Long sinus pause at night

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Hi all,

I was a bit stressed at work in July last year and had some palpitations so got a 24 hour ecg after being told to by my wife. GP said she was referring me due to long pause of 5.7 seconds at night. 2 months later i saw the cardiologist and he said i was on the waiting list for a pacemaker which i just couldnt believe as a young(ish) 36 year old and pretty naturally fit guy. had a 3 week monitor and that showed 8 second pauses at night and the first 3 doctors i saw said i need a pacemaker. on the day of the procedure (10 minutes before having it done with a canular in ready) i asked the guy who was doing it (new doctor) whether he would have it done and he said probably not but was very happy to do it! I was out of there like a shot and he phoned me as i was on my way home to say he was referring me to a doctor in Middlesbrough who specialised in wireless pacemakers. Saw him on Friday and he said I don't need a pacemaker and my heart just has an 'impressive' pause at night, responds well to exercise and is fine during the day. Seeing him in 3 weeks for more tests to confirm this. Anyone else heard of this kind of difference of opinion? Needless to say, I don't want a pacemaker!

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  • Posted

    I used to work with a woman who had a simular problem, but her periodic Heart beat is constant and was only discovered by Paramedics after she complained of feeling out of Sorts. It was discovered that her bpm was a Constant Thirty-Three, She also has other health issues though not in relation to heart. I'll find out from her Husband how she is fsiring, but coming back to your issue, do you feel fine and does your heart responds to exertion. I understand wanting answers even though your getting Two different opinions from the same profession, See what the Dr says in Three weeks, in the meantime keep a diary of your activities and if there is any notice of change. I'm sure you'll find the right answers to this anomalie, keep us posted and all tje best my friend🖒

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    • Posted

      Hi, thanks for your reply, yeah would be interesting to see how she is doing although I feel lucky when i read that. I respond very well to exertion which is why he has initially said there is no need to do anything. In fact other than the odd palpitation, I have no symptoms in the day and therefore is is down to different nerve activity and hormones at night i guess. Will post on in 3 weeks with what the adrenaline and sedatives do!
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  • Posted

    Had an EP study and had atropine injected to block the vagus nerve - doctor said my heart responded very well so my pauses and slow resting heart rate are due to vagal tone. no pacemaker needed. Always seek a second opinion, or fifth in this case.

    ​highly recommend Middlesbrough James Cook Hospital for cardiology

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    • Posted

      Good to read all is well Timmo, and glad you've finally got your answers. Keep us posted on your continued journey 😊🖒

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  • Posted

    I also have sinus pause, both day and night which causes fainting or near fainting. I have a loop recorder implanted which the electrophysiologist is alerted when this happens. I had ablation in Aug 2016 for afib. Seems to have corrected afib but now this pause thing is going on. I was advised to have a PM and am waiting to get it scheduled. Have you seen electrophysiologist? Did you ever get a PM?

     

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