Tachy Brady Syndrome – Definition, Symptoms, Treatment

What is Tachy Brady Syndrome?

The tachy brady syndrome is technically known as the sinus node dysfunction. In layman’s term the syndrome is known as the sick sinus syndrome. The condition is described as the abnormalities in the conduction system of the heart.

In simple terms, there is an alternation of a fast heart rate and a slow heart rate. This condition can somehow become perilous and place great concern to the affected. According to statistics, about 1 out of 1,600 people who are ages 50 and above is suffering from this condition.

The Conduction System of the Heart pictures

The Conduction System of the Heart

Basically, the conduction system of the heart has the problem causing these arrhythmias. The imbalance of the heart rate is the main characteristic of the syndrome. Another known fact of the disease is the irreversibility of the heart dysfunction.


Tachy brady syndrome is characterized by an increased cardiac rate or medically known as tachycardia. Tachycardia is then replaced by a sudden decrease of the normal heart rate known as bradycardia. These changes are significant as there are skipped beats in between the two changes. Because of such phenomenon, there is a lack of oxygen and nutritional supply towards the heart and the whole body system. The syndrome is accompanied by the following symptoms:

  • Dizziness. The manifestation is most prominent at day time.  This is due to the inability of the heart to pump effectively the oxygenated blood.
  • Feeling of faintness. The same process is involved where lack of oxygen supply initiates the problem.
  • Palpitations are noted. This is a common manifestation of tachy brady syndrome.
  • Sweating. This is a compensatory mechanism as the heart rates become uncontrollable.
  • Chest pain and difficulty of breathing are noted.

Causes & risk factors

The definitive cause of this condition is not entirely clear. There are many proposed cause of the syndrome. The following are the considered causes and risk factors of tachy brady syndrome:

  • Age. The elderly are most at risk or mostly affected by tachy brady syndrome. The age is factorial as fibrosis of the sinus node may cause the abnormality of the heart rates.
  • Underlying heart disease. It has been reported that a coronary artery disease can result to tachy brady syndrome.
  • Familial attribution. There are cases where some acquire the heart condition when a close family member has also been suffering from the disease.
  • Medications. There are certain medications that could cause tachy brady syndrome. These medications are known to be beta-blockers, digoxin and anti-arrhythmic drugs.
  • Electrolyte imbalance. Sodium and potassium levels are essential in regulating the heart rate.


Tachy brady syndrome can be diagnosed through these tests:

  • Laboratory examination – Blood is extracted in order to assess the client’s thyroid function, which may indicate for serum electrolyte imbalance. The Na, K and Ca electrolytes are essential components in the conduction system. Once these levels are altered, the effect on the conduction system can be grave that heart rates and rhythm are altered.
  • An echocardiogram is requested. This shall include assessing for any underlying heart condition.Electrocardiograph study is performed in order to assess the state of the heart. Tachycardia and bradycardia is easily assessed with this examination.
Tachy-Brady Syndrome images
Tachy Brady Syndrome: An ECG Result Showing Fast Heart Rate (ECG Waves that are close together) and Slow Heart Rate (Waves that are far apart)


The treatments for tachy brady syndrome are the following:

Surgical intervention

Placing a pacemaker is the most ideal surgical intervention for the syndrome. The pacemaker then corrects any abnormal heart rate by sending electrical impulses to the heart. There are a number of precautions when one is with a pacemaker. They are highly advised to wear a Med Alert bracelet which indicates they have a pacemaker. Taking of a pain reliever when with a pacemaker is essential in order to reduce the discomfort that comes along with it. Remember that the pacemaker can set off a metal detector alarm. Magnets should be kept away from the patient especially from the chest area.

Lifestyle changes

This is a significant method in treating tachy brady syndrome. Drinking alcoholic beverages, smoking and drinking caffeinated drinks are to be halted. Losing weight is also essential in the process of recovery. Controlling ones blood pressure is also a must. Compliance with the treatment regimen is the best medicine for the disease.


Tachy brady syndrome can become fatal, especially when treatment has not been provided accordingly and compliance has not been attained by the patient. The following complications may arise:

  • Development of embolic cerebrovascular disorders is likely.
  • The patient may also suffer from congestive heart failure.
  • Cardiac arrest.

8 thoughts on “Tachy Brady Syndrome – Definition, Symptoms, Treatment

  • 05/11/2016 at 3:48 PM

    I just took x fall two weeks ago and was diagnosed with Brady Yacht Syndrome. All my cardiac tests were normal including three 12 lead EKGs, a test where the name just flew out the window. All were normal. I was on a 5 lead monitor with no abnormalities, so I don’t know if the diagnosis is correct. Because my fall caused me to land on a floor separator, is wood flooring next to carpet, would a fall have caused a bruised heart? The Cardiologist never came to see Mr while in the hospital, I refused to wear the EECM monitor upon discharge. My BP runs normal to very low and my HR is between 60 to 40 but I don’t have runs of VTach and am not sure I want a Pacemaker since my HR is Norma!. I also have a PortaCath that moved to the right and it’s C!ode to being in my area lit. It’s damaged but all the doctors said the tip is in the Vega Cava, which I know is incorrect. I can get my finger under it as well. Could that cause the same symptoms. I have no Venus access, thus the need for the Po4f.. They didn’t do a dye stufdy to confirm placement and my Portfolio has a double lumen thus my relkuc5ance. Before mfall or face plant I never had any fainting spell nòr cadis cardiac cherry abnormalities I have been battling Reflex Sympathetic Sympathetic y Dystrophy for 25 years and and my new PCP refused to refill a med I had been on for over 18 years so my burning pain became out of control and I !ot 12 lbs in a month and attributed the too rapid weight loss tomy two second faintngspell to the faintngspell that The whole situation here a !little scared. I have never fainted kn my¡ife. Can speed on have a PortaCarhand buy a PortaCath? Thabkyou

  • 13/07/2017 at 5:19 PM

    change your pcp asap

  • 08/02/2018 at 11:23 PM

    I have been diagnosed with Brady tachycardia.My doctor said a Pacemaker is the only recommendation he can make .I am reluctant towards installing a pacemaker.Are there any other suggestions you can make for me to discuss with him.

    • 22/01/2019 at 7:33 AM

      I’m in a similar situation. I have/had bradycardia all my life with a normal HR in low 50s, then it seems overnight (maybe two weeks) my HR is now in high 80s and low 90s, and I never felt bad but do regularly check my BP and HR several times a week. The EKG test my Dr gave did show I have tachycardia so I’m going to wear a heart monitor next week and eventually get a sleep apnea test since my last test was in 1998; I do use a sleep apnea machine now but DR thinks I might need a new study and machine just to be sure it is not that which is causing the change. I think a big part of the problem, if not all, is the meds for cholesterol & BP, and of course, my being overweight by 25 pounds. I’m 70 and active but my hobby is cooking, tasting good wine, and getting some exercise five to six times a week; I walk 4 to 5 miles a week but favor swimming but no pool close by. I also do not eat junk food or drink sodas at all. Dr said, “I see you’re 70, how’s your energy level?”. I replied: I don’t know Doc, I never been 70 before so you tell me!”

  • 25/01/2019 at 2:21 AM

    It is the only thing you can do a pacemaker or die.

  • 08/02/2019 at 6:52 PM

    Take the Pacemaker,Your Doctor is right.

  • 29/08/2019 at 12:43 AM

    I have brady tachy as well. I also have thyroid disease. I have all the symptoms but I have another symptom. shortness of breath. My doctor ordered a ultrasound on thyroid nodules to see what’s going on. Do you think I will need a pacemaker for this condition.

  • 26/10/2019 at 3:50 AM

    I have had a pacemaker since I was 24 and It is the best decision I made. I do not have to worry about any symptoms and I know my pacemaker is always there doing its job. I don’t even feel nor even remember I have it for the most part.


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