new to this 27yr old

hello, I have had palps for 2 years I used to weigh 325 lbs now 230 lbs I play Ice hockey hard several days a week and work very hard, I have always had a low heart rate 45-55 at rest my bp was getting alittle high but is now under control 120-60 at rest its hard for me to get my heart rate much above 100/ Anyway I had a holter to make sure the palps were bning nowing they were as I have no symptoms and have terrible panic disorder, they found 3 five second pauses in my heart during the night I am terrified and going to the cardiologist tomm, is this maybe apnea or am i getting a pacemaker my md said he did not know what would happen but pacemaker did come up in conversataion. Any thoughts would be greatly appreciated thanks alot

5 Comments

please

by nickster0885 - 2009-01-07 02:01:06

any ideas or thoughts would be greatly appreciated

Some thoughts....

by maryanne - 2009-01-07 02:01:06

First let me congatulate you on your weight loss...good for you for taking control of your weight. I am also glad to see that your BP is under control.

You mention sleep apnea.....have you ever been tested for this? People who are overweight, smoke, drink alcohol in excessive amounts all tend to be prone to sleep apnea.....having monitored many patients in an ICU envrionment for sleep apnea....I have seen their heart rates drop in conjunction to decreased respirations. Some patients have sinus arrest and heart block develop in REM sleep with only mild desaturation.

According to Medscape: "Patients with apnea-associated bradyarrhythmias are more overweight than patients without bradyarrhythmia. The higher RDI found in these patients may be caused by this circumstance. (2) Bradyarrhythmia occurred predominantly during REM sleep. (3) Bradyarrhythmia were found independently from decrease in SaO2; a threshold value as an upper limit could not be defined."

If you have't already done so I would discuss with you GP about being tested for sleep apnea....also you don't mention if you are symptomatic with your bradycardia...many people walk around with decreased heart rates...it's when they become symptomatic with them that warrants investigation.....

You also mention panic attacks....that on the other hand can cause increased heart rates(tachycardia's) and palpitations are very common.

In a nut shell sounds to me like you need a complete investigation before I PM would be considered....

I wish you all the very best..and please keep us posted....I would be happy to answer any of your questions if you felt like sending me a private message...again...all the best...

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by Angelie - 2009-01-07 02:01:50

I would try to relax until you see a cardiologist. ( I know it's hard)
The cardiologist is a specialist on the heart and he will be sure to give you some answers about what's next. He might even refer you to see an EP (electrophysiologist- cardiologist who specializes in the electrical system of the heart)
I'm sure you have many questions, and it's great that you found this place. Just try to patient as you wait and see what the cardiologist says. Keep us posted, please, and don't hesitate to ask questions. There are a TON of people here that help you.

welcome,
Angelie

thanks

by nickster0885 - 2009-01-07 03:01:15

thanks alot tomm the cardiologist is a electrical specialist, does anyone know if I got a pm would I still be able to play hockey

well

by nickster0885 - 2009-01-08 06:01:57

the doctors visit was weird he said I am fine and the pauses at sleep dorsal something and no big deal cying that my beat was normally fine. I got to say I excpected more he is a electrical specialist. He ordered a echo stress but said by my chart and heart sounds there will be no problem, a sleep apnea test was ordered though, he said from here on out my md can handle it, this guy comes from high regard he said its normal not normal? He said I have a very slow pulse but with it not hurting me he wouldn't do anything he has seen people in the 40 and 50's btm before with no problems, do I rest easy now or what.

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