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Chronic Pain Treatment Questions

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Question regarding my bradycardia i’m 20, I haven’t been diagnosed with any chronic disease nor took any medication regarding cardiovascular diseases or other chronic diseases, I used to be very active 2 years ago but since 2 years I haven’t been active, only a bit of walking, smoker, most of the time recently i’m under high stress and i’m not sleeping well, I did a liver function, wbc count wd, lipids and other blood components tests as well as urinalysis, but everything seems just fine, so i’m wondering if this bradycardia is normal or not, a year after I stopped doing physical activities my hr was 60-70. Im not moving frequently and my diet is not very good, I mostly eat from outside, half of the time it’s fast food, I don’t drink or consume any substances, I used to smoke a lot and consume large quantities of nicotine as much as a heavy smoker but I quit only 10 days ago, took 2 shots of pfizer vac yin 2020, heart rate 48-52, but goes up if I walk fast or climb stairs, or start walking suddenly, I take vitamins supplements, I don’t consume caffeine usually but I do now because of my phys and become finals, bet those were’t the best memories I hope this is just a medical student syndrome, and I can’t thank you enough if you’ve read through all of this.

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MBBS, Fellowship in Emergency Medicine (...read more

General Physician•Kolkata
Hyperkalemia can cause junctional rhythm and brady. Other causes are symptomatic rbbb, lbbb and/or bifascicular block.
In certain persons brady is normal and not a cause of concern.
Beta antagonists also lower heart rate. Hypothyroidism and congenital heart disease are other causes.
Cardiac evaluation, holter monitoring, serum electrolytes and drug history are required.
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