Heart Block

When the electrical system of the heart is affected, making the heart beat irregularly or slowly than before, it is called heart block. The symptoms of heart block are palpitations, shortness of breath, lightheadedness, chest pain, etc. There are three types of heart block, first-degree, second-degree, and complete heart block.

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Is it normal to have mild supraventricular tachycardia in a healthy individual?

Query: Hello doctor, I am a 74 year old male in excellent health, and I am not on any medications. Recently, I had a strange chest sensation. It felt like my heart stopped or skipped, and I felt lightheaded like I might pass out. I had an EKG, echocardiogram, and a Holter test done. The EKG results were n...  Read Full »


Dr. Muhammad M. Hanif Md.

Answer: Hello, Welcome to icliniq.com. I understand you are a little worried about your heart and have been on the Holter monitor for a while. I appreciate that you have uploaded the reports in full for my consideration (attachment removed to protect patient identity).  From the fact that you are not on an...  Read Full »

Can medicines cure minor heart blocks?

Query: Hello doctor,I had chest pain after three weeks of the second shot of the COVID vaccine. My arms went numb. I consulted a doctor, and all my blood tests were normal. So, he referred me to a cardiologist who suggested me do a treadmill test and stress echo test. The results came positive for myocardi...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Yes, it is appropriate to go for CT (computed tomography) and coronary angiography, as the probability of disease is still low to moderate only. I guess you did not have any symptoms like chest pain or heaviness during the test. With the negative ECG (electroc...  Read Full »

Is there any medical treatment to cure blocked blood vessels?

Query: Hi doctor, My mother is 80 years old. She felt uneasy in the night, and we immediately took her to the hospital. She was diagnosed with three vessels blocked two of them 90%, and the third one is 40% blockage. After angiography, the doctor advised for an operation. Due to her age, we would like to g...  Read Full »


Dr. Salah Saad Shoman

Answer: Hi, Welcome to icliniq.com. Unfortunately, no medical treatment can restore the blood flow in the blocked vessels. Your monther's condition requires a percutaneuos coronary stent. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online...  Read Full »

My grandmother got a minor heart attack due to heart blocks. Will medicines help?

Query: Hello doctor, I have an 80 year old grandmother. She had unbearable chest pain two weeks back, due to which she was admitted to the hospital. After checking the ECG report, the doctor said that she suffered a minor heart attack. He said that my grandmother has a blockage in the heart. She does n...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. I have gone through your grandmother's test result (attachment removed to protect patient identity). I can see some changes, which confirms that she suffered a heart attack. Suffering a heart attack is not something anyone recovers from immediately, it will certa...  Read Full »

Will enzyme imbalance, heart problems, and diabetes mellitus cause continuous hiccups?

Query: Hi doctor, Father-in-law has sugar and is already on medicines and injections. He is now having continuous hiccups. He is COVID negative. Attached are some of the tests done. What could be the reason for these hiccups? Kindly give your opinion.  Read Full »


Dr. Zubayeralam

Answer: Hi, Welcome to icliniq.com. According to your statement, your father-in-law has been suffering from continuous hiccups. He is a known case of diabetes mellitus, and he is on medications. According to his urinalysis report (attachments removed to protect the patient's identity), protein, sugar, bl...  Read Full »

Which has to be given priority among angioplasty and pacemaker placement?

Query: Hi doctor, My mother is 64 years old. She has diabetes and hypertension. She suddenly fainted after taking BP medicine. Her pulse rate went down to 30. She is admitted to the hospital with a low pulse rate of 50 to 55. The angiography is showing two blockages. One is 70%, and the other is 90%. The ...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. According to your query, two vessels are diseased. Her heart rate went to 30, and she fainted after taking BP (blood pressure) medicines. 1) Why angiography was done? 2) Did she have heart attack or just uncontrolled angina? 3) What medicines is she taking for BP ...  Read Full »

Does an underlying heart disease lead to a heart block?

Query: Hi doctor, My ECG report reads as sinus bradycardia with first degree AV block, rSR' or QR pattern in V1 suggests right ventricular conduction delay, borderline ECG. How serious is this? I can scan ECG if that helps.  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hi, Welcome to icliniq.com. Are you symptomatic at the moment, like dizziness on exertion, chest pain or heaviness on exertion, etc.? Are you on any medications at the moment? Did you undergo a thyroid profile recently? How active are you, or are you an athlete? First, this is not a serious issue ...  Read Full »

Kindly suggest the seriousness of triple valve disease in a smoker.

Query: Hello doctor, I am a 42 year old male. I smoke 30 to 40 cigarettes per day. I was admitted into a hospital last week with chest pain and underwent angiography, which showed triple vessel disease. ECG was showing normal rhythm with no evidence of acute ischemic changes. Troponins were mildly elevat...  Read Full »


Dr. Amiya Kumar Chattopadhyay

Answer: Hi, Welcome to icliniq.com. After seeing your reports (attachment removed to protect patient identity), yes, three of your major vessels are affected. But, the seriousness depends on the percentage of the block and how narrow the vessels have become, which I cannot make out by looking at the photo. ...  Read Full »

For heart block, which is better - bypass or stent?

Query: Hi doctor, My brother-in-law went for angiography, and he has two blockages 60% and 80%. Now, his doctor saying that it is urgent to get an operation and they will fix two stents. What will you suggest? Is it fine to go with a stent? Will it work lifetime? Or shall we opt bypass?  Read Full »


Dr. Nageswara Rao

Answer: Hi. Welcome back to icliniq.com. If he does not have diabetes, then he can go for stents. Angioplasty cannot guarantee for lifetime. Angioplasty works well for a decade. Sometimes, a patient condition may not fit for CABG. Even CABG (coronary artery bypass grafting) also cannot give a lifetime gu...  Read Full »

What does abnormal repolarization in an ECG report mean?

Query: Hi doctor, I am an 80-year-old female with some history of slight hypertension but without any other significant health issues. I am not on any medication at all. I usually measure my blood pressure and pulse once or twice a day to monitor it. Historically, my blood pressure has been in a band of 1...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. Thanks for the query. Your 12 lead ECG shows the right bundle branch block and normal heart rate. The rhythm strip shows intermittent 2nd degree AV block. If you are not taking any rate slowing medicine, then this block can be due to an age-related degenerative proc...  Read Full »

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