PM at 24 years old - Syncope episodes and 20 second heart pauses
Hey all, just here to see if anyone has had an experience similar to mine that might know more than I do. I started having syncope episodes about 4 months ago with no prior warning/history/anything. After 3 episodes I went to the cardiologist and he was pretty convinced they were vasovagal episodes due to the consistentcy of them (all first thing in the morning while or immediately after taking a hot shower). Then things started to change. I had 3 more episodes at work while sitting at my desk in the afternoon. While all of this was going on, I'd had multiple EKG's, an echocardiogram, tilt table test, holter monitor, and an MRI of my heart and none of them showed anything out of the ordinary. We got to the point that the cardiologist said the only way we were going to figure anything out was if I had a longer term heart monitor on when one of these syncope episodes occured. He put a Zio patch on me and sure enough about a week later I had 2 syncopes episodes in the same day and sent the device back in. I went in to see the EP the next week and he told me the Zio patch had captured both episodes and that my heart had stopped for 20 seconds both times and that he wanted to put in a pacemaker the next day...needless to say that was a lot to process at once. Told him I needed some time to think about all of it but ended up getting a pacemaker a few days later. The EP was confident that this would fix the problem (it seems to have so far!) but was still baffled as to what the cause might be. He said it has elements of a few different diagnoses but doesn't check the box for any single one in particular. All the episodes were about 2 weeks apart, I had very little or no warning before passing out and was extremely disoriented after regaining consciousness, especially the first few times. I'm a healthy, active 24yr old guy and I'm just struggling to understand why all of this has happened. Has anyone's experience sounded similar in anyway? Just looking for any insight at all that could possibly help, thanks.