Top
20
Doctor insights on: Bradycardia Patient

Share
Dr. Kerrie Pinkney
340 doctors shared insights

Slow Heart Rate (Definition)

Slow heart rate, also called bradycardia, is defined as a resting heart rate (pulse) less than 60 beats per minute. Having a heart rate less than 60 is not necessarily abnormal. In fact, people in good cardiovascular shape have a low heart rate. People with certain heart conditions may take medications which lower the heart rate as one of ...Read more


Dr. Jesus Yap Dr. Yap
1 doctor agreed:
2

2
Can you defibrillate any patient in ventricular tachycardia?

Dr. Jesus Yap Dr. Yap
1 doctor agreed:
Can you defibrillate any patient in ventricular tachycardia?

Yes : Yes but only when the tachycardia is fast and not tolerated . But the electric current has to be synchronized with the heart beat.This is most appropriately called cardioversion than defibrillation the latter being unsynchronized electric shock for ventricular fibrillation which is a chaotic ineffective rhythm. ...Read more

4

4
Is continuos medication required for congestive heart failure patients?

Is continuos medication required for congestive heart failure patients?

Depends: Usually, CHF pts will need to be treated daily for life but there are exceptions depending on the cause of the chf, the severity of the symptoms, and whther there were extraneous factors that caused a flare of symptoms. Please note: if this is about you, chewing tobacco is very dangerous in the presence of CHF (can precipitate dangerous arrhythmias). ...Read more

6

6
Ventricular tachycardia managment?

Ventricular tachycardia managment?

Ep: This is a serious condition and you must see an electrophysiologist. If normal heart, it is possible at your age to manage with medication but often can have an ablation and cure it. ...Read more

See 1 more doctor answer
8

8
For young (<60), asymptomatic, paroxysmal atrial fibrillation patients on NOACs with LVH, should the patient seek out catheter ablation for treatment?

For young (<60), asymptomatic, paroxysmal atrial fibrillation patients on NOACs with LVH, should the patient seek out catheter ablation for treatment?

Depends: on left atrial size and function, frequency. Ablation is a big deal and frequently unsuccessful. I would try to suppress with a beta blocker like Bystolic, get magnesium level to 2.1-2.4, potassium to 4.1-4.5, stay off stimulants/alcohol, use hawthorne berry, avoid many other supplements, get general labs checked. Why the LVH? HRS, MD, FACC. www.thepmc.org ...Read more

9

9
Why is digoxin contraindicated in ventricular tachycardias?

Why is digoxin contraindicated in ventricular tachycardias?

Ventricular tachycar: Ventricular tachycardia is a dangerous cardiac rhythm and one of the abnormal rhythms caused by digoxin toxicity. Digoxin could cause worsening of VT or conversion to vf. ...Read more

11

11
Compare ventricular vs supraventricular tachycardia?

Compare ventricular vs supraventricular tachycardia?

Atria or ventricles: Supra ventricular tachycardia: from upper chambers of the heart, is due to irritability (increased automaticity) or a short circuit (reentry), heart is usually structurally normal. Ventricular tachycardia: from lower chambers of the heart, due to irritability, can occur in normal hearts but is more often seen in hearts with scar tissue or weak hearts and can be life threatening. ...Read more

12

12
The patient i'm caring for has rapid atrial fibrillation and dyspnea-- why is she being prescribed heparin?

The patient i'm caring for has rapid atrial fibrillation and dyspnea-- why is she being prescribed heparin?

Afib and Heparin: Afib is a dis-coordinated, chaotic heart rhythm where the heart can not effectively move blood the way it should. When blood sits stagnant it can clot. The Heparin helps prevent the stagnant blood from clotting to avoid a clot , or "thrombus", being sent to the brain or lungs where it may cause a stroke or pe. ...Read more

See 2 more doctor answers
15

15
Abnormal ECG sinus bradycardia and septal infarct age undetermined?

Abnormal ECG sinus bradycardia and septal infarct age undetermined?

Depends: Sinus bradycardia can be normal in a fit individual. Septal infarct age undetermined may also be a normal variant, but also possibly indicate previous injury to the heart. You might want to consider getting further evaluation, such as a stress treadmill ECG test. Depending on various associated healthy issues, this might need to be combined with imaging (nuclear or ultrasonography). ...Read more

17

17
Is lanoxin (digoxin) given for patient with rhd with irregular rate and ryrthm?

Yes: Atrial fibrillation is a common type of irregular heart beat, and Lanoxin (digoxin) is one of several types of medications used to help control the rate. Beta blockers and calcium channel blockers are the others medications commonly used. ...Read more

18

18
Would propofol given during surgery induce VT in BRUGADA syndrome patient ?

Would propofol given during surgery induce VT in BRUGADA syndrome patient ?

Brugada & anesthesia: The risk of a drug causing or worsening a cardiac rhythm disturbance is a concern with some anesthetic drugs. For patients w/ Brugada syndrome, this is a much more significant issue. In a study of 57 patients w Brugada, a single dose of propafol did not cause problems, but extreme caution is advised for general anesthesia of Brugada patients especially w prolonged propafol infusion. ...Read more

See 2 more doctor answers
19

19
Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

SSRIs: There is some evidence that ssris help with post stroke remodeling where the brain works on regrowing connections between brain areas that were not killed by the stroke. There is also evidence they help prevent post stroke depression that is very common. Not much reason to think one ssri is better than another. See your prescriber for specific dosage recommendations. ...Read more

See 2 more doctor answers
20

20
Does atrial fibrillation with rapid ventricular response cause ventricular fibrillation?

Does atrial fibrillation with rapid ventricular response cause ventricular fibrillation?

Only in a Very Few: Generally, the answer to this is a very solid "no." this is a rare complication of people with another condition (on top of their afib) called wolff-parkinson-white syndrome (or wpw). In certain patients having both conditions, the top chamber is too-well connected to the bottom and can trigger ventricular fibrillation. ...Read more

See 1 more doctor answer