My EKG shows a Bundle Branch Block. What does it mean?

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Submitted by Dr T on September 28, 2010 – 6:59am Bundle Branch Block I found this great article written by Richard N. Fogoros, M.D., About.com Guide, November 26, 2003, that I reprint here: Causes, significance, and treatment Bundle branch block (BBB) is a relatively frequent finding on the electrocardiogram (ECG). Sometimes BBB itself needs to be treated; sometimes it indicates significant …

Optimal Medical Therapy, what is it anyway?

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Submitted by Dr T on September 27, 2010 – 12:11pm In a number of articles and blogs I have talked about Optimal Medical Therapy (OMT), but what is OMT? Isn’t every treatment by your doctors “optimal”? The term comes from an article published in 2007 as the COURAGE Trial about which I have written and blogged a number of times. …

How long does a Pericardial Effusion take to go away?

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Submitted by Dr T on September 25, 2010 – 2:57pm in Other A pericardial effusion and its treatment depends on the cause. The pericardium is a thin sac that surrounds your heart and protects it within your chest cavity together with your ribcage. Normally it has a small amount of fluid that acts as a lubricant and protects your heart …

I get lightheaded when I have PVCs

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Submitted by Dr T on September 25, 2010 – 9:28am Question:  I’ve been having some lightheadedness with my PVC’s, and I passed out once. What should I do? Lightheadedness or fainting needs to be evaluated, but it is also possible that this is not caused by your PVCs. A number of blood and other tests are necessary to evaluate this. …

What type of surgery for arrhythmias can be done?

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Submitted by Dr T on September 25, 2010 – 9:18am in Your heart rhythm Some people have abnormal “spots” in the heart that may be the cause of ventricular arrhythmias. Such patients can sometimes be treated by removing or destroying that area of the heart. This is a very specialized area of medicine requiring cardiologists and/or cardiac surgeons with special …

What medications are used for treatment of PVCs?

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Submitted by Dr T on September 25, 2010 – 9:11am in Your heart rhythm Beta-blockers (there are many of them) have been shown to cut down both on symptomatic PVC’s in some patients, as well as decrease the risk of sudden death in high-risk patients. In terms of treatment for the palpitations associated with PVC’s, they can often be quite …

How can ventricular arrhythmias be treated?

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Submitted by Dr T on September 25, 2010 – 9:10am in Your heart rhythm The general principles of treatment of arrhythmias are: Correction of any underlying abnormalities, such as electrolyte imbalances, disorders of the thyroid, etc. Avoid stimulants or medications which may worsen the situation. Get enough sleep. Pursue an appropriate exercise program. Treat any underlying disorders of the heart …

What are the causes of ventricular arrhythmias, VT, Bigeminy and Trigeminy?

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Submitted by Dr T on September 24, 2010 – 8:24am in Your heart rhythm I have blogged about palpitations and VT before. You can read more about that here: https://www.cardiachealth.org/ca-blog/palpitations/https://www.cardiachealth.org/ca-blog/palpitations-and-pvcs/https://www.cardiachealth.org/ca-blog/i-am-worried-about-v-tach-ventricular-tachycardia/https://www.cardiachealth.org/ca-blog/what-are-some-of-the-causes-of-premature-ventricular-contractions-pvcs/https://www.cardiachealth.org/ca-blog/palpitations-and-fainting/ You’ll find these are rather common complaints and most people don’t need treatment, only reassurance once their heart proves OK. Trigeminyc(or Bigeminy) can be caused by a host of factors.There …