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Hopefully a repeat echocardiogram will be performed outpatient. 2015, March 1). Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ). Systolic function normal by visual assessment only, unable to visualize well for further characterization. No cardiac MRI was done.
Due to limitations of echocardiogram in evaluating the right ventricle, magnetic resonance imaging study of the right ventricle along with that of the left ventricle has been reported. Athlete’s bradycardia due to increased parasympathetic tone and decreased sympathetic tone is a well-known observation. 2015 Apr;16(4):353.
PVCs N ot generally considered abnormal ECG findings: Isolated PAC, First Degree AV Block, Sinus bradycardia at a rate of 35-45, and Nonspecific ST-T abnormalities (even if different from a previous ECG). Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful.
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