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Heart Block
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George
medicine forum Guru Wannabe


Joined: 02 May 2005
Posts: 102

PostPosted: Sun Jul 09, 2006 5:16 pm    Post subject: Heart Block Reply with quote

I don't know if I should be worried about this, but I recently had a
cardioversion to try and correct attrial flutter. It was not causing
any symptoms, as far as I could see, - and it was only a routine ECG
that brought it up. This failed to achieve the desired result and I was
left, - so I was told with an unsynchronised atrial beat of some 50
bps.

For years (and years) I have been a long distance runner and have a
resting beat of about 32 - 34 which goes up to 80 or so max. on a long
run. It goes down to 29 when I really relax. This has always caused
concern to Doctors, and they always ask about dizziness and fainting
spells etc, which I never have. In fact I have never had any problems
that I can ascribe to my heart even though I had an angioplasty and
stent in 1999 for a blocked LAD. Again after a routine ECG. I can swim
about 50 metres underwater with little effort. Or I could a few weeks
ago. I am 6'4" and about 86 kgs.

The post cardioversion report says "arrythmia (Complete Heart Block)"
and says I should go back in September for follow-up. They gave me a
24 hour monitor to wear but I did not get any freedback. Since the
procedure, however I get out of breath a bit sometimes and often seem
to be breathing more heavily. On the two runs I have had of 6 and 5
Kms. I am about 20% slower than three weeks ago. At 65 I am not really
expecting to set any records but I can't see why I should be worse off.
If I had a flutter of 300 bpm previously; surely an unsynchonised beat
at the top (atrial) of about 50 bpm is an improvement. My resting
ventricular beat seems a bit slower, if anything and on the ECG It says
- and I quote, as I don't understand it and was told to ignore it
anyway, - 3rd degree AV block Ventricular rate 32. QRSD 140
Leftwards axis. QT 499 LVH by voltage. QTc 364 Poor R-wave
Progression, possibly due to LVH Anterolateral T wave abnormalities,
--AXIS-- Possible ischemia
P Ind. QRS -17. T 172. Abnormal ECG.

Can anyone translate any of this? Any comments, please? I should
like stop eating rat poison and an angiotensin-II receptor antagonist,
Micardis, that I am reluctantly taking every day. Should I consider
leaving my heart to medical science? Not yet, as I am a bit fond of it.

Thanks George.
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Andrew B. Chung, MD/PhD
medicine forum Guru


Joined: 25 Mar 2005
Posts: 8540

PostPosted: Mon Jul 10, 2006 3:43 am    Post subject: Re: Heart Block Reply with quote

George wrote:
Quote:
I don't know if I should be worried about this, but I recently had a
cardioversion to try and correct attrial flutter. It was not causing
any symptoms, as far as I could see, - and it was only a routine ECG
that brought it up. This failed to achieve the desired result and I was
left, - so I was told with an unsynchronised atrial beat of some 50
bps.

For years (and years) I have been a long distance runner and have a
resting beat of about 32 - 34 which goes up to 80 or so max. on a long
run. It goes down to 29 when I really relax. This has always caused
concern to Doctors, and they always ask about dizziness and fainting
spells etc, which I never have. In fact I have never had any problems
that I can ascribe to my heart even though I had an angioplasty and
stent in 1999 for a blocked LAD. Again after a routine ECG. I can swim
about 50 metres underwater with little effort. Or I could a few weeks
ago. I am 6'4" and about 86 kgs.

You might be about 10 lbs heavier than optimal. This might represent a
significant amount of visceral adiposity.

Quote:
The post cardioversion report says "arrythmia (Complete Heart Block)"
and says I should go back in September for follow-up. They gave me a
24 hour monitor to wear but I did not get any freedback. Since the
procedure, however I get out of breath a bit sometimes and often seem
to be breathing more heavily. On the two runs I have had of 6 and 5
Kms. I am about 20% slower than three weeks ago. At 65 I am not really
expecting to set any records but I can't see why I should be worse off.
If I had a flutter of 300 bpm previously; surely an unsynchonised beat
at the top (atrial) of about 50 bpm is an improvement. My resting
ventricular beat seems a bit slower, if anything and on the ECG It says
- and I quote, as I don't understand it and was told to ignore it
anyway, - 3rd degree AV block Ventricular rate 32. QRSD 140
Leftwards axis. QT 499 LVH by voltage. QTc 364 Poor R-wave
Progression, possibly due to LVH Anterolateral T wave abnormalities,
--AXIS-- Possible ischemia
P Ind. QRS -17. T 172. Abnormal ECG.

Can anyone translate any of this?

Yes.

Quote:
Any comments, please?

Would be concerned that your decrement in athletic performance may be
due to a return of inducible anterior wall ischemia because of the
occlusive lesion you have in your LAD.

Quote:
I should
like stop eating rat poison and an angiotensin-II receptor antagonist,
Micardis, that I am reluctantly taking every day. Should I consider
leaving my heart to medical science? Not yet, as I am a bit fond of it.

Understandably. You may benefit from biventricular pacing and becoming
as lean&trim as possible once the possibility of inducible anterior
wall ischemia has been addressed.

Quote:
Thanks George.

You are welcome. All thanks and praises belong to the LORD, Whom I
love with all my heart, soul, mind, and strength.

Prayerfully in Christ's amazing love,

Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://tinyurl.com/frep8
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