Bradycardia history and symptoms: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Bradycardia}} | {{Bradycardia}} | ||
{{CMG}}; {{AE}} {{Ibtisam}} | |||
==Overview== | |||
Most patients with sinus [[bradycardia]] do not have symptoms or [[asymptomatic]]. Individuals who are present with [[Symptom|symptoms]] can experience [[fatigue]], [[exercise intolerance]], [[lightheadedness]], [[dizziness]], [[syncope]] or [[presyncope]], worsening of [[anginal]] symptoms, worsening of [[heart failure]], or [[cognitive delay]]. | |||
==History and Symptoms== | ==History and Symptoms== | ||
* [[Syncope]] | ===History=== | ||
* [[Dizziness]] | Patients with sinus [[bradycardia]] may have a positive history of:<ref name="pmid29630253">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=29630253 | doi= | pmc= | url= }}</ref> | ||
* [[Lightheadedness]] | |||
* [[Chest pain]] | *History of previous [[cardiac]] events which might include: | ||
* [[Shortness of breath]] | **[[Myocardial infarction]]([[MI]]) | ||
* [[Exercise intolerance]] | **[[Congestive heart failure]]([[CHF]]) | ||
**[[Valvular disorder|Valvular]] problems | |||
*[[Medication]] history | |||
*History of prior [[illnesses]] | |||
===Common Symptoms=== | |||
Common [[Symptom|symptoms]] of [[sinus bradycardia]] include: | |||
*[[Syncope]] | |||
*[[Dizziness]] | |||
*[[Lightheadedness]] | |||
*[[Chest pain]] | |||
*[[Shortness of breath]] | |||
*[[Exercise intolerance]] | |||
*[[Fatigue]] | *[[Fatigue]] | ||
== 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay<ref name="pmid30586772">{{cite journal| author=Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR | display-authors=etal| title=2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. | journal=Circulation | year= 2019 | volume= 140 | issue= 8 | pages= e382-e482 | pmid=30586772 | doi=10.1161/CIR.0000000000000628 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30586772 }}</ref> == | |||
=== Recommendation for History and Physical Examination in Patients With Documented or Suspected Bradycardia or Conduction Disorders === | |||
{| class="wikitable" | |||
|- | |||
| colspan="1" style="text-align:center; background:LightGreen" |[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | |||
|- | |||
| bgcolor="LightGreen" |'''1.'''In patients with suspected bradycardia or conduction disorders a comprehensive history and physical examination should be performed. ''(Level of Evidence: C-EO)'' | |||
|} | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category: | [[Category:Cardiology]] | ||
Latest revision as of 01:03, 28 December 2022
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Bradycardia history and symptoms On the Web |
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Risk calculators and risk factors for Bradycardia history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ibtisam Ashraf, M.B.B.S.[2]
Overview
Most patients with sinus bradycardia do not have symptoms or asymptomatic. Individuals who are present with symptoms can experience fatigue, exercise intolerance, lightheadedness, dizziness, syncope or presyncope, worsening of anginal symptoms, worsening of heart failure, or cognitive delay.
History and Symptoms
History
Patients with sinus bradycardia may have a positive history of:[1]
- History of previous cardiac events which might include:
- Myocardial infarction(MI)
- Congestive heart failure(CHF)
- Valvular problems
- Medication history
- History of prior illnesses
Common Symptoms
Common symptoms of sinus bradycardia include:
2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay[2]
Recommendation for History and Physical Examination in Patients With Documented or Suspected Bradycardia or Conduction Disorders
| Class I |
| 1.In patients with suspected bradycardia or conduction disorders a comprehensive history and physical examination should be performed. (Level of Evidence: C-EO) |
References
- ↑ "StatPearls". 2020. PMID 29630253.
- ↑ Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR; et al. (2019). "2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society". Circulation. 140 (8): e382–e482. doi:10.1161/CIR.0000000000000628. PMID 30586772.