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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My echo showed RWMA, trivial MR, grade I LV diastolic dysfunction. Should I get angiography?

Query: Hello doctor, As I am feeling tired of walking, my company doctor suggested for ECG, and it showed no abnormality, after which he suggested going for ECHO. The ECHO report shows as follows, ECHO diagnosis RWMA, trivial MR, grade I LV diastolic dysfunction, no pericardial effusion or clot. Now docto...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). In ECG, there is RBBB (right bundle branch block), and ECHO shows RWMA (regional wall motion abnormality) and mild LV systolic dysfunction. There is a mild cardiac dysfunction, so you ...  Read Full »

What should be done for low blood pressure with second-degree heart block.

Query: Hello doctor, My boyfriend is 24 years old. Being a fitness trainer, he does not take any drugs. He has been getting chest pain for the past four months and sometimes lightheadedness. He went to the doctor and had done a blood test which came back normal. His blood pressure is low, and he had a 24-h...  Read Full »


Dr. Ilir Sharka

Cardiologist

Answer: Hello, Welcome to icliniq.com. I understand your concern. I want to explain that when we are in front of a cardiac conductance abnormality in an young adult first, it is necessary to exclude an infectious and inflammatory disease, like Lyme disease, sarcoidosis, and other cardiac issues, like myoc...  Read Full »

Is it necessary to get open heart surgery for block?

Query: Hi doctor,My uncle went to the hospital with breathing trouble before five days and they said he has a heart problem and there is more block and want to do open heart surgery. Kindly advise.  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. I have gone through an angiography report (attachment removed to protect patient identity). There are multiple blockages including a blockage in a left main coronary artery (LMCA), for which bypass is the best option. So, angioplasty is not possible and should undergo ...  Read Full »

I get high pulse rate without breathlessness after a brisk walk. Am I safe?

Query: Hello doctor, I am 40 years old male, obese, non-smoking, non-alcoholic, non-diabetic. My lipids and blood pressure are controlled with Rosuvastatin 5 mg and Olmesartan 20 mg. My query is that I walk regularly brisk and my pulse goes up to 145 and 150 without any breathlessness and recovery is also...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Yes, if your heart rate is going above 150 without any chest pain or heaviness then the probability of significant blockages (more than 60 to 70 percent) is very low. However, this or even TMT will not help to rule out plaquing. TMT does not help in the diagnosis or ...  Read Full »

Is it necessary to get bypass or angioplasty for blocked heart valves?

Query: Hello doctor, My father is 51 years old with normal weight (fit), yet he has diabetes and now a heart problem. Just got an angina attack. Doctors say bypass or angioplasty are the options since three of his heart valves are 70 to 80 % blocked. He is on a strict diet with no oil at all and only sala...  Read Full »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. Science is based on evidence and experiment. As for as three-vessel disease and diabetes mellitus, the evidence favors CABG (bypass) if there are suitable targets (which means vessels can be attached as a bypass). There are many trials which support this decision. Anoth...  Read Full »

How to clear the mild blockage present in my heart?

Query: Hi doctor, Recently, I did an ECG. The doctor examined me and told me that I have a mild blockage. Please suggest.  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. I have gone through the attachment (attachment removed to protect patient identity). There is sinus bradycardia with a heart rate of 55 to 60 beats per minute, with a right bundle branch block along with left axis deviation. There are no significant ST-T abnormalities s...  Read Full »

Is it possible to cure heart block with medicines alone?

Query: Hi doctor, I was told that there is a 10 percent mild blockage in my heart that can be made to zero by medicine. Is it possible? How long I have to use medicine? And to clear any blockage is there any fruit juices or any remedy that can help? Doing daily exercise will be helpful to reduce blockage.  Read Full »


Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I have reviewed your health query and want to add that it is all relative situation meaning that every patient has a different scenario. Some patients have no issues with cholesterol but some have a family history of raised cholesterol levels. Patients may also have a f...  Read Full »

I have a discomfort under my sternum when I walk up a slope. What do you suggest?

Query: Hello doctor,I have a very localized discomfort under my sternum when I exercise. Generally, it does not occur with just walking on level ground but on even a gentle slope (incline) I begin to notice it. I have had an echocardiogram. The cardiologist recommended an angiogram and possibly an angiopla...  Read Full »


Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. I have reviewed your health query and have understood you may be having what is called ischemic heart disease. In this disease, the vessels supplying blood to the heart muscles itself, get clogged due to any reason. When there is the partial blockage (incomplete bloc...  Read Full »

What are the treatment options for heart block?

Query: Hello doctor, My 72 year old father, recently got some breathing problem, so we went to the doctor. The doctor said that his cholesterol is high, and told my dad to take medicines. After a month he went for angiography and the reports show some blockages in the arteries. He got a minor heart attac...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. His reports (attachment removed to protect patient identity) certainly show significant blockages in the arteries. It is not possible to comment on the treatment from the photos alone. You need to upload the final report of the angiography, mentioning the vessel a...  Read Full »

Could you please review my ECG and explain the report?

Query: Hello doctor, I had to take an ECG for employment purposes. As the cardiologist is not around, I would like to know the result of the ECG, as soon as possible. Could you please review my ECG and explain the statements in the upper right corner? I have never had any heart problems, and I do not prese...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. There is conduction system in the heart, and it consists of various wires called bundle and fascicles. Due to various reasons like coronary artery disease, hypertension or a block or interruption of conduction, it may lead to changes in the ECG (attachment removed to...  Read Full »

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