Doctor insights on:
Right Atrial Problem
Ecg : What you list are electrocardiographic patterns. Left atrial abnormality suggests the possibility of structural abnormalities of the left atrium. Incomplete right bundle branch block suggests slowing of electrical impulse conduction in the right bundle branch of the conduction system. These findings can be associated with abnormal structure and function but are not diagnostic any specific problem. ...Read more
ASD: Usually with an atrial septal defect the blood flow or shunt goes from left to right, however, in some situations when there is pulmonary hypertension the shunting goes from right to left. The problem with that is it causes some of the blood to bypass the lungs and not get the oxygen needed to bring to the tissues. ...Read more
Abnormal shunt left to right atrium suggestive small atrial septal defect can this make the shunt also go right to left if so is it dangerous?
If RA>LA pressure: Shunt flow will direct from the higher pressure chamber to the lower pressure one. This usually results in left to right shunting across an asd. Over time, as flow into RA is increased, a corresponding increase in pulmonary blood flow will lead to pulmonary hypertension. The subsequent rise in right sided pressures will lead to reverse shunting (r to l) with cyanosis (eisenmenger). ...Read moreSee 2 more doctor answers
What causes atrial flutter? What is the cause of my atrial fibrillation or atrial flutter? Will my condition go away on its own?
Whats the difference between right ventricular enlargement, cardiomyopathy and right sided heart failure? What is worse?
Hello again!: RV enlargement can be a SIGN of something wrong with the RV (weakness, pressure or volume overload). Cardiomyopathy means muscle weakness: the ventricle fails to contracts with normal vigor. This can be due to many things: the commonest are viral infection, alcohol, and genetics. If the RV can't handle the load, it may eventually fail resulting in"right sided heart failure". ...Read more
Rbb: Not at all.Get a more detailed answer ›
Right heart failure: Right heart failure refers to weakness or stiffness involving the right ventricle or lower chamber as opposed to the left ventricle. This causes a unique constellation of symptoms including swelling in abdomen and legs, liver malfunction, weakness and shortness of breath. ...Read moreSee 1 more doctor answer
Any idea what this means? Normal sinus rhythm. Possible Left atrial enlargement
Cannot rule out Anterior infarct. Abnormal EKG
Could be normal.: Depends upon your clinical situation. EKG's are not very predictive if they are done without a specific purpose in mind. If you have not had any symptoms and this EKG was done as part of a "routine" then it is very likely just an interesting finding without a physical meaning. You should discuss this with the person who ordered the test. ...Read more
Why the atrial fibrillation causing thromboembolic phenomena while atrial flutter don't cause it?
Short answer: Atrial fib has increased risk secondary to irreg.firing of atria and valves causing damage to blood cells. In flutter there is a more regular rate and atrial contractile function offers some protection but there is still a slightly increased risk. In chronic flutter, coagulation is necessary given the risk of stroke is the same as atrial fib. Pts with chronic flutter often have a fib as well. ...Read moreSee 2 more doctor answers
PAH: Yes it can. In Pulmonary Hypertension, imagine the right side of the heart as a pump and the pulmonary arteries as a dam. When pulmonary artery pressures keep going up, the blood backs up into the pump (heart) and can affect both chambers of the right side of the heart. The Right Atrium can enlarge and the Right Ventricle can enlarge, become thick, or lose ability to pump properly. ...Read moreSee 1 more doctor answer
Short PR wave intervals, bilateral atrial enlargement, right ventricular conduction delay. What do I make of my recent ECG? Is this serious?
Probably not: First, neck vein distension can be caused by many things, only one of which is heart failure. Second, if it were due to heart failure, it would likely be on both sides, and then would reflect problems on the right heart. But since the most common cause of right heart failure is left heart failure, neck vein distension is a sign of heart failure. But not likely in you. Talk to your own doctor. ...Read more
Mildly enlarged left atrium with atrial fibrillation.Should I be worried about the enlarged left atrium? Thank You.
Atrial enlargement &: slowed atrial conduction are classic precursors & setup for atrial fibrillation. AFib is rare without these. Less commonly discussed are atherosclerosis, plaque ruptures & compromises of circulation to atrial muscle, a setup for ?ed atrial function just as it is for ventricular muscle. Thus optimize NMR lipoproteins, HbA1c & Systolic BP, the 3 biggest drivers of atherosclerosis. ...Read moreSee 1 more doctor answer
Weakness of heart: When the left ventricle fails to pump normally dysfunction is present. The two common types include poor ejection of blood from a weak and enlarged heart or poor filling of the heart from a stiff muscle wall. Myocardial ischema is a common cause but there are many other causes including those secondary to valve dysfunction, hypertension, alcohol use, viral infection and miscellaneous causes. ...Read more
In my ECG results reflects Sinus Tachycardia; incomplete right bundle branch block. Is it something I should concern seriously about?
ECG : Those results in and of themselves are not a big deal. Discuss with your doctor for your specific status. ...Read more
Less common than AF: Atrial fluter less common than atrial fibrillation, and is often a indcator of future atrial fibrillation onset. You may not notice them, or you may feel a flutering in your chest. Atrial flutter can be caused by scarring in the heart resulting from prior cardiac disease or heart surgery, but it can also occur in some patients with no other identifiable heart problems. ...Read moreSee 1 more doctor answer
Irregular: Atrial fibrillation occurs when the atria, which deliver blood to the ventricles, receive an abnormal electrical signal and then beat erratically instead of in a coordinated, strong beat. The danger of atrial fibrillation is that the blood in the atria tends to stay there instead of getting pumped fully into the ventricles. This slow moving blood in the atria can then form blood clots. ...Read moreSee 2 more doctor answers
ASD: ASD is a congenital (present since birth) heart defect in which the wall that separates the 2 upper chambers (atria) is perforated allowing the abnormal mixing of oxygenated and un-oxygenated blood. If large enough, it can lead to rhythm disturbances and heart failure but if small, no treatment is necessary. Echo and MRI are very accurate in assessing the severity. It is correctable/curable. ...Read moreSee 1 more doctor answer
Can amlodipine besylate cause any problems for someone who has occassional episodes of atrial tacky? Is it a safe drug?
Maybe and no: I'm not a pediatric cardiologist and can't tell you definitively if they are the "commonest" problems in infants but, for sure, they're not nearly the commonest problem in patients with diabetes (whom i see everyday). Remember, newborns normally have patent foramen ovale which closes shortly (but may be delayed) after birth. ...Read more
Can frequent atrial ectopics ( 12063 beats, holter moniter ) cause problems ? Angiogram 3 years ago all clear.
Yes, it's a problem: Assuming you have a normal heart rate, your APCs are >10% of your total heart beats. That can cause your heart muscle to weaken and increases your risk of atrial fibrillation. You need a full evaluation for any treatable cause and your heart rate should be assessed to be sure it's well controlled to avoid injury. Is your sleep apnea treated? CPAP may help your arrhythmia if you haven't tried it. ...Read more
Atrial fibrillation and psvt as well as blood sugar problems are possible diagnosis' for me but I am only 22 and am very active and healthy? How?
Need cardiac monitor: From your question, i assume you're having palpitations that have not yet been documented or diagnosed. You should have a 24-hour holter monitor, and possibly a long-term event monitor to see if it is a cardiac arrhythmia, and if so, what kind. ...Read moreSee 1 more doctor answer
Doctor confirmed my child has atrial septal defect and will need to follow up. Will this be a longterm problem?
ASD: An ASD requires noninvasive studies (echo/mri) to gauge the ratio of blood that is shunted from left to right. Assessment of possibly associated congenital abnormalities is necessary. Gauging (over time) changes in symptom status, such as dyspnea with exertion, and signs of right heart pressure/volume overload and/or pulmonary hypertension are important to follow too. ...Read moreSee 2 more doctor answers
I am a 32 year old male with no heart related problems in the past. Had a stress test one year ago and past with flying colors. I recently had an incident of atrial fibrillation randomly. I converted spontaneously after 1.5 hours. A week later I we
Atrial fibrillation: is very common. 25% of all people over the age of 40 have atrial fibrillation. Almost 1/3 of all over age 65 have it. Certainly coronary artery disease can be an etiology (excluded by your stress test) but there are many other associated causes. Obesity and obstructive sleep apnea are highest associated issues. Many treatments are available. See your health care provider for evaluation. ...Read more
I have atrial fibrillation . I take daily concor 10mg, dabigatran 220mg, Lasix 40mg and aldactone (spironolactone) 25mg, . Now I have erectile problem. What shall i do?
How dangerous could atrial fibrillation be in a healthy, very fit 18 year old with no other problems? Normal echocardiogram, ekg, and stress test
Not likely: Atrial fibrillation is not as common in young individuals as in elderly. Sometimes benign arrhythmias are over diagnosed as atrial fibrillation. In your case how was your atrial fibrillation diagnosed? Otherwise atrial fibrillation remains a significant medical condition with a variety of possible complications, the most common being stroke. ...Read moreSee 1 more doctor answer
I had an Atrial Septal Defect repaired 24 years ago. I have had no heart problems. Will I always have an abnormal EKG because of this? I feel great!
Yes: Because of scar tissue present, you will always have an "abnormal EKG". That does NOT mean a BAD EKG. it's just not going to send your electrical signals through the exact same routes as a heart that has not had surgery. It is more important that you are "feeling great" and symptom free, but aware that your EKG is "different" than most so that if something ever happens, you know what your base is ...Read more
Did I have Atrial Fib. or Heart Trouble? I'm SCARED. My heart/chest vibrated, I felt weird, & cold flush. Was this a panic attack, or a heart problem?
Usual suspect: Anxiety is the likely suspect. Especially at your age w/ your medical history. If youthful cardiovascular problems are in your family history you'd know and should be examined, or if it's part of a syndrome you suffer - like Marfan's - you'd be being monitored for heart issues regularly already. It's a good idea to consider CBT therapy for skills in dealing w/ issues like anxiety, OCD. It works! ...Read more
Having atrial fibrillation , I do not feel fast heart beat or shortness of breath , due to medication. Would air travel for 6 hours be a problem?
C Below: You have asymptomatic Afib. Depending on your CHADS2 Score or CHADSVASC you should be at least on Aspirin. My guess is that you likely should be on Warfarin also. - Air travel is as safe as staying at home watching a TV Show. What is important is your antiplatelt therapy or anticoagulation as needed. ...Read more
ECG - Probable left atrial enlargement, in ECHO - Mitral value - AML tip prolapse,Mild MVP,
How dangerous they are in long term, will they create heart problems, Can i continue my daily workout including weight lifting, can these go back to normal?
Mild MVP : Mitral valve prolapse is an often overdiagnosed condition. Therefore the American society of echo came up with strict criteria. So "mild" and anterior leaflet "tip" makes me question the diagnoses. U may want to get a second Opinion. Having said that, prolapse is only a concern if the valve is also leaky. You make no mention of that - so no mitral regurgitation. Then ought not to be an issue. ...Read more
Would echo,ekg,stress test,xray,bloodwork rule out any arrhythmia problem such as premature ventricular contraction and paroxysmal atrial fibrillation?
No: Occasional PVCs are normal. Paroxysmal atrial fibrillation by definition is only present some of the time and the tests you list could easily miss this if done while the heart is in normal rhythm. Diagnosis of intermittent arrhythmias can be difficult and frequently requires consultation with a cardiologist subspecialized in electrophysiology, Holter monitor test is frequently used. ...Read moreSee 1 more doctor answer
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