Doctor insights on:
Congenital 3rd Degree Av Block
I have bradachardia, 1st degree av block & congenital heart disease papvr. Is clarithromycin safe to take? It causes heart problems? No?
Very specific proble: Clarithromycin can cause prolongation of the corrected QT interval (measurement on EKG). If overly prolonged, dangerous rhythm disturbances can result (torsades de pointe ventricular tachycardia). It will not affect or be affected by sinus bradycardia, first degree AV block, or partial anomalous pulmonary venous return. If your QTc is normal, then it's safe for you to use it. ...Read more
My mother was diagnosed Sjögren Syndrome. Also I have congenital AV-Block III deg. Probably of my mothers Sjogren. Any lifestyle suggestions?
And keep fit! That is the best advice for ANY Chronic Disease!
Hope this helps
Dr Z ...Read more
23, pacer for 3rd degree av block frequent chest pain ER says non-cardiac &pvcs. Fast onset pain 2nite, sob, pressure, dizzy. Also diagnosis of gad. Cardiac?
Cp: Check with your cardiologist. If you're having episodic arrhythmia, er may not see it. Other things of course possible. ...Read more
I have 1st deg. AV block with intermittent 3rd degree My Dr has me on lisinopril for high BP. He just suggested Midorine for palpitations. Is this ok?
Not sure: That you really mean 3rd degree heart block, as unless there is a readily reversible cause that will allow this to resolve this is commonly treated with a pacemaker. Not only that midodrine can cause hypertension so it would be a bit atypical for you to be on lisinopril to lower your blood pressure and midodrine for palpitations. Sounds like we need more information. Best of luck. ...Read more
Abnormal Rhythm: 3rd degree av block = complete av block... Meaning the upper chambers are not in synch with the ventricles. The ventricular depolarization is abnormal, the t-wave which are basically the re-set waves, will be abnormal. Many times the t wave is flipped. This isn't unexpected. The ventricular beats will be junctional or ventricular escape beats and the t-waves will vary. ...Read more
See neurologist.: I recommend seeing a neurologist to better address your treatment needs. Wishing you the very best. ...Read more
I have had 2 OpenHeart Surgurys In The Past, The Valve is leaking, moderate AI, should open heart be considered a 3rd Time? .I have congenital A.S.? tyvm
AI managed medically: It has been my impression that valve replacement is not usually necessary in aortic insufficiency. If your prior surgery was for the aortic valve, it would be helpful to know what was done. I do not understand the initials present...? arteriovenous malformation? Details would be helpful to fulfill the answer. ...Read more
Mobitz I: Second degree mobitz I av block occurs when the pr interval gradually lengthens followed by a non-conducted p-wave. ...Read more
Av block: Yes you should be able toGet a more detailed answer ›
Just saw my lexiscan report, every thing was normal. EF 78% but have 1 st degree AV block. Is this serious? Cardio said no sign of blockages. I am 75
Electrical vs fluid: Imagine a pump with loose wiring from the switch to the motor. Could there be a delay (after turning on the switch) before the pump starts working, but the pump works fine? That's the analogy. 1st degree AV block is an electrical delay on EKG from the switch (upper atria) to the motor (lower ventricular chambers). It says nothing about how the blood moves, which is in the nuclear stress images. ...Read more
"Wiring of the heart:
Two types of second degree AV Block : Type I is mostly benign, called Wenckeback for the person who described it, seldom requiring any treatment except stopping some meds that can worsen it.
Type 2, however, may be slightly more dangerous and in occasions worsen to Complete AV block. If patient is symptomatic (dizziness or black out spells) Type 2 MAY require a pacemaker. Discuss it with your MD ...Read more
Av block: That can rarely lead to variable degrees of av block, but not vice versa ...Read more
I have 1st degree av block just recently diagnosed. Had a emergancy c-section in 2009 and having a planned section in feb 2014. I'm scared I will die.
Hopefully you are: Being followed by your cardiologist and your OB and a perinatologist and I assume you will be having your csection much earlier than the usual 39th week, u really need to discuss your fears with all your doctors involved so they can give u appropriate percentages of possible complications. ...Read more
What to do if I had an ECG done today what do these results mean does it indicate a first degree av block?
Ecg: You don't really give a clear picture of the ecg. First degree AV block means mild slowing of impulse conduction between atria and ventricles and in and of itself is no big deal. If the rest of the ecg is normal, nothing but monitoring into the future would be indicated. ...Read more
I have a 2nd degree av block type 1 and for few days I've had a fluttery feeling in my chest & stop and start feeling. I'm scared my heart will stop?
Today I found out I was pregnant. I have a 1st degree av block sometimes 2nd but only really when I'm asleep. Will I be okay through my pregnancy?
Please consult ASAP: With your cardiologist, he will need to follow you throughout the pregnancy and can give you his opinion, the cardiologist will need to work closely with your OB and a perinatologist and you may be better served delivering at a university medical center, for example, if you were in my area would refer u to the univ of miaim. ...Read more
Can I still avoid a pacemaker with AV block 2nd Degree, Mobitz II? Or it is the only treatment available?
Av block: Details are important you can reach us for consult if you have test results, I am eldctrophysiologist. ...Read more
With predominantly sinus rhythm, is just a short cycle of 2nd degree AV block during a 48h holter ECG recording considered serious?
Depends: It depends on what type of 2nd degree AV block it was. There is usually 2 types and one of those types require permanent pacemaker. Please see a cardiologist asap. ...Read more
Got told by my cardiologist that my 1st degree av block is not always there which is a good. Panicking about my csection in feb will I be okay?
Not to worry: This falls in physiological range. As your doctor said not to worry. ...Read more
I have a broken tooth that needs taken out but I'mscared my heart will react to the local anaesthetic. I have a 2nd degree av block. Will I b okay?
I have a 1st degree av block according to a ekg I took but since ive been drinking energy drinks everyday for 2 years. I wanna stop but I cant. HELP!
Taking zyprexa (olanzapine)?: First degree AV block has nothing to do with compulsive use of energy drinks. Zyprexa (olanzapine) is a medicine used to treat compulsive behaviors. I urge you to discuss this issue with the doctor who prescribed Zyprexa (olanzapine) for you. Forget your EKG. ...Read more
Got heart block post-RFA. It is up and down between 1st/2nd degree. Today I get some form of total AV block on my ecg. My EP suggest a PPM. Necessary?
Yes: With varying degrees of av block the heart rate slows. With Total or 3rd degree av block the heart rate can abruptly drop to the 30s or 40s, or the heart may actually fail to beat at all for several seconds or more, and you could faint. So, pacer is highly recommended. I agree with your EP doc. ...Read more
I'm thinking of having a breast enlargement and I have a 2nd degree av block mobitz type 1. What's the chances I could die?
This is a common: Arrhythmia of no specific significance to operative risk. Your overall risks are low at 26 provided you don't have other significant medical problems that you haven't revealed here. ...Read more
How come I have 1st degree av block, at 24? I have pots and gilberts syndrome as well. But why the heart block? I had a normal stress test tho
Atrioventricular: Pulse transmission it's delay between the sa node and the av node. Electrical current it's originated at the sa node. No symptoms associated. Seen in highly trained athletes, as a normal variant or drug induced. Later on life, may place you in a high risk for other arrhythmias like atrial fibrillation. Stay in contact with your cardiology. ...Read more
I have 2nd degree av block type 1 and iih. I need a tooth out isit safe to have intravenous sedation to make anxiety low when having the tooth out?
Oral Surgeon Consult: Discuss your medical history and medications with the oral surgeon who will be treating you. They will in turn consult with your physician (s) and determine the best course of care. All the best... ...Read more
Is it persistant AV Block 2nd degree type 1 still requiring pacemaker implantation? HR <50 at rest, 50-60 at daytime. Dizzy + SOB on daily activity.
Heart block: The key here is the presence of symptoms. If the person is experiencing dizziness (which is not due to other causes, many individuals who are athletic have a heart in the 50s and are fine) then treatment should be considered. However, I would suggest that you get a Holter monitoring with precise recording of events: if you feel dizzy then record the time and the circumstances) ...Read more
I had an ECG that showed 1st degree AV block, sinus tachycardia, biatrial enlargement, and rightward axis. What does this mean?
Very complicated: Right axis has a number of causes. And some of them are serious. For someone on premarin (conjugated estrogens) over age 30 with sinus tachycardia and an ekg showing right axis deviation the most worrisome cause is a pulmonary embolism and an immediate er visit would be paramount. Symptoms would include shortness of breath. Chest pain. Leg pain or swelling and feelings of anxiety. ...Read more
I was put on toprol (metoprolol) and cozaar in 2011 for takotsubo cardiomyopathy my last EKG showed a 1st degree av block which caused this or neither?
AV block: First degree av block has many possibilities and is generally benign unless it progresses. Drug contribution is possible but not certain. Discuss with your doctor. ...Read more
I have pots gilberts syndrome 1st degree av block and gerd. I have very bad muslce burning without weakness doctors are very confused on what's goin on?
Also: They probably checked but just in case see if they checked your thyroid function too. ...Read more
I can't find my cause for dystautonomia/pots and i, keep getting worse. I also have 1st degree av block sleep apnea GERD gilberts syndrome minor neuropahy and syncope. Mayo clinic could not find a cause?
Integrative doctor: If you been to mayo clinic, and they can't find a cause, and it's time to look for an integrative medical doctor who can work with you locally, and can pull all the information together, check your blood levels of various vitamins and macronutrients, spend time to review your records, and come up with a plan. It's time to start getting some answers! You have a lot going on right now that requires attention. ...Read more
My recent EKG reads sinus brady with 1st degree AV Block incomplete right bundle branch block. Am I at a greater risk for heart failure or a fib?
Correct: AllButBrady: Are c/w damaged muscle cells, most commonly from blood supply issues (artery disease, by US autopsy studies >8 decades, present 1/2 population by age 7), arteries enlarge, not narrow, thus not clinically apparent for decades until vulnerable plaques rupture releasing WBCs triggering clots & blood flow to capillaries blocked. Same issue underlying atrial fib. All issues missed by conventional tests ...Read more
I have autonomic neuropathy pots /gilberts syndrome / first degree av block and GERD. Gonna sound weird but my voice is changing on m? Why is this?
Changing voice: You need to see a doctor. Some of things which he would check will be your thyroid function and ian ENT doctor visit to check your vocal cords. ...Read more
I have autonomic neuropathy / pots / sleep apnea / GERD / 1st degree av block / gilberts syndrome / doctors cannot find my cause for an and pots?
Hospital setting: I would consider being referred to some sort of hospital setting, like mayo clinic, that can have you be seen by several related departments and get collaboration of the findings and tests. ...Read more
Ekg say flat t waves in v4v5v6.Check av block of higher degree. Absolute arrhythmia, atrial flutter. Inferior myocardial infarction, probably old, normal?
It is hard to: Say based on your description, but it sounds abnormal of course, you should see if there is a clinical correlation. Review it with your doctor and compare it with old ekgs. This will help determine the next best step. ...Read more
Have been given erythromycin for abbess in mouth above tooth. I have 2nd degree AV block type 1. Can I take these antibiotics?
Milliseconds: When there is a delay in conduction between the atria and ventricles, av block is present. If the delay exceeds 200 milliseconds, 1st degree block is present. If delay progresses to intermittent interruption of conduction, 2nd degree block is present. If there is complete interruption, so the atrial and ventricle beat independently, 3rd degree block is present. ...Read more