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Veteran needing guidance with heart issue and vasovagal syncope
hopefulheart posted:
have vasovagal syncope. my ekgs come back with these results

1. synus bradycardia with sinus arrhythmia
2. Possible left atrial enlargement, incomplete right bundle branch block, T wave abnormality, consider anterior ischemia, abnormal ecg
3. Right bundle branch block with sinus bradycardia

i just had an ultrasound of my heart and it showed regurgitation and now i have a heart murmur i never had before.

every day i get chest pains that go into my right arm, im constantly dizzy, i feel like im burning up inside and it gets hard to breathe at times. i am a disabled veteran and i go to the va hospital. i have taken a tilt table test that i failed and for 5 minutes they could not take my blood pressure after it hit 84/43. this was the last bp reading i saw before i passed out.

i have to carry bayer with me because the chest pains hit me at any time and i get the nausea and sudden sweating chest pains, dizziness all that. all my ekgs always come back abnormal with the rbbb with synus bradycardia. i have a few friends that are paramedics and one that is a cardiologist and he says there is definitely something wrong with my heart. ii even keep a bp monitor with me to keep a record of my bp. its to the point i can tell when my bp is dropping without the monitor. i cant keep going like this.

i guess my question is do i need to push this issue further with my doctor or just let it go since they dont seem like its anything to bother with.

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hopefulheart responded:
also have what is known as p.o.t.s. with all this as well
cardiostarusa1 replied to hopefulheart's response:

"Do I need to push this issue further with my doctor"

Yes. Definitely.

..."and it showed regurgitation"

Valvular regurgitation (leakage) 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).

Valvular regurgitation grading scale by echocardiography is 0-4 . Valvular regurgitation can cause various symptoms or no symptom(s) at all.

Take care,


WebMD member (since 8/99)



Be well-informed

Vasovagal Syncope


Bundle branch block

Causes, significance and treatment

Bundle branch block (BBB) is a relatively frequent finding on the electrocardiogram (ECG). Sometimes BBB itself needs to be treated; sometimes it indicates significant underlying cardiac disease that needs to be treated; and sometimes it has so little significance that no treatment is necessary at all...

Right and Left Bundle Branch Block

Incomplete BBB, Hemiblock, The Hemiblocks,The left bundle branch itself divides into...... Sometimes a block can occur in just one......referred to as a hemiblock, or a fascicular block.

Bundle Branch Block Symptoms


POTS: An Overview

Dysautonomia Information Network

Pertinent snippets

POTS can be categorized as primary, meaning it is idiopathic and not associated with other diseases, or secondary, meaning it is associated with a known disease or disorder......
People generally develop POTS after becoming sick with a virus, giving birth, or being exposed to great bodily stressors (i.e. surgery, trauma or chemotherapy). Some people have had POTS their entire lives. Teenagers sometimes develop the disorder during the years of rapid growth, and 75-80% of them can look forward to being asymptomatic when they reach adulthood

_ . _

Important points about POTS -

As reported:

POTS is defined as a clinically significant increase in heart rate (anywhere from occurring immediately or to within 10-30 minutes) upon standing from a lying down or sitting position.

The length/duration of time patients diagnosed with POTS can comfortably stand varies wdely from one individual to another.

POTS often generates a temporary rise in blood pressure (BP) immediately upon standing due to rapid acceleration of the heart rate.

POTS patients often have a measurably low standing pulse pressure (that is, difference between systolic and diastolic, normal resting pulse pressure is 40 mmHg, give or take a bit), which may/can be an indicator of blood pooling (collecting).

Some patients with POTS have a damaged regulatory system that may/can result in paradoxical wild swings in BP from under 50 mmHg to over 200 mmHg. Complexly, POTS can be a low and high BP pressure problem combined.

During a Tilt Table Test, some POTS patients have large drops in BP and pass out (syncope, temporary loss of consciousness, also includes fainting), while other patients have only relatively shallow/small drops in BP, or none at all.


Heart Rhythm Society

Patient Resources


Learn About the


The Heart: (Human Anatomy) Pictures, Definition, Location in the Body and Heart Problems



"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!"

- Charles Inlander, People's Medical Society


WebMD/WebMD forums does not provide medical advice, diagnosis or treatment.
hopefulheart replied to cardiostarusa1's response:
thank you for all the info! i have talked to my doctor and she is sending me to see a cardiologist. especially since last night my chest was hurting so bad and my bp dropped to 72/54 and pulse 122. probably should have went to the hospital but im so used to being told nothing is wrong i never know what to do anymore.
cardiostarusa1 replied to hopefulheart's response:
You're welcome.

Take good care,


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