Chronotropic incompetence

Hi, I'm a 32 yo female. I have been diagnosed with chronotropic incompetence, with no background heart disease. I think I have had it all my life - have never had good exercise tolerance despite trying, and have always had very low BP and postural symptoms. Since having my baby 18months ago my symptoms of decreased exercise tolerance and postural hypotension have worsened dramatically. I am having a device implanted in 2 weeks (unsure of device details, biotronic I think?). Just wondering if anyone has a PPM for just chronotropic incompetence as a stand alone problem? Should I be investigated further for underlying disease process? Would be very grateful if anyone can shed any light on this for me. Also if anyone knows how long I should wait before trying for another child? Thanks


1 Comments

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by Tracey_E - 2018-01-09 14:00:06

Most electrical problems happen at random in an otherwise healthy heart so if you've had the basic tests and your bloodwork and family history don't have any red flags, I wouldn't spend a lot of time digging deeper. Few of us ever get answers as to why, and most of us do not have other issues, heart or general health-wise. It is usually a stand alone problem, a short circuit. It sounds like you may have been born with it. 

I'm not as patient as Robin, I'd give it 3-6 months to heal and adjust, then I'd go for it and try for another baby. These things don't exactly happen on a schedule so I'd be antsy to get started as soon as cleared by my doctors. You'll want your ob and cardiologist to chat. Not many ob's see pregnant paced patients. Mine flipped out and was ready to send me to the high risk specialist, was talking neonatal cardiologists. My cardio talked him down, told him the pacer fixes my problem, what I have is not genetic so the baby can't inherit it, treat me like all his other patients. I had normal pregnancies and deliveries. 

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