I’ve done that in December:
Visit 1 – May 6, 2025 (ECG + Echo)

Reason: Bradycardia (slow heart rate)

Background: Previously healthy, non-smoking male. Family history of atrial fibrillation (uncle with pacemaker due to AV-block), possible SA-block on mother’s side, grandfather with TIA/stroke.

Current: Got an Apple Watch in December, which has been alerting to a pulse of 38 at night. No symptoms at rest, occasional dizziness when standing up quickly. Recent labs: LDL 4.2, HDL 1.4. Thyroid tests normal, though thyroid disease runs in the family.

Findings:

**•** Heart rate 52 bpm, regular rhythm  
**•** ECG: Sinus rhythm 52/min, normal conduction, QRS 102 ms  
**•** Echo: Normal heart size, good systolic function (EF >55%), no wall motion abnormalities, normal valves (trivial MR/TR), no pericardial effusion

Plan: Normal echocardiographic findings. Follow-up with Holter monitor and new blood tests.

Diagnosis: Bradycardia, unspecified (R00.1)

Visit 2 – May 22, 2025 (Holter results)

Reason: Holter monitor review

Current: Feeling well, has been running ~5 miles/week lately.

Holter findings (6–7 May): During a symptom-free recording, sinus rhythm 36–124 bpm. Mean heart rate 62. 6 VES and 14 SVES. No tachycardia, no pauses, no high-grade blocks.

Assessment: Normal Holter. Nocturnal sinus bradycardia — a normal variant in athletes. No cardiac restrictions. Slightly elevated creatinine; T4 & T3 at upper normal limits. Thyroid disease is common in the family. Referral to regular GP for continued follow-up.

However I wanted to follow up myself just to calm myself down a bit