Could anyone please explain in plain English a couple of terms in a report of my latest cardiologist appointment which I received a copy of this morning. And yes, I did google them and spent most of the morning going cross eyed trying to understand the results!
Apparently my recent 7 day monitor recorded four episodes of AF, so far so good....at least it showed up when required this time! "the fastest was 175BPM and there was abberant conduction...the longest was 145BPM at that time." It concludes with the phrase " the ECG before fitting the monitor showed sinus bradycardia at 51 " In his summing up, and at a loss to explain symptoms I had described, " it is possible I am hypotensive for periods " and reduced my daily dose of Bisoprolol from 10mg to 5.
If anybody could explain this I would be half way there......and the drinks would be on me.
Written by
kernow43
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O K lets start with synus bardycardia. Synus rhythm is normal rhythm. Bradycardia means slow heart rate and anything under 60 is considered that. Over 80 is tachycadia (fast heart rate). As a cardiologisty once told me , when they don;t want the patient to understand something they give it a Greek or Latin name.
Abberant conduction means that the electrical pathways are not normal. If you have AF that is a given surely.
Hypo means under (hyper =over) thus hypotensive means LOW blood pressure rather than hypertensive = high blood pressure.
Thanks for that Bob, so if I'm understanding it then, taking the report as a whole, I'm recording fast AND slow heart rates, and, although whenever my BP has been taken at the surgery or whatever, it's normally the high side of normal. One things for sure....I've got AF. Perhaps a cut in the Bisoprolol will help the other symptoms......or perhaps not.
Yes it seems that when not in AF your HR is low.probably due to the bisoprolol which is why he has reduced it. Obviously when in AF the HR goes through the roof. Blood pressure often goes down when in AF although mine always went UP for some reason. I reasoned that the body was trying to make the most of the reduced blood supply by shrinking the veins and arteries which resulted in the raised BP but most people's BP drops in AF so it must be me.
I think I missed out a bit when talking about my BP. Before I saw the cardiologist, the nurse took my BP which was 109/68 when it's normal for me to be 130 or so. Never seen it that low since it started to become, alongside the AF, a major factor in my life. I'm afraid it dos'nt take much to start me worrying these days. Being an old cynic, if I can see it or explain it, I can deal with it.... Anyway thanks for your time and advice, and I look forward to buying that large one at the bar.
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Great tip from cardiologist registra 
Very frustrated with cardiologist
Recommendation for EP and/or Cardiologist
