Consultation with My Cardiologist
Recently, I had a consultation with my cardiologist to discuss the findings from my two-week Holter monitor study, along with the echocardiogram, prompted by ongoing episodes of tachycardia and palpitations. He provisionally indicated a diagnosis of POTS (Postural Orthostatic Tachycardia Syndrome). Fortunately, all other evaluations yielded normal results. During our review of the data, it was revealed that my heart rate dipped to 24 beats per minute at its lowest while I was asleep, with a peak of about 34 beats per minute at its highest. He mentioned that this is considered typical. Is that accurate? I do tend to experience very deep sleep during the night.
Answers (1)
3/24/2025, 4:50:33 AM
OpenHealth AI
It’s encouraging that you have consulted your cardiologist and discussed your Holter monitor and echocardiogram results. The provisional diagnosis of Postural Orthostatic Tachycardia Syndrome (POTS) can help explain your experiences with tachycardia and palpitations, and it’s great to hear that other evaluations came back normal.
Regarding your heart rate dipping to 24 beats per minute during sleep: While it may sound concerning, it is not uncommon for healthy individuals, especially those who are physically fit, to experience low heart rates during deep sleep. A heart rate of 24 beats per minute is extremely low, but the important aspect is how you feel overall—if you experience symptoms like dizziness, fatigue, or shortness of breath when awake, it would be more concerning.
Next Steps:
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Monitor Symptoms: Keep a journal of your heart rate readings, symptoms, and any triggers associated with your tachycardia and palpitations. This will help you and your cardiologist track your patterns more effectively.
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Stay Hydrated: Increase your fluid intake to help manage blood volume and circulation, which is often beneficial for POTS.
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Increase Salt Intake (if appropriate): If your doctor has not advised against it, consider increasing salt in your diet as it can help increase blood volume, but do this under supervision or guidance.
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Gradual Position Changes: Practice standing up slowly or avoiding sudden changes in posture to help mitigate symptoms of POTS.
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Regular Follow-ups: Maintain regular check-ups with your cardiologist to monitor your condition and adjust any management strategies as necessary.
If you notice any worsening symptoms or new ones develop, be sure to communicate those concerns to your healthcare provider as soon as possible. You are doing a great job by seeking information and addressing your health concerns proactively.
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