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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Possible Treatments For Dizziness And Presyncope Caused Due To Bradycardia?

Hello, I have bicuspid aortic valve and previous subclavian coarctation repair ( age 7). The left ventricle functions well with an ejection fraction which is normal at 60-65%. The left atrium is, in fact, only mildly dilated ( 22.8mls/m2). The gradient across the aortic valve remains only at 15mmHg. The aortic regurgition remains only mild to moderate with a pressure half time 380 milliseconds but on the background of a normal left ventricle ( dimensions 5.4 and 3 ) there has been no progression. Eco done 28th march 2013. I also had coartation repair stented ( age 29 ). I was admitted december 6th 2013 with bradycardia with junctional escape rhythms, causing some dizziness and presyncope. I had a dual chamber PPM fitted and restarted on 25mg od Atenolol. PPM set to not go below 60bpm. The reason I am wirting to you is that I am very lost in my self, as I don t know what the future holds for me. I am 36years old with young children, and I feel tired. I worry a lot, but keep it to my self. I am due to start back at work on the 20th jan. I do manage to have good blood presure. And I am also very slim, 80kg. 6 foot tall. I just worry that won t reach a good age. Thank you for letting me write on this page. Aly
posted on Sun, 19 Jan 2014
Twitter Wed, 29 Jan 2014 Answered on
Twitter Thu, 30 Jan 2014 Last reviewed on
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Cardiologist, Interventional,  's  Response
first of all thank you for writing to us.
i want to reassure you that everything looks from the investigations. I will tell you the natural history of thing you have
- Bicuspid Aortic Valve:
the Aortic regurgitation(AR) and aortic stenosis(AS) tends to slowly progress. by the age of 65years there is ~50% chance of AS or AR becoming severe. but dont worry effective treatment is available.
-Coarctation of aorta:
very good minimally invasive percutaneous treatments are available
- your pace maker will take care of dizziness and bradycardia
- as a precaution- maintain good dental hygiene, be cautious for infections, any fever or minor infection not to be neglected. avoid over exertion
thank you
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What Are The Possible Treatments For Dizziness And Presyncope Caused Due To Bradycardia?

first of all thank you for writing to us. i want to reassure you that everything looks from the investigations. I will tell you the natural history of thing you have - Bicuspid Aortic Valve: the Aortic regurgitation(AR) and aortic stenosis(AS) tends to slowly progress. by the age of 65years there is ~50% chance of AS or AR becoming severe. but dont worry effective treatment is available. -Coarctation of aorta: very good minimally invasive percutaneous treatments are available - your pace maker will take care of dizziness and bradycardia - as a precaution- maintain good dental hygiene, be cautious for infections, any fever or minor infection not to be neglected. avoid over exertion thank you