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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pains, Shortness Of Breathe, Fatigue And Light Headiness?

My resting heart rate has been as low as 28 and usually in the 30s. I havent been very active in almost 20 months and been to the cardiologist before. I have bicuspid aortic but they said it was minor and that I'm fine. I suffer from chest pains, shortness of breathe, fatigue, light headiness, and the occasional fainting. Any ideas what might be wrong and why all the test have came back negative?
Fri, 17 Mar 2017
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Internal Medicine Specialist 's  Response
A resting heart rate of 28 is quite low. Your symptoms may be due to sick sinus syndrome in which the physiological pacemaker ( sino atrial node) is diseased.
I would suggest you get a 24 hour holter monitoring done. The cause for such a low heart rate needs to be evaluated. You may also need a permanent pacemaker in the future.
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What Causes Chest Pains, Shortness Of Breathe, Fatigue And Light Headiness?

A resting heart rate of 28 is quite low. Your symptoms may be due to sick sinus syndrome in which the physiological pacemaker ( sino atrial node) is diseased. I would suggest you get a 24 hour holter monitoring done. The cause for such a low heart rate needs to be evaluated. You may also need a permanent pacemaker in the future.