@@YorkCardiology found U a day before yesterday..My dad passed in 2007 due to Heart Attack..wished U were there to share..he was 66.Thanks for sharing very valuable information for many Souls who Needs it most.
Yeah, this is a prime example of someone being good at teaching. Your voice modulation in combination with examples and understandable explanations makes this video very easy to watch. I'm not a big fan of cardiology in general (sorry doc!) but as a german resident who still needs to take some exams I'm highly positive this video prepared me well for eventual exam questions. Cheers to you and keep up the great work, the amount of subscribers you have definitely is justified!
Thank you for breaking this information down so that it's comprehensible and understandable. You are a blessing! Thank you for your efforts at explaining so that we can digest this information. BTW, I really like your beard this way, it is pleasant & attractive for your complexion! 👍🏻🌠❣
You are brilliant and so interesting to listen to. I could listen to you all day! I am confident: that you save lives; that you make the world a better place, and that your patients know they are blessed from God to have you as their physician! All the best to you.
This is what I have I'm only 37 and had blacked out 6 times before I got a pacemaker in march and it has helped but I never got any information on my condition so these videos are a great help for me to learn more about whats wrong with me 👍💯
@@kayally all good actually the pacemaker dose it’s job, after it got fitted I slept better and don’t feel the cold as much too .I have my second catch up appointment with the hospital soon but no issues with it and back to a normal life pretty much I do feel when the pacemaker is doing it’s thing and I’ve caught it on a few things with work but it’s better than the alternative. They injected a small sensor under my skin to catch my heart stopping before I got the pacemaker but the first blackout and they knew I needed a pacemaker . Hopefully they sort you out quickly and you can get back to normal soon 🤞
This was very informative and I was able to understand. Most cardiologist don’t explain it as plainly as you so I appreciate that. I’m 40 and trying to understand this diagnosis. I’ll be getting the pacemaker soon. My only question is, if it is known if this is a condition is hereditary?
I want to thank u for giving us knowledge.....pls make a video on dialated cardiomyopathy. My father is diagnosed with dialated cardiomyopathy with 30 percent EF and mitral valve regurgitation. How to control this situation from getting worse? My father is in state 3 right now....I just want to prevent it form entering in stage 4
Thank you Dr. What do you think of Vitamin K-2? Should we take it to try to remove calcium from arteries? Would really love your thoughts on this, if you have time. Thank you!
Hi. Can this cause heart palpitations. I get random ones at anytime where the heart skips a beat. When tested on ecg and 24 hr holter monitor was not picked up. I eat well dont smoke dont drink much and exercise well. Im 47. What else could it be.
Wouldnt worry too much about it. Skipped or feeling skipped is most likely an “extra beat” (ironically), a premature atrial or ventricular contraction with a proceeding compensatory pause. They are typically benign if you have no other symptoms. Doesn’t stop them feeling unnerving though!
Hello Doc, I'm 63 & have been quite well up until recently with AF diagnosis. I have been listening to you since finding you & there's a lot to get my head around. Really appreciate your time & effort for education on this subject! Bless you
I always always just listen to the important and useful information you share here . Thank You for That... Howeverr.. Todayyy .. I just keep getting distracted by Your Beard .. Makes you look So Good.
Just a note to thank you for all your videos and time in making them. They have been so very helpful to me and my family. If you are ever iin Las Vegas and find yourself arrested, I can be counted on to provide the bail money for you. How's that for an appreciative subscriber? Please keep up the great work you are doing for us all.
I'm 40 and just implanted with a pacemaker as well. I had been given no reason either. No reason as to what caused my Sick Sinus Syndrome. I left with very little information. I now go in for IV saline infusions to help with the Orthostatic Hypotension and tachycardic side.
I discovered I had this after running a 5k event when I was 49. I flatlined for over 1 minute whilst asleep one night, fortunately I was wearing a monitor and doctors noticed it ( I woke up feeling unwell!) I was hooked up to a temporary pacemaker and had permanent one fitted the next day. Now I have been having more dizzy spells when my heart needs more oxygen, so getting that checked out - my doctor thinks the pacemaker telemetry needs adjusting so hoping this will get me back to normal 🥰
Thank your for your time and compassion to make these informative videos. Thank you for your soothing voice and delivery. And your beard is nice. I am so used to seeing you with your shaven face, I thought for a moment I had the wrong channel.
This must be why I lay in bed most of the day. I have heart failure because of my TGA, I had Mustard procedure too. I'm age 50. I'm waiting for the doctors to decide what to do next. They are now bringing in the Oxford Heart Centre? Also, I have AF too.
Dr. Gupta does not mix his medical profession w a particular political group or ethnic group, no gaslighting, no PUA to gain popularity. He goes straight to the clinical points. I can better manage my 30 years of the chronic condition by learning from his videos. Millions of thanks! 🙏 😊
Thank you sir for ur valuable information..my mother have the problm of sick sinus syndrome...nd she was undergone permanent pacemaker implatation on last weak..
Excellent lecture answers a lot of my questions re AF which at 82 I have just been diagnosed. I have no symptoms yet. Thank you and I follow you and your lectures.
Hi Doc, I am 30 years old, normal echocardiogram, 5x ECG. ALL NORMAL. what to do? im experiencing palpitations every day. and TACHY always. what test do i need? all blood tests are NORMAL. i don’t know what to do.💔im from the Philippines
You are a great explainer. I am 84 and have SSS and probably bradycardia, because pausing was discovered in 2017 while in hospital recovery post triple hernia repair & a Medtronic Micra leadless pacemaker was implanted in the right ventricle set at 45 BPM. I also have permanent/chronic asymptomatic AF & hypertension which is under control. Intermittently I have taken Norvasc & Coreg and am currently taking Coreg. Is it possible that the SSS could be reversed if I substitute another honorific med for Coreg? And should the Micra be programmatically reset to within the 60-100 normal BPM, or should the new Abbott Dual Chamber leadless pacemaker be installed and the Micra turned off? Thank you
Thank you for educating us in very clear language - you are the best doctor and teacher Can you do a video on bradycardia and what to do if pulse is marginally dangerous ie at 40 or dropping below 40 at night? Thank you Alex Sheppard
Thank you for all the information you put out. It’s so very helpful. I was wondering if you could do a video on Early Repolarization? I’m young in my 20s and was wondering what could it mean.
Hello Doc 😕 My mind became more lazy and lazier 😣 What can I do? I get tremors brain fog and hazy feeling very often but not to dangerous levels. *Nerve test says no problem Can it be anaemic? Any deficiency? 🙄 My son was class topper in 12std board exam held in March 2020 - that's my age. Edit::- neurologist said doesn't seem like nerve issue. He touched my whole head. I felt his palm. Medicine is so vast and scary OMG 😮
Thank you for this lucid, comprehensive, yet easily understood explanation of this subject. You packed in a lot of information in a short presentation that this lay person was able to understand.
hi Doctor, i am a software engineer working for an American firm. i really appreciate your channel and contribution. my dad recently had Mitral Valve Replacement surgery. Doctor placed SJM mechanical valve in there. but i am slightly worried about sounds coming out of the chest. its a metallic tick sound but sometimes its a little flashy sound too. am i overthinking? or something to worry about? and when will this sound go away or it will be there for rest of the life?
Dr. I’ve been watching your videos for years and it has helped relieve some of my anxiety because I understand somewhat of what I may be dealing with however I was interested in seeing how I could possibly have a consultation with you to try to dig deeper. I feel like my current cardiologists are just being passive and not truly trying to find a diagnosis and just telling me I have to deal with it without putting in the work. The doctors just want to medicate without doing the work
Same here, I have a slow heartbeat BUT my cardiologist says, "no symptoms, no problem" but I just have to come and see Doctor Gupta and see what he says 🙂 heart rate sits between 53 and 63 at rest...
Well explained and this has happened to my relative yesterday with no clues left. May be your valuable suggestions would be helpful in future. Thank you for your all round evaluation of this syndrome which of course is very confusing to the physician too.
I know you said that it is mostly common to have sick sinus syndrome in elderly patients, but is it possible to find sick sinus syndrome in younger patients’ as well? I am 23 years old and have been diagnosed with mitral valve prolapse as well as sinus tachycardia, but my symptoms are intermittent and I have spells of light headedness and rare spells of passing out. Naturally, it becomes worse if I am fighting allergies or sickness, or if I stop exercising for more than a couple of days at a time; my symptoms become more intense. I know you are unable to diagnose but I’m simply curious of the probability of this diagnosis and if it is something worth speaking to my cardiologist about? I remain very active and eat healthy, but since my issues started about 2 years ago, there are some activities that I simply can’t do any more without triggering symptoms. I love watching your videos, they are so interesting and very informative.
I've been told to get a loop recorder but the cardiologist I was seeing refused to put one in saying he already knew what I needed last year when he prescribed a high blood pressure medication until this year after wearing a holter monitor for a week said I needed a pacemaker asap. Yea, he knew?
I would love to know your thoughts and any data/case studies or data regarding long haulers who are now presenting bradycardia (I am one) or tachycardia (daughter). I was normal before in 60's and that changed after we got sick (moderate-severe case). Still seeing cardiologist and my primary. Thank you for your great explanations.
thanks for this video.. was in my 30;s working on intensive training.. my heart rate would go down to 40's and i felt i would pass out while on the exercise bike. doc said i was just in good condition and that is why it goes low.. hmph.. then while i was running track one day i landed on the ground looking up at the sky thinking i dying.. no one was around to help. later, i called ems as my heart rate was all over the place. was trying meditation and did not help.. ems wanted to take me in but i did nto have health insurance.. those angels called me at midnight and offered to take me in on their dime.. the doc at the er scolded me and told me i just wanted attention and was fine. a couple hours later, i went into 9 second pauses a few times and they rushed me in for a temporary pacer. my sister in law, a physician said i just had sleep apnea.. hmph... my first pacer only lasted 5 years.. took another 3 to figure out i had used up the battery.. 2d pacer lasted only 2 years.. 3d 2 1/2// convinced the pacer clinic at cleveland clinic whose director was a family friend to change the cables.. have been mostly fine the last 5 years but not dealing with atrial flutter.. so am wonderng if there is a connection. am certainly not feeling well.. am i mexico and need to go back to ohio for further testing.. iatrogenic injury is real. i get discounted as a female. often. wish you could be my cardio.. many blessings..
Thank you. I often worry about sick sinus syndrome. I feel some of the monitors I’ve used in the past were not picking up on the rhythms. While I don’t strictly rely on my Applewatch for HR numbers, it does show when my heart rate has up to 200 and then it will go down to 32. I explained these numbers to my electrophysiologist but he persist that my heart is in great condition. I do feel symptoms when my heart rate is high but I don’t feel anything when it goes low. I am naturally exhausted; honestly I don’t know what it feels like to be well rested anymore. I’m on a small dose of beta blocker. Started taking that 4 months ago. Feeling a lot better but occasionally I het those up and down heart rates. It’s very scary. I hate to bug my doctor about this all the time but I think having a recorder like what you mentioned; it’s called a loop recorder in the U.S., will really help put my mind at ease and my doctor will get to see for himself what’s been going on in my heart. I had an echocardiogram, does sick sinus show up on there? I’ve had a lot of tests done but I still feel like something is going on my heart. Why would my heart rate go to 200 and within the next few minutes, go to 38?
It is interesting that your heart rate swings do wildly!? 200 bmp is very fast. And then to suddenly just drop to 32 bmp. which is very low. Hmmm? May so ask what is your usual, everyday heart rate?🤔
Hey doc. Quick question Since two weeks ago i was training very intensly till at night time i got 5 consecutive palptations and it has been going on and off for two weeks now without training. All symptoms are the palpatations and fast heart beat with minimal exertion. Should i get myself checked out? Im 18 btw and i was borm with no heart disease
Sick sinus syndrome has multiple manifestations on electrocardiogram, including sinus bradycardia, sinus arrest, sinoatrial block, and alternating patterns of bradycardia and tachycardia👍
Hi, could sick sinus syndrome be difficult to see in a dilated cardiomyopathy heart with moderate LV impairment and a pronounced LBBB pls? Would it show on an exercise tolerance test on an inclined treadmill? All symptoms there but I don’t think it’s been specifically mentioned. I would like to suggest it at next appointment Eps with with ablation 2004 Then ICD 2005-2012 Deterioration felt last 3 years Ef was 13 in 2004 but thankfully now around 40 Thanks
I so appreciate your videos. I have had three abrasions. One for atrial flutter, two for atrial afib. Still have issues with afib now with more of an increased heart rate. Comes and goes and comes without warning. Very frustrating. Have a Reveal link cardiac implanted.
I have just recently stumbled on your ch - TY for your content. I'm in my mid 30s now and have dealt with bradycardia, orthostatic hypotension, and syncope [poss seizures] since my teens (ad well as CP on and off and abdom pain constantly [dx NAFLD this year and GP several years ago]). I also coded when I was in my early 20s (thankfully i was already in the CCU b/c i was working as a care tech). Even after the code, in the ER, they told me I was perfectly healthy and sometimes people just pass out and we dont know why, despite my nurse manager telling the staff it looked like Afib on the monitor upstairs. I followed up with a cardiologist and ever since all I've heard is "you just have an athletic heart" meanwhile my resting HR is usually 45-55 and BP ranges 80-95/60-80 (occasionally there are spikes but most of the spikes just put me into the range that is clinically "normal" and "healthy"). So TY for this info b/c I feel like this may explain what's been going on for so long.
I have POTS and random episodes of bouncing heart rate that lasts roughly an hour or so. It can happen a few times in a day or just once. These episodes happen at least a handful a times a year. My last episode was yesterday. When this happens my heart rate drastically drops to 30-40 bpm then shoots up to 145 or higher. I’m now on Corlanor so it no longer goes into the 200’s. Before the Corlanor my heart rate would bounce between 30 and 210 within seconds and last for at least an hour. Laying flat doesn’t help it like when I’m having a pot’s episode. Unfortunately every time I go to the ER the episode is over. I’ve worn a two week monitor which only showed tachycardia. I want to ask for the implanted monitor, but I’m worried I’ll be denied. The worst part is this happens when I’m driving which is dangerous. These episodes literally feel like I’m short circuiting. Is it possible to still be in sinus rhythm when these episodes happen? Is there any other conditions that can make the heart rate do this. My rating rate is 65 and walking average is usually around 98 bpm now that I’m on the Corlanor. All this started in July 2020. I went from mountain running to bedridden basically overnight. Please answer my question 🙋♀️
Dr. Gupta, is it true that in certain individuals supplementation with Ubiquinol, the active version of co enzyme Q10 is helpful to produce more energy in the heart muscle?
I have cardiac pause . It's stopped as long as 24 seconds . Obviously , I had syncope and usually hurt myself . Now I have a pacemaker . Do I have to worry about my heart from stopping again ?
Was dx'd with rt bbb block and svt years and years ago, have always been able to feel the arrhythmia once in awhile and have suffered with near syncope. I learned to accept that the fact that my branches had to kind of dance it out for a moment to regulate. Now fast forward to almost 59 I was given a smart wrist band and put it on. It reads that my bpm are ranging from 43 to 113, and everything in between. Never have seen this before. I have an appointment with cardio anyway but going to see if I can move it closer...I don't like this smart wrist band
Question; I’ve had silent sinus syndrome picked up on my MRI. I’m having noticeable muscle wasting o n My right hand and wrist , with off balance to my right, fatigue and now muscle weakness on the left side of my tongue ( I can’t roll that side anymore) do you have an idea if they are linked? My bloods are normal recently but before they were slightly high in iron and rbc folate was lower ?
I’m 46 yrs old, pacemaker for 8 yrs, bradycardia original diagnosis. Sick sinus syndrome, tachycardia, had an ablation 7 years ago, felt better. Tachycardia has come back . Taking metoprolol er 25mg daily. Eliquis 5mg bid. Symptoms are worsening, dr wants to put me on corlanor before another ablation. Do you recommend corlanor? I don’t like taking medication as it is, but I want to feel better and return to my routine, workouts etc.
Good morning Dr. Gupta ! How are you sir? Oh! I didn't know that. It makes sense, thanks for the list of medications also. Thank you so much. Oh and you are so handsome and distinguished with the beard. Have a wonderful and blessed day.
If all Drs were like this one... Amazing! I wish you were my cardiologist! I am dealing with Afib with RVR, and PAC. I'm getting a lot of Afib attacks at night while laying down PACs that turn into Afib. I am taking Diltiazem, Flecainide, Pardaxa. Though it seems Flecainide and Diltiazem isn't preventing Afib with RVR attacks, unfortunately.
I am 17 years old,have always struggled with my heart beating too fast,slow,palpitations, fatigue and lightheadedness.Is it possible for me to have this syndrome if I'm 17?
Thankyou sir for this information..I'm 35 years of age, in day active time I'm completely normal... But while going to bed, lying on my back, I feel palpitations, miss beats, double beats, In 24 hours holter examination I got 2 supraventricular ectopics & 6888 ventricular ectopics consist of 3912 single PVC's, 2932 ve bigeminy & 44 ve trigeminy .....am I suffering from sick sinus syndrome or something else.....please advice...is their any permanent treatment possible?
Hello Doc 🙄 How to know if I got inflammation? ECG ECHO Treadmill Were all ok ECHO shows size of heart? Let me see report again 😫 lol I don't understand medical issues * But I do suffer intestine swelling very often 😣 feels like water retention and leaky gut, after about a week heals itself without any medication but I get it again 🥺 How to know about heart size?
So how can this be very dangerous when complete sinus node ablations have been performed without too many consequences (and atriums make more efficient blood flow but again can survive without, some animals don't have atriums). My understanding is other cells pick up action potential function. I can just see how incredibly anxious I would be if I had ever thought I had a heart problem or there was a family history Doctors should factor that in when matter of factly projecting out all these worst case scenarios
I love this video of you. Its just you, so handsome, smart and giving, helping so many of us cope with the newness of heart problems. Your videos are amazing and I'll be watching every one of them. Than you so much! 💕
8 years stuffy nose. Started walking 1.5 miles every morning. After 6 walks all my sinus issues went away and have not come back. So is stuffy nose related to cardiac health?
Dr.Gupta,I always feel better listening to you,I’ve had this problem for 7 yrs now and it is frightening to go thru this.I’ve had one ablation 3 yrs ago.,and still have affib ,not continuous,just periodically,I went one whole yr.with none,now in oct.I’ve had 3 incidents.my heart surgeon said he would not perform another ablation because of my age..83 yrs old.I also have a heart murmur since birth,and a valve problem...So I guess I am not too badly off with circumstances.God bless you ♥️👍
My wife who is 38 only sometimes experiences excessive fatigue and dizziness when we've exercised for more than 15 minutes moderate intensity. When we compare our heart rates i'm usually at like 160bpm and she's at like 100-120bpm right at the end of a set. I feel like her heart's not beating fast enough to meet the demands of the exercise we both did. Weird thing is, she doesn't seem to have these symptoms when we do high-intensity short duration activity like sprinting. I'm thinking she's either going hypoglycemic or her endocrine system or sympathetic nervous system isn't producing the right stimulus to bump her heart rate up to meet the demand. Or should we also consider Sick Sinus Syndrome? How likely is it to show up like this, or in someone at this age? Thanks if you read this far
Dr.Gupta I know kids had pacemaker planted on them when they were young ...if so How long these pacemakers last are they gonna be adults Zero worrying about their hearts even when they get order Why would the kids have these conditions?
Why do medication references for diltiazem and adenosine list SSS as a contraindication? My thought is it’s just referring to the fact SSS manifests as a bradycardia which would mean it’s just not indicated.
The way you speak and explain the topic is better than videos with illustrations and graphics. Thanks a lot Dr. It was beneficial for me and I will keep it as a differential in mind when I encounter such patients. Have a good day.
I've had SSS since I was two years old. Diagnosed in the last decade after I suffered a cardiac arrest during a surgical procedure while I was under anesthesia. Heart had stopped for 16 secs. Got CPR and revived. I've had a pacemaker since then.
@@aeptacon SInce December 2011. Feel fine. It saved my life and the ability to face adversity. It gave me back the ability to face hardship. Have had a LOT of life stressors since then -- my brother passed away after suffering a cardiac arrest in a public place. I have a feeling that his condition was the same as mine, only he and we did not know it. I'm doing okay. Had a battery change in May, 2022. Piece of cake. They did put me under, but I came out of it perfectly okay. And within 20 mins was conscious and feeling fine. I believe they used a combo of Propofol and sedatives.
@@indranidasgupta8982 I am sorry for your loss. I'm glad you are okay and I hope conditions improve for you. I wish they can find a cure for this besides having to do the pacemaker.
@@aeptacon Thank you. I hope so too, but it's a matter of the devil you know... even though I don't like carrying a device like that within my body, I am very iffy about medications.
I'm right there with you! I so appreciate this wonderful man. Watching his videos has helped me immensely in understanding Afib and not being freaked-out about developing it anymore. Wish so much that he was practicing here in the States so that I could have access to him for my cardiologist!! Most doctors won't take the time to even discuss your medical case with you. And seem irratated if you question them, even though of course, it is you who is the one being affected.Go figure?
Hello doc! First of all I would like to send you my condolences to you and your family. I have a question if you see this I was hoping you can answer it. I’ve been having chest discomfort for over a yr now. I’ve been to two different cardiologist and almost every test done. My CT calcium score came back 0 and I’ve had heart monitor and they say my heart is fine. Do you suggest anything else to try to figure out why I get this discomfort???
