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In-house Physician
DoctorSpring
Patient replied :
Sorry, I didn't realize it hadn't populated. I'm 34 year old male with a history of Mitral Valve Prolapse with regurgitation and anxiety attacks. In the last week my bpm has sat between 50-60 ( I am not athletic). I ended up in the ER because it dipped down to 44. Of course I was nervous so it jumped up quite high so they were unable to see it. EKG and blood work came back normal. I have an appointment with my cardiologist on Friday, but my bpm is again sitting at 53-56. Is it ok to wait to see the cardiologist or should I go back to the ER? Is it anxiety related? Forgot to mention I am not dizzy or having chest pain
Hello,
Thank you for your consult at DoctorSpring.com.
Your resting heart rate dipped to 44 per min. But were you having any symptoms like dizziness giddiness or blackout? Asymptomatic sinus bradycardia does not required any treatment except for observation.
Are you on any medications which reduce the heart rate like beta blockers or dilzem?
Did your ecg reveal any abnormal rhythm? Please upload ecg recorded in the emergency room.
If you do not have any symptoms like dizziness or dinner or black out you may not visit the emergency room and monitor your pulse rate and heart rate.
Anxiety cannot cause bradycardia but bradycardia may cause anxiety
How severe is the mitral regurgitation sociated with the mitral valve prolapse.
Please reply as follow-up.
Regards
Dr Vivek Mahajan
DM Cardiology
Patient replied :
Hello Dr. Mahajan,
I had no symptoms and only discovered the bradycardia because I was worried about my blood pressure. I felt tired from lack of sleep but no chest pain etc. My mitral valve regurgitation and prolapse were mild and I am supposed to go every year to have it monitored. I haven't been since 2010 so after all this I made an appointment for Friday just to see. As I sit here at work, my BPM is around 90. It seems to only go low when I am at home.
Hello,
There is nothing alarming about your history. If you are asymptomatic and your heart rate is above 40 you should not go for any sort of treatment.
If you are on any drug like beta blockers or dilzem for mitral valve prolapse you may reduce the dose.
Mild MR needs to be monitored annually for progression.
Whats is the blood pressure? If normal there is not much that you should be worried about.
Regards
Dr Vivek Mahajan
Patient replied :
I am not on any meds for this. My BP is normal if I measure at home and sky high when I see the doctor but that is anxiety for you. Thank you, you made me feel much better.
Aaron