slow heart rate

dolores said:

my daughter, a student nurse, passed out at work. This was the second
time since last March. This time there were plenty of doctors around.
Her blood pressure was 90 over 56 and her heart rate was 30. She is
scheduled for an ekg.

Can anyone tell me what the low heart rate could mean? I am very
worried.

Dolores

Sounds like vaso-vagal syncope. This is brought on by both predisposition
and environmental factors such as dehydration and excessive standing. Her
doctor(s) should be able to advise her on what to do to prevent future
episodes of this.

Humbly,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

In the electrophysiology office that I work we see many patients in our syncope
clinic. Neurocardiogenic syncope is one of the most common forms of syncope in
young adults. Usually our work up includes, tilt table test, 30 day event
recorder, EKG and ordered at the consultation. Have your daughter see a
specialist in this area to rule it in or out.

[email hidden] (Complex592) wrote in message news:<[email hidden]>...

Quoted message said:

In the electrophysiology office that I work we see many patients in our syncope
clinic. Neurocardiogenic syncope is one of the most common forms of syncope in
young adults. Usually our work up includes, tilt table test, 30 day event
recorder, EKG and ordered at the consultation. Have your daughter see a
specialist in this area to rule it in or out.

to dr. chung and complex, thank you for the information regarding my
daughter's low heart rate. Last spring when she passed out, she had an
ekg and they found no problems. She just told me they diagnosed the
problem as vaso vegal syncope.

She is scheduled now for an eeg but has to wait until the end of
January. She was not put on a tilting table or tested in any other way
except the ekg.

she lives in arizona as does most of my family. I am not impressed
with the medical care my family is getting there when it comes to
scheduling appointments and tests. Some of them have never been seen
by a doctor but are referred to a nurse who makes the diagnosis.

Dolores

SUGGEST TO YOUR DAUGHTER THAT SHE SEE AN ELECTROPHYSIOLOGIST. THE TREATMENT
FOR THIS TYPE OF SYNCOPE CAN BE AS SIMPLE OF DIETARY TO A MEDICATION THAT CAN
IMPROVE THE RESPONSE. ONE OF THE THINGS WE MOST OFTEN SEE IS A WHOLE BATTERY
OF TESTS BEING DONE BEFORE THE TILT. EEG, CT OF BRAIN, NEUROLOGIST EXAM. ONE
SHOULD LOOK FOR THE SIMPLEST ANSWER BEFORE TRYING TO RULE IN THE MOST
DIFFICULT. ESPECIALLY IN THIS AGE GROUP WHERE HEART RATE AND BLOOD PRESSURE
WERE DOCUMENTED.