@@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!
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! 🙏 😊
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 🤞
@@scottmackenzie3988 Hope you are doing well . My husband is 55yrs , and has a sinus pause, he had 3.4sec sinus pauses issues . But luckily no fall.. So we are thinking whether to go ahead with the pacemaker to be in safe side.
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'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.
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! 👍🏻🌠❣
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.
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.
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 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! 💕
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.
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?
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?🤔
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 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 appreciate you as well, Dr Gupta. Your explanations are very understandable, yet not dumbed down. I have bradycardia and a pacemaker to control the heart rate. Yours is the best explanation I have been given by any other cardiologist.
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?
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?
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..
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!
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.
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 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 😮
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 ♥️👍
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.
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 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!
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.
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.
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...
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.
Hello Sanjay been following you for some time now and yes it's quite fascinating to listen to you.. actually I had a dilemma, I took pulse of my father and it came out to be 43 .. took him to cardiologist and he put him in a holter . Results were sinus pauses of 3.9 sec.. he advised to put a pacemaker.. took him to ep cardiologist he again put him in the holter and results came out as pauses of 2.1 sec max.. and he told that he doesn't need pacemaker.. he is asymptomatic and doing fine.. he has had hypertension for more than 2 decades and under med..
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
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
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..
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.
You are so welcome! Glad it was helpful! It'd mean a tonne if you'd consider subscribing to the channel (clicking on the bell icon will also notify you of future videos)
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 🙋♀️
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.
Glad it was helpful! My pleasure! It'd mean a tonne if you'd consider subscribing to the channel (clicking on the bell icon will also notify you of future videos)
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
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
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
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.
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?
Who gives this a "thumbs down"? This Dr. is helping me deal with AFib.
awww:-
He's great!
@@YorkCardiology Thanks!!
@@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.
IKR , He is brilliant !
I could listen to you for hours.
Love your teachings!
So could I
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!
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! 🙏 😊
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.
How lovely. Thank you! Wishing you a very happy and healthy new year
@@YorkCardiology Hi sir ! Thank you for your videos, please help me understand if being a little sick can affect blood pressure please. I love 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 👍💯
Hi, how are you now? I’m 35 and I have something going on but I’m not being listened to as they’ve not caught the fainting episodes while on a monitor
@@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 🤞
@@scottmackenzie3988 how are you Moe mate
@@scottmackenzie3988
Hope you are doing well . My husband is 55yrs , and has a sinus pause, he had 3.4sec sinus pauses issues . But luckily no fall.. So we are thinking whether to go ahead with the pacemaker to be in safe side.
Dr Gupta I lookfoward to your videos. Bless you for taking the time to teach us about our bodily ailments.
You are a beautiful human being.
So nice of you Eugenia. thanks for watching. I really appreciate it and it'd mean a tonne if you would consider subscribing to the channel.
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 was diagnosed in my 40s. Very fit. No trauma or illnesses. Pacemaker at 49. Great info.
what made u get a pacemaker?
@@neerajtripathi9216 probably sick sinus syndrome diagnosed from syncopal episodes.
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.
@@neerajtripathi9216 sick sinus syndrome.
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 🥰
Really good clear explanations and so good of you to use your time in assisting people. listen to all your blogs, thank you.
Sanjay your videos are very much appreciated thank you
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.
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!
👍🏻🌠❣
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.
You always put me at ease. Thank you.
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.
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 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! 💕
Thank you for doing these videos. They are so informative and your delivery is very reassuring. P.S. I love the beard!
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.
Thank you thank you. I just found out a about myself and I’m in prayer
Thank you for the info that is exactly what I feel. Most of the time my heartbeat is slow and there are times it beats fast.
Thank you doc for such an informative video, watching this is actually a stress buster for me right now.
thank you so very very much ....I have sick sinus syndrome and it's the best explanation I've ever received
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?
Watching to your videos are very informative and relaxing at the same time 😌
Very informative! Had a pacemaker implanted less than 24 hours ago for this problem. I did have confirmation from a loops recorder.
Thumps Up all the time ! Dr. Gupta is the best in providing knowledge to the needful patients . . I admire him soooo much 👍👍👍👍👍👏🏻👏🏻
YOU are a God-given Dr Sanjay!
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?🤔
Trachy brady
I have this same issue too
Have you been able to resolve it
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.
The both Drs Sanjay Gupta always thought they were both family members. Most admired DRS
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 appreciate you as well, Dr Gupta. Your explanations are very understandable, yet not dumbed down. I have bradycardia and a pacemaker to control the heart rate. Yours is the best explanation I have been given by any other cardiologist.
Amazing! Thank you for all you do. ❤️
You are amazing! I wish your practice were in Arizona! I have never heard a doctor who could (or would) explain medical issues as clearly.
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?
Agree the beard looks very nice! 👍🏽
Thank you for the video...Incredibly informative as usual!
It’s very debonair 😍
I have bradycardia - it came on suddenly out of nowhere at age 55. Very active - tough job - then pacemaker ville!! Sucks!
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?
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 Doc Sanjay. Have a safe and well day. Stay healthy.
Thanks Ning!
You too
thanks for watching. I really appreciate it and it'd mean a tonne if you would consider subscribing to the channel.
Thank you dr, I am a 4th yr med student and this def helped :)
The usual brilliant explanation, a credit to our health system ! Many Thanks.
I have a little question please, how can you tell the difference between POTS and SSS ?
Excellent explanation Dr!! Thank you for All you Do!! You are so helpful, my Cardiologist, though good didn’t give me such a thorough explanation!
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.
Do you know if anyone else in your family has sick sinus syndrome? Because it runs in the family
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!
Michael Fullarton thank you. Just annoying and intupts me when doing whatever and when happens one after another keeps me on my toes.
PHEOCHROMOCYTOMA . And why it's misdiagnosed as heart failure and various arrhythmia's. Thanks for all you do, Dr Gupta.
Lookin good mr gupta ( the cooler and better sanjay gupta )
Can u do a video on heart supplements like coq10 or hawthorne berry ect
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.
Sanjay how can I arrange a meeting with you? I cannot schedule one through your website
Thank you for your presentation. Knowledge brings understanding.
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 again for these amazingly educational videos.
Thank you 🙏🏻! Dr. Gupta
Most welcome! Thank you for your support Elena- it would mean a tonne if you’d consider subscribing to the channel.
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.
Have you done a video on Lp(A). Thanks
Wow, very interestesting & informative🙌. Not what i was expecting, I've learned somethign new. Thx💯
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 😮
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 ♥️👍
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.
how long have you had a pacemaker? Do you feel well now?
@@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.
@@indranidasgupta8982 I completely agree. I didnt get the vaccine
Explains so much, so well....thank you for your time and patience ♥️
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 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!
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.
Hi. Since last Thursday I am now on oxygen.
Very good explanation.
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.
Thank you so much for your generosity of time and knowledge. I wish I could afford you as my cardiologist.
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...
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.
Couldnt agree more...
YOU would!
Fantastic video.
Anyone with this notice that they get palpitation when leaning left or is this just a me thing?
it happens to me as well.
Hello Sanjay been following you for some time now and yes it's quite fascinating to listen to you.. actually I had a dilemma, I took pulse of my father and it came out to be 43 .. took him to cardiologist and he put him in a holter . Results were sinus pauses of 3.9 sec.. he advised to put a pacemaker.. took him to ep cardiologist he again put him in the holter and results came out as pauses of 2.1 sec max.. and he told that he doesn't need pacemaker.. he is asymptomatic and doing fine.. he has had hypertension for more than 2 decades and under med..
how is he now?
how is he and did he ever get pacemaker implanted?
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
Thank you for explaining this.
Hello doctor 🙋♂️🙋♂️🙋♂️🙏🏼I’m following you a year before but first time commenting...have a blessed week ahead for you and your family ☘️🌿🧘♀️🏃🏻♂️
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
Thanks Doc for continuously giving us these helpful explanations.
Great easy understandable information thank you.
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..
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.
From the UK
We love your vidS
Do keep up the good work :)
Thank you, your explanations help a lot.
I thought this would be about sinuses. Why did they call it that since it's about the heart?
Thank you for this!
As always, thank you sooo much!
You are so welcome! Glad it was helpful! It'd mean a tonne if you'd consider subscribing to the channel (clicking on the bell icon will also notify you of future videos)
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 🙋♀️
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.
My mom has this condition for years and she use PPM. Thank you for explaining!
Glad it was helpful! My pleasure! It'd mean a tonne if you'd consider subscribing to the channel (clicking on the bell icon will also notify you of future videos)
@@YorkCardiology just did! Please keep uploading cardiac related videos
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
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 VERY MUCH!
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
I’m feeling same brother
Send me your WhatsApp contact ok
Just been diagnosed with chronic atrial intestinal dysrhythmia. Is this similar or connected to Sick Sinus ?
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.
hey m 23 too
Same here bro🥺🥺.How is your health now
I'm 40 and have finally been diagnosed after a few years of problems. Pacemaker implanted.
I have Sick Synus Syndrome , Sinus Aysytole ( Cardiac Pause ) . I now have an Azure pacemaker , What is my morbidity in years about ?
How r u now
TY
You are really very helpful
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?
No it will go in some months
Extremely helpful Doc….Thank you:)