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Medical Forum / General / General / March 2005Tacky brady syndrome
Can anyone tell me what this is, what causes it, and what the prognosis is? My cardiologist thinks I might have it. He is mailing me an even monitor. I have a resting pulse in the 50's but sometimes have short run svt's. I also am having syptoms of panic attacks. He thinks maybe they are heart rhythm promblems although 2 24 hour monitors and stress test and ultrasound and ekg have revealed nothing wrong. It's a horrid kind of nostalgia, where they have people like Susan Olsen and Florence Henderson go to Hawaii to be with surviving members of the original cast of a doofus TV show of 35 years ago, and then broadcast the results. I don't know if it affects the heart, but Tacky Brady Syndrome can indeed make one nauseated. Prognosis is for more of the same, till all these people finally are in nurisng homes, or die of natural causes. Treatment is to try to control the TV remote, or live alone. SBH Did your doc check your thyroid function via lab work? Tachy-brady syndrome (or tachybrady syndrome) is a condition where atrial fibrillation alternates with sinus bradycardia, resulting in a heart rhythm that fluctuates between too fast and too slow. You will be put on a loop back monitor for proper diagnosis and treatment. Depending on the severity of episodes, your doctor may recommend changing your medications, doing nothing, or if the condition is advanced then a combination of an artificial pacemaker and antiarrhythmic medications is a possibility. > Tachy-brady syndrome (or tachybrady syndrome) is a condition where > atrial fibrillation alternates with sinus bradycardia Incorrect. What you describe is sinus bradycardia with paroxysmal atrial fibrillation and *not* tachy-brady syndrome (aka sick sinus syndrome). At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 Tell it to http://www.heartcenteronline.com/myheartdr/common/artprn_rev.cfm?filename=&ARTID=356 > Tell it to http://www.heartcenteronline.com/myheartdr/common/artprn_rev.cfm?filename=&ARTID=356 >From your "resource" : "SICK SINUS SYNDROME ( SSS, Sinus Node Dysfunction, Brady-Tachy Syndrome, Tachy-Brady Syndrome ) Summary Sick sinus syndrome (SSS) is a group of signs and symptoms that, when they occur together, are an indication that the sinus node is not working well. The sinus node is a bundle of tissue, located in the upper right chamber of the heart (right atrium), that sets the pace at which the heart beats. The primary symptom of SSS is sinus bradycardia, a heart rhythm that is slower that 60 beats per minute. However, about half of patients with sick sinus syndrome may also experience rapid heartbeats or heart rates that alternate between too fast and too slow." Point to be made here: Atrial fibrillation, when it happens, says nothing about whether the sinus node can work well or not. At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 In sci.med Andrew B. Chung, MD/PhD <andrew@heartmdphd.com> wrote: : > Tachy-brady syndrome (or tachybrady syndrome) is a condition where : > atrial fibrillation alternates with sinus bradycardia : Incorrect. : What you describe is sinus bradycardia with paroxysmal atrial : fibrillation and *not* tachy-brady syndrome (aka sick sinus syndrome). ^^^^^^^^^^^^^^^^^^^^ Oh yes, i have seen that on charts before: as "SSS". Thanks for the description. Emma :) > Can anyone tell me what this is, what causes it, and what the prognosis > is? Also known as sick sinus syndrome, aging causes it, and the prognosis is good. > My cardiologist thinks I might have it. He is mailing me an even > monitor. [quoted text clipped - 4 lines] > heart rhythm promblems although 2 24 hour monitors and stress test and > ultrasound and ekg have revealed nothing wrong. The negative holter monitors would make tachy-brady syndrome less likely. At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 > > Can anyone tell me what this is, what causes it, and what the prognosis > > is? [quoted text clipped - 31 lines] > (6) http://makeashorterlink.com/?I24E5151A > (7) http://makeashorterlink.com/?I22222129 Well, one test showed I had several "short run" svt's. On that one it also shouled my pulse going down to 41 at night. My pulse stays about 57-59 during the day. Is this normal. I walk 4 days a week for 30 minutes but not very fast. Seems last year my pulse would stay in the 70's. > > > Can anyone tell me what this is, what causes it, and what the > prognosis [quoted text clipped - 40 lines] > > My pulse stays about 57-59 during the day. Is this normal. No. That would be a bit slow. > I walk 4 > days a week for 30 minutes but not very fast. > > Seems last year my pulse would stay in the 70's. Sounds like you have the beginnings of Tachy-Brady syndrome. At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 Which is too slow? The 41 at night or the 58 during the say? If this is the beginning of tachy brady, will it eventually get worse? What are the cahnces my heart will stop all togther? Am I more likely to develop arterial fibrilation or another abnormal heartbeat? Is thsi dangerouse? I am only 33 years old. > Which is too slow? The 41 at night or the 58 during the say? The latter is a bit slow. > If this is the beginning of tachy brady, will it eventually get worse? It typically does. > What are the cahnces my heart will stop all togther? Very low. > Am I more likely to develop arterial fibrilation or another abnormal > heartbeat? Yes. > Is thsi dangerouse? That would depend on the big picture which should be ascertainable by the doctor(s) who know your complete history and has examined you. > I am only 33 years old. You are young. Hope my comments prove helpful. At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 What determines "the big picture" How can one truly know if they have it or not? My pulse usually stays even at about 58 throughout the day. It got as low as 55 sitting down last night. It sometimes is in the 60's. Does tacky brady cause sudden drops in pulse? Or does it just cause a lowering of the average pulse? Do all people with the syndome have to have a pacemaker? Does this decrease life expectancy? "Tachy-brady syndrome. The heart sometimes beats too quickly and sometimes beats too slowly. Tachy-brady syndrome may require treatment with a permanent pacemaker for periods of slow heart rate. When a rapid, irregular heart rhythm called atrial fibrillation occurs intermittently, anticoagulants may be needed to prevent stroke. You may also need to take other medications to treat fast heart rate." http://my.webmd.com/hw/heart_disease/aa107706.asp Beware of ng diagnosis. Your doctor has not yet diagnosed you with tachy-brady syndrome and it is too soon to worry about a pacemaker. Try and be glad for the treatment options and for the investigation. If a pacemaker is required, it would definitely be for the purpose of increasing the patient's life expectancy. Just remember your situation and analysis is still quite a ways away from that. But how is it diagnosed if you are not having alot of problems? > What determines "the big picture" The co-morbidities identified by your history and physical exam. > How can one truly know if they have it or not? You will have to count on your cardiologist to make that diagnosis for you. > My pulse usually stays even at about 58 throughout the day. It got as > low as 55 sitting down last night. It sometimes is in the 60's. > > Does tacky brady cause sudden drops in pulse? Yes. > Or does it just cause a > lowering of the average pulse? The former. > Do all people with the syndome have to have a pacemaker? Sooner or later. > Does this > decrease life expectancy? No. Ironically, research looking into this question have discovered that sick sinus syndrome does not have a significant effect on decreasing lifespan and moreover that a pacemaker does not significantly increase lifespan. In truth, it is all about the quality of life. At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 > No. Ironically, research looking into this question have discovered > that sick sinus syndrome does not have a significant effect on [quoted text clipped - 4 lines] > > Andrew The quality of life engenders a question or two. Life without intervention being painful would suggest intervention. Yet most of the meds in my life are for problems with no signs. So..the question is are the blood numbers of more import than my ability to enjoy a high quality of life? Which I take to mean the ability to work, love, celebrate in a flexible and joyful manner late into the night and early in the morning. Sorry if it seems I want it all, but I do. Risk ah Risk....but to enjoy what's at hand has merit ...NO? Bill a Tantric sort of guy.  SignatureZone 5 S Jersey USA Shade "oeuf tot pique " Lover "Physics is like sex: sure, it may give some practical results, but that's not why we do it." -- Richard P. Feynman (Nobel Prize, Physics) stryped@hotmail.com wrote in news:1111005162.777758.40180 @o13g2000cwo.googlegroups.com: > Can anyone tell me what this is, what causes it, and what the prognosis > is? [quoted text clipped - 7 lines] > heart rhythm promblems although 2 24 hour monitors and stress test and > ultrasound and ekg have revealed nothing wrong. Well, depending on what your event recorder shows, I'm betting my $0.25 on sinus rhythm with episodes of paroxysmal supraventricular tachycardia. But that's my answer for everything. "When all you have is a hammer, everything looks like a nail." - TC, md Pediatric cardiology, pacing & electrophysiology > stryped@hotmail.com wrote in news:1111005162.777758.40180 > @o13g2000cwo.googlegroups.com: [quoted text clipped - 19 lines] > - TC, md > Pediatric cardiology, pacing & electrophysiology :-) At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 |
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