Sinus Bradycardia

Sinus bradycardia is a condition where the heart rate is reduced. The reduction is caused by a delay in signals from the sinoatrial node. Old age, sick sinus syndrome, congenital heart disease, obstructive sleep disorder, heart attack, etc., are the causes for delay in the signal. Treatment is done with the help of a permanent pacemaker.

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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 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 »

Please interpret my ECG report and explain the seriousness of my heart problem.

Query: Hello doctor,I am a cardiac patient for 13 years and have 50% blockage in LAD. I am sending you my recent ECG report. Please examine my ECG report and give me suggestions on how my heart is now and how dangerous is my cardiac problem? And what precautions to be taken?  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to Do you have any symptoms at present? What all medications are you on? Do you have any previous ECG for comparison? When was this angiography done? Any follow up testing for blockages? I have seen the ECG report (attachment removed to protect patient identity)...  Read Full »

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

Answer: Hi, Welcome to 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 »

Is Metpure-XL (Metoprolol) advisable in sinus bradycardia?

Query: Hello doctor, I have been a high BP and sinus bradycardia (heart rate of 52) patient for the last four years. I used to take Metpure-XL 25 mg after breakfast based on my cardiologist's advice. For the last six months, I was having headache and confusion plus slightly increased urination. Last wee...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to Firstly, it is better to avoid Metpure (Metoprolol) if the heart rate is on the lower side at least resting heart rate should be above 55 to 60 per minute. Also, we have other options available for blood pressure control. So, it is better to reduce the dose to...  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

Answer: Hi, Welcome to 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 »

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 »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to 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 »

I had high blood pressure and low heart rate. Is my ECG showing infarction?

Query: Hi doctor,I had high blood pressure, low heart rate. Is my ECG showing infarction? I have no chest pain. At the time of ECG, my blood pressure was 168/100 and heart beat 46.  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to I have gone through your ECG (attachment removed to protect patient identity). The reports mentioned on ECG are machine generated and are frequently inaccurate. There is no clear-cut evidence of myocardial infarction on ECG. As you also do not have any history of ch...  Read Full »

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