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Changes in exercise and pulse...
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007MRbond posted:
Recently had my pulse drop down to 39 BPM...was taking cardizam 120 mg / Cardio doc said we should try with out it so now has been 2.5 weeks / I have settled with out meds into a below to just above 50 in the day, sometime 62. dropping back to 43 when lying down or moving around the room while watching TV. Wake up in the low 40's to 48 / still having palps and skipped beats or a short break in between the beat [as in no beat> with a little discomfort in the chest / a little puffy in the feet from time to time / Wondering...have a type of arrhythmia [not sure yet> but lately when finishing walk/run my diastolic stays above 105 + and my systolic is at 134-145 & heart rate is around 80+ right after finishing. During run I am now seeming to not get enough air and feels like a dam elephant is on my chest with a little nausea, hence short of breath. Just don't seen to be able to get the air I need and complete the exercise as I did a year ago. this has changed in the last 8 months. Cardio doc gave me an ehco 14 months ago with mild regurgitation and mild hypertrophy. could this mean the valve has decreased in stroke volume hence not enough oxygenated blood??
Would appreciate any info as I am going back to my cardio doc next week.
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cardiostarusa1 responded:
Hi:

"Still having palps and skipped beats or a short break in between the beat (as in no beat)"

"Wondering...have a type of arrhythmia (not sure yet)"

As applicable, the most common type of palpitations, premature ventricular contractions (PVCs, occurs even in many heart-healthy individuals), described that the heart is flip-flopping, fluttering, jumping, pausing or stopping briefly (though it's actually not doing that), pounding, skipping, thumping, or strong, hard, or forceful beats being felt in the chest, neck, throat, has various causes (cardiac and non-cardiac) or triggers.[br>[br>As reported, PVCs are typically harmless (benign), be it isolated (single), couplets (2-in-row), triplets (3-in-a-row) or salvos (short bursts of 3 or more in-a-row), bigeminy (occurring every other beat), trigeminy (occurring every third beat), quadrigeminy (occurring every fourth beat), etc., etc.[br>[br>However, the main problem or concern (even more so, much more emphasized for those with certain major or serious heart conditions) with PVCs is when sustained ventricular tachycardia (runs of PVCs over 30 seconds) occurs.[br>
"Cardio doc gave me an ehco 14 months ago with mild regurgitation and mild hypertrophy"

Valvular regurgitation (leakage, a backflow of blood through the one way-only valve) levels goes from trace or physiologic (aka minimal or trivial, found in many otherwise heart-healthy people, and for the most-part, can be safely ignored), to mild (should be monitored) to moderate (should be monitored closely to see what overall effect it's having on the heart) to severe (when it gets to this point, valve repair or replacement is usually dictated). [br>[br>Valvular regurgitation grading scale by echocardiography is 0-4 . Valvular regurgitation can cause various symptoms or no symptom(s) at all. [br>
Hypertrophy typically affects the left ventricle (LV), a thickening of the wall . The most common cause is hypertension.[br>[br>Health Central [br>[br>Cardiac Enlargement: A Patient Guide[br>[br>There are two types of cardiac enlargement: Hypertrophy and dilation....[br>[br>With the exception of exercise-induced enlargement, all forms of cardiac enlargement are abnormal and associated with further...[br>[br>http://www.healthcentral.com/heart-disease/patient-guide-44614-6.html [br>
Best of luck down the road of life.

Take care,
[br>CardioStar*[br>[br>WebMD member (since 8/99)[br>[br>[br>[br>-[br>[br>-[br>[br>Be well-inforned[br>[br>As applicable[br>[br>MedicineNet - We Bring Doctor's Knowledge to You[br>[br>Palpitations[br>[br>http://www.medicinenet.com/Palpitations/article.htm [br>[br>eHealthMD[br>[br>Palpitations[br>[br>http://www.ehealthmd.com/library/palpitations/PAL_whatis.html [br>[br>Learn about the heart's delicate and precise electrical conduction system

Animated Tutorial[br>[br>http://www.your-doctor.com/healthinfocenter/medical-conditions/cardiovascular/conductiontutorial.html [br>[br>Heart Rhythm Society[br>[br>Patient and Public Information Center
[br>http://www.hrspatients.org/patients [br>[br>-[br>[br>WebMD[br>[br>Heart Disease TYPES[br>[br>Men and Women[br>[br>Acquired in life or congenital (born with it)[br>[br>http://www.webmd.com/heart-disease/heart-disease-men [br>
Heart Disease SYMPTOMS
[br>[br>http://www.webmd.com/heart-disease/guide/heart-disease-symptoms [br>[br>-[br>[br>LEARN ABOUT the Heart[br>[br>[br>WebMD[br>[br>The Heart: (Human Anatomy) Pictures, Definition, Location in the Body and Heart Problems
[br>http://www.webmd.com/heart/picture-of-the-heart [br>[br>
HeartSite
[br>[br>Heart info, cardiac tests info, actual diagnostic images.[br>[br>http://www.heartsite.com [br>[br>-[br>[br>Quote![br>[br>"Be a questioning patient. TALK to your DOCTOR and ASK Questions. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"[br>[br>- Charles Inlander, People's Medical Society[br>[br>.[br>[br>It's your future......be there. [br>[br>. .[br>[br>WebMD/WebMD forums DOES NOT provide medical advice, diagnosis or treatment.

 
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billh99 responded:
It is possible that the regurgitation has gotten worse and that can cause you shortness of breath.

It is also possible that you have a separate blockage in the coronary arteries.

The palpitations might be harmless. Or they might be getting worse do to irritation of the heart caused by one of the above problems. Or you might have a separate electrical problems.

In my case I have long had PVC's. Sometimes as high as 15% of the pulses. But I rarely notice them unless I am taking my pulse.

Then a few years ago I developed SOB and it turned out be coronary artery blockages. Bypass handled those.

But in the process I was also found to have a mild MVR. It is currently not causing any problems, but being monitored.

You will probably have a stress/echo test and a Holter monitor.
 
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007MRbond replied to cardiostarusa1's response:
Many thanks sir/ madam...this is much appreciated as I need to have all my ?? for my cardio in line as time with him is limited. Being 42 I am a bit early for these and my cardio specifically says I have no blockage going on so pays less attention to the other possibles. Been with him 1.5 years and still in the same position ...not knowing! considering changing doc's for a fresh perspective.

Thanks again
 
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007MRbond replied to billh99's response:
Thanks for the answer Bill...hoping to get a new Echo to see how the re-gurge is going and what the shortness of breath during the exercise really is...and the palps of course...

Thanks


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