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Doctor insights on: Sinus Pause Heart

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Have hand held ecg. 21 male sinus arythmia. Heart slows down thumps then continues. Not PVC or pac looked like short sinus pause maybe?

Have hand held ecg. 21 male sinus arythmia. Heart slows down thumps then continues. Not PVC or pac looked like short sinus pause maybe?

Get full ECG: U should get a full 12 lead ECG that is interpreted by a physician to verify that. Sinus arrhythmia is a very common and benign finding. ...Read more

Dr. Bradford Patt
3 doctors shared insights

Sinus (Definition)

In anatomy, a sinus is a cavity within a bone or other tissue. Most commonly found in the bones of the face and connecting with the nasal cavities. Sinus (anatomy), description of the general term paranasal sinuses, air cavities in the cranial bones, especially those near the nose, including: the maxillary sinuses, also called the maxillary antra and the largest of the ...Read more


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I had 7 late beats on my holter monitor during sleep. Are late beats the same as a sinus pause or arrest? Are late beats dangerous?

I had 7 late beats on my holter monitor during sleep. Are late beats the same as a sinus pause or arrest? Are late beats dangerous?

Unclear: I'm not sure what you mean by "late beats". It's possible this refers sinus pauses. What matters is the possible causes, like medications, and how "late" the beats, as in two seconds versus more than 3 seconds. You should review these findings with the doctor who ordered your holter monitor. ...Read more

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My holter monitor listed 7 late beats under supraventricular ectopy. They happened during sleep. Is that a sinus pause or arrest? Concerning?

My holter monitor listed 7 late beats under supraventricular ectopy. They happened during sleep. Is that a sinus pause or arrest? Concerning?

Normal with sleep: Normal during sleep not a worrisome pattern are you at risk for sleep apnea snoring overweight interrupted sleep tired in the morning easy to sleep during the day ...Read more

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Does the mean rate of Heart BPM have to go over >95 on a 24 Hr Holter for true diagnosis of Sinus Tachycardio Or only if an episode is captured?

Does the mean rate of Heart BPM have to
go over >95 on a 24 Hr Holter
for true diagnosis of Sinus Tachycardio
Or only if an episode is captured?

Sinus Tachycardia: Sinus tachycardia is defined as any heart rate over 100 beats per minute. Sinus tachycardia is normal and the expected response to exertion, stress, or illness. Inappropriate Sinus Tachycardia (IST) is rare, and denotes a condition of elevated rest heart rate in the absence of physiologic or pathologic stress. It is a diagnosis of exclusion. Typically, is a mean rate over 24 hours on Holter. ...Read more

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If you had heart block or sinus block would you still get sinus arythmia?

If you had heart block or sinus block would you still get sinus arythmia?

Sinus arrhythmia: Sinus arrhythmia occurs proximal to sinus exit block. On the other hand, if there's sinus exit block then seeing that the sinus is very irregular is difficult as there are all degrees of exit block. ...Read more

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Is there any long term dangers of having a constant regular sinus rythym, yet slightly tachycardic heart rate?

Is there any long term dangers of having a constant regular sinus rythym, yet slightly tachycardic heart rate?

Probably not: There is a tachycardia-induced cardiomyopathy which is occasionally seen in people with a chronic tachycardia. The exact rate necessary to produce the problem is not clear but it would be less likely to occur with a "mild" tachycardia. When there is tachycardia, though, we always look for the cause. If your thyroid gland is overactive for instance that needs to be treated. ...Read more

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What's missed beat called on the heart? Is heart extra systole? Whether missed beat can be Syndrome sick sinus?

What's missed beat called on the heart? Is heart extra systole? Whether missed beat can be Syndrome sick sinus?

Needs holter: Everyone has some minor arrhythmias. So, the risk of serious problems is statistically low.
BUT, cannot say in your particular case, and an EKG followed by a holter to see the exact pattern is necessary. ...Read more

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Is a heart rate of 180bpm without exercise dangerous? It's sinus rythmn. No anxiety happens multiple times a night and 1 or 2 times during the day.

Is a heart rate of 180bpm without exercise dangerous? It's sinus rythmn. No anxiety happens multiple times a night and 1 or 2 times during the day.

Investigation: This needs to be investigated further, likely by a cardiologist and/or endocrinologist. In the meantime, you should taper off caffeine, any drug like Sudafed/Claritin-D/Actifed..., no illegals of any kind, avoid sugar/colas. Learn general Information about health and well-being by going to my website: Put my full name in Google and click on the link. HRS, MD, FACC ...Read more

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During sex heart rate goes very high as I have sick sinus syndrome?

Heart rate: Heart rate during sex can go quite high for some folks, see your doctor to be checked, may not be a problem, but could be. ...Read more

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What causes heart palpitations and the simultaneous opening of my sinus passages?

Palpitations: If you have catecholamines being secreted they could cause both at the same time. This happens during/after sex so you might notice this at those times... ...Read more

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What causes heart palpitations and the simultaneous opening of my sinus passages?

What causes heart palpitations and the simultaneous opening of my sinus passages?

Palpitations: If you have catecholamines being secreted they could cause both at the same time. This happens during/after sex so you might notice this at those times... ...Read more

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Can the doctors have missed me having sick sinus syndrome? I mean my heart reacts super sensitive to everything but it reacts when it should.

Can the doctors have missed me having sick sinus syndrome? I mean my heart reacts super sensitive to everything but it reacts when it should.

Doubtful: If the reaction is appropriate then it is normal. If your heart is very sensitive you should stop all caffeine intake and see how your body reacts. If it condition continues you can have an electro physiologic testing by a cardiologist to check for the electrical activity in your heart and I will also help confirm or rule out sick sinus syndrome. ...Read more

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How have I lost 15 pounds over the past few months without trying? I'm now 120. Bloodwork is fine, but heart rate is often elevated from sinus node.

How have I lost 15 pounds over the past few months without trying? I'm now 120. Bloodwork is fine, but heart rate is often elevated from sinus node.

Need to be checked: If you have other symptoms — fever, cough, blood in your bowel movements, night sweats, a painless lump under your skin — you need further evaluation. You mention blood work is fine: you need a chest x-ray and thyroid tests also at a minimum. Are you exposed to any industrial toxins, fumes, or waste? Something is causing your weight loss. A careful evaluation is necessary to find it. ...Read more

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I am zapped! Congested, racing heart, nauseus, sinus are draining clear mucas, headache, s.O.B. Please advise. What is it, and what do I do?

I am zapped! Congested, racing heart, nauseus, sinus are draining clear mucas, headache, s.O.B. Please advise. What is it, and what do I do?

Congestion & SOB: Congestion, headache with clear mucus and shortness of breath are symptoms of acute rhino sinusitis and possible asthma. You need to see your local physician for proper diagnosis and treatment. An allergist specializes in treating those conditions. ...Read more

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My son has a sinus venous asd is it something that has to have heart surgery or its only in some cases not every case?

Surgery only: Sinus venosus ASD will not close on its own. The lung drainage is involved in the ASD and this requires a baffle inside the heart. Sometimes a "warden operation" is performed. The long term outcome is excellent and the recovery is 2 days to 1 week in hospital then 1-2 weeks at home. Cedar sinai, ucla, usc all have excellent children heart surgery. Life long follow up is recommended. ...Read more

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I had 1 liter of bloody fluid drained from around my heart. I have had chronic sinus inflammation since nov. Could these be related.

I had 1 liter of bloody fluid drained from around my heart.  I have had chronic sinus inflammation since nov.  Could these be related.

Pericarditis: Only the physician managing this issue would have the facts necessary to answer your question with any degree of accuracy. Go back and chat with them. ...Read more

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Had 2 week loop which showed 119 episodes and heart rate 55-180 sinus rythmn. The 180 occurs while sleeping and wakes me up every night all night????

Not heart if sinus : You would need to confirm that the rhythm is sinus when it's up to 180. If so, then possible explanations include apnea, recurring fever, pain, anxiety, anemia(this shouldn't be only at night though), pregnancy? Essentially, sinus tachycardia, which is above 100 is not a primary heart problem rather related to other issues. If it's not sinus then that could be a primary heart rhythm problem ...Read more

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What does this mean? Sinus rhythm at rates 78 to 140 BPM with rare vpbs. Had a heart holster test done. Dizzyness. Skipped beat. Right side chest pain

What does this mean? Sinus rhythm at rates 78 to 140 BPM with rare vpbs. Had a heart holster test done. Dizzyness. Skipped beat. Right side chest pain

Need further eval: Mean that during the holter test monitoring of your heart, your heart rate fluctuated between 78to 140beats per minute. . You were supposed to right down the time you felt any symptoms at all. With that you go and see your doctor for further evaluation. Good luck. ...Read more

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Sinus tachycardia of the heart at rest, why does this happen?

Sinus tachycardia of the heart at rest, why does this happen?

Tachycardia: Sinus tachycardia at rest can have many causes including deconditioning, anemia, hyperthyroid, fever, infection, trauma, anxiety, drugs, smoking, pots, tachy/brady syndrome, arrhythmic sinus tachycardia, and more... ...Read more

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How can heart rate go for it to be considered not sinus tachycardia?

How can heart rate go for it to be considered not sinus tachycardia?

Above 100: Sinus tachycardia is heart rhythm originating from the sinoatrial node, defined as a rate greater than 100 beats/min in an average adult. The normal resting heart rate in the average adult ranges from 60–100 beats/min. In some individuals can go up to 130 beats/min. Supraventricular tachycardia at least 100 beats a minute and may reach 300 beats a minute. ECG usually helps differentiate. ...Read more

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Does the heart rate go up when a person is sick with a cold or sinus infection?

Yes. : Definitely! Infection can lead to systemic reaction which include immune response, inflammation, fever and blood pressure fluctuations. All these can impact on your heart rate, your kidney, lung, liver, GI tract, functions, etc.... ...Read more

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What medicine can be used to cure sinus arrhythmia with 2nd degree heart block.?

What medicine can be used to cure sinus arrhythmia with 2nd degree heart block.?

None really: Sinus arrhythmia is a benign condition seen in younger patients that causes variation in heart rate related to increased vagal tone. 2nd degree heart block can be of the benign variety (mobitz 1) or more serious (cant tell without seeing your ekg). Talk to your physician. Medicines do not cure these things. ...Read more

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Would inappropriate sinus tachycardia cause high heart rates all the time or episodic?

Would inappropriate sinus tachycardia cause high heart rates all the time or episodic?

Sinus tach : Inapprorpriate sinus tach is by definition not a paroxysmal thing so it should be an all or most of the time thing. ...Read more

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Does it happen that people are in sinus bradycardia while having heart failure? Without medication?

Does it happen that people are in sinus bradycardia while having heart failure? Without medication?

Yes: Mostly patients and congestive heart failure or either have to keep cardio or intrafibrillation. By patients could be in sinus bradycardia, besides medications a lot of things can effect your heart rate ...Read more

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What medication and things should I avoid with sinus tachycardia? Just getting excited sometimes makes my heart work to hard and skip

What medication and things should I avoid with sinus tachycardia? Just getting excited sometimes makes my heart work to hard and skip

Caffeine: You should avoid stimulant medications- amphetamines, and caffeine containing products. Caffeine in coffee and tea and dark chocolate can make your symptoms worsen. ...Read more

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When standing my head has a huge pressure feeling and hurts bad and my heart skips and beats hard. Why is this? Low BP and sinus tarchydia.

When standing my head has a huge pressure feeling and hurts bad and my heart skips and beats hard. Why is this? Low BP and sinus tarchydia.

May be dehydration: If your blood pressure drops and heart increases on standing, this is concerning. It can be as simple as dehydration or complex diagnosis of autonomic dysfunction where you body doesn't responds properly. You may wanna consult you doctor and get BP checked in different positions. ...Read more