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Is Pulse Rate Of 45 Bpm In An Elderly Person A Cause For Concern?
Question: My pulse is 45 bpm, age 62 female, with heartrac ecat. Are bpm's in the 40s going to require a pacemaker? Will have nuclear stress test after monitoring is complete. Thank you.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello,
Welcome on HCM!
First, I would like to explain that a heart rate of 45 bpm may be just a normal sinus rhythm with bradycardia, but also any atrio-ventricular conductance disturbances (second or third degree atrio-ventricular block).
(1) If atrio-ventricular block is confirmed by continuous cardiac monitoring, then a clear indication of pacemaker implantation would be the rationale choice.
(2) If only sinus bradycardia is present without any significant symptomatology (profound weakness, dizziness, presyncope or syncope), then a close and periodic medical supervision without deciding immediately for pacemaker implantation would be necessary to exclude a hidden sick sinus syndrome.
I would be glad to review your nuclear stress test report.
Please, let me know about heart rate monitoring conclusion and your additional tests.
In case of further uncertainties, do not hesitate to ask me!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello,
Welcome on HCM!
First, I would like to explain that a heart rate of 45 bpm may be just a normal sinus rhythm with bradycardia, but also any atrio-ventricular conductance disturbances (second or third degree atrio-ventricular block).
(1) If atrio-ventricular block is confirmed by continuous cardiac monitoring, then a clear indication of pacemaker implantation would be the rationale choice.
(2) If only sinus bradycardia is present without any significant symptomatology (profound weakness, dizziness, presyncope or syncope), then a close and periodic medical supervision without deciding immediately for pacemaker implantation would be necessary to exclude a hidden sick sinus syndrome.
I would be glad to review your nuclear stress test report.
Please, let me know about heart rate monitoring conclusion and your additional tests.
In case of further uncertainties, do not hesitate to ask me!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you. Do have light headed XXXXXXX pre syncope, very tired.
Brief Answer:
I recommend as follows:
Detailed Answer:
Hello again!
Thank you for the additional information!
You should know that low blood pressure could be an important contributor to this clinical situation.
Coming to this point, I recommend you to closely monitor your blood pressure and heart rate during the day and refer those values to your attending physician and discuss the best treatment options.
Please, let me know about everything!
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
I recommend as follows:
Detailed Answer:
Hello again!
Thank you for the additional information!
You should know that low blood pressure could be an important contributor to this clinical situation.
Coming to this point, I recommend you to closely monitor your blood pressure and heart rate during the day and refer those values to your attending physician and discuss the best treatment options.
Please, let me know about everything!
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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