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Q. Is deep bradycardia always a sign of disease?


 

Hello doctor,

Why deep bradycardia (35 BPM) is a disease for some people and for other people is a sign of fitness and health? What makes the difference in the deep bradycardia (35 BPM) between disease and fitness?


Related Questions:
My ECG is normal and heart rate is high. Please advise.
Is it possible to have decreased heart rate due to sports activity?
Do I have sinus bradycardia based on the reports?
 

Dr. Salam Salloum
MRCP., MD. ADVANCED HEART FAILURE., ADVANCED HEART FAILURE., GENERAL CARDIOLOGY., CARDIAC MRI
Cardiology

Hi,

Welcome back to icliniq.com.

You raised a very good point. Cardiologist usually looks at the ECG and patient's symptoms. If the ECG does not show any features of conduction abnormalities and the patient is fit, healthy and has no symptoms, then it is reassuring especially if they are athletes. However, if the ECG shows a conduction abnormality or delays then it is of a concern and if the patient has symptoms of lightheadedness, fainting, collapses or exertional breathlessness, then it is of concern and needs more investigations and possible pacemakers if the condition persists after stopping all heart slowing medications.

You need to bear in mind that a single ECG could confirm a conduction abnormality if present, but does not 100 % exclude as the condition could be intermittent, This is why a period of continuous cardiac monitoring is recommended for the patients who have symptoms could be related to conduction abnormalities.

 
 
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Related Questions & Answers


Can bradycardia be related to sports activity?
Query: Hello doctor, I am male, 35 years old and weight 70 kilos, height 173 cm. Every year I do a medical checkup. In a recent medical check-up, there was a note related to heart rate (bradycardia), the result was 49 bpm. I also have checked manually and also using pulse meter, the result around 51 to 55...  Read Full »
Dr. Salam Salloum
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Answer: Hi, Welcome to icliniq.com. It is quite common and normal for regular athletes to have sinus bradycardia, I saw some with heart rate down to 40 to 45 bpm daytime. At night usually, the HR is slower and it can get down to 35 bpm. As long as you remain asymptomatic that is no lightheadedness and no ...  Read Full »
 
ECG shows RBBB and marked left ventricular hypertrophy. What does it mean?
Query: Hi doctor, My son is 12 years old, very active, plays representative basketball and attends a sports high school. Last Sunday, he was knocked over while playing and hurt his arm. After getting up, he fainted. He was fine after that. There were no broken bones, but the medical center did an ECG, and...  Read Full »
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Answer: Hello, Welcome to icliniq.com. The ECG (electrocardiogram) is showing incomplete RBBB (right bundle branch block) or early RBBB and features of left ventricular hypertrophy, and also heart rate is on lower side nearing 60 beats per minute. But as you mentioned, he is a basketball player. So, athle...  Read Full »
 
Do I have sinus bradycardia based on the reports?
Query: Hi doctor,I am 57 years old female. I am doing my annual health check-up for last three years. Below are some variation in my report this year, with respect to normal range. Could you please share your advice regarding this:E.C.G - Sinus Bradycardia (except this normal study. Same is there in the re...  Read Full »
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Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity) and they are fine. Even heart issue of sinus bradycardia appears to be fine. This is likely an age related change and slowing of the heart rate. I guess you do not have any symptoms o...  Read Full »
 
 

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