the main treatment for symptomatic bradycardia would be a pacemaker. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Aaron Branch, General & Family Physician