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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does It Mean By Synus Rhythm With Borderline 1st Degree A-V Block In An ECG Report?

I am a 63 year old male. My ECG report shows " synus rhythm with borderline 1st degree A-V block". My chest xray report shows "unfolding of arch of aorta noted". I constantly feel mild chest congestion, no fatigue no pain. My blood pressure is 187/90. Sometimes I experience cramps on the back of my upper thighs. What does this mean? How dangerous is it?
Thu, 18 Feb 2016
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Pulmonologist,  's  Response
Thanks for your question on Health Care Magic.
I can understand your concern.
First degree AV block means there is blockage in conducting impulse from atria and ventricle.
This condition is usually benign, not dangerous and not showing any symptoms.
But with hypertension, this can cause heart failure.
Your blood pressure is not normal. It is very high.
So with AV (atrioventricular) block, this can precipitate heart failure.
So your chest congestion can be due to early heart failure because of hypertension.
So we should first control your hypertension.
For this you need to start anti hypertensive drug, strict salt restriction in diet and exercise.
Don't worry, with control of blood pressure, your chest discomfort will improve.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What Does It Mean By Synus Rhythm With Borderline 1st Degree A-V Block In An ECG Report?

Thanks for your question on Health Care Magic. I can understand your concern. First degree AV block means there is blockage in conducting impulse from atria and ventricle. This condition is usually benign, not dangerous and not showing any symptoms. But with hypertension, this can cause heart failure. Your blood pressure is not normal. It is very high. So with AV (atrioventricular) block, this can precipitate heart failure. So your chest congestion can be due to early heart failure because of hypertension. So we should first control your hypertension. For this you need to start anti hypertensive drug, strict salt restriction in diet and exercise. Don t worry, with control of blood pressure, your chest discomfort will improve. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.