Dr. Isaac Gana
Cardiology
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Patient's Query
Hi doctor,
I have dysautonomia. I wanted to get that out of the way at first. I also have bad anxiety and depression which may affect how I feel. I also had a heart catheterization 3 years ago for RVOT. I wore a monitor for two weeks, a couple of weeks ago and I just got the results and I have no clue how to read them and waiting for the doctor to get back with me. Here's what it said on the site that he wrote out. "15 days of monitoring analyzed. 13 symptomatic and 34 asymptomatic strips submitted. All symptoms primarily of lightheadedness with one or two chest pain and SOA. All strips show sinus rhythm with rates between 39 bpm and 174 bpm. One c/o skipped beat correlates with RSR with 1 PVC. Symptoms of lightheadedness and dizziness generally occur with sinus tachycardia". I have always dealt with tachycardia for almost a year. I had almost a normal heart rate than some bradycardia. It was weird. Like he totally reversed it. Now it is back obviously fainting and whatnot again. I think I get some of what he is saying, but not all. Please help. I am currently on Clonazepam, Gabapentin, Prilosec, Adderall, and Paxil.
Hello,
Welcome to icliniq.com.
I have read through in detail all your explanations and I understand what you are going through. Dysautonomia is a condition that affects the autonomic nervous system. This is the system that transmits information to organs like bladder, heart, blood vessels, etc. It can be associated with symptoms such as bradycardia, tachycardia, etc. Your test result shows that severe bradycardia was recorded, while tachycardia was recorded which was accompanied with dizziness and lightheadedness. This test gives the possibility of RVOT (right ventricular outflow tract) with premature ventricular complex (PVC). In this kind of situation, I prescribe beta-blockers for my patients. I advise you to avoid anything that contains caffeine. If there is no improvement in due time catheter ablation can be considered.
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