bradycardia?

I have been having lots of problems with episodes of feeling dizzy, sweating, fatigue, palpitations, feeling like fainting. I saw a doctor Thursday who checked thyroid tests (I am on synthroid for hypothyroidism). This blood test was OK. I also had a ECG that showed my heart rate was a little lower (nurse didn't know exactly what it was) but that it wasn't low enough to cause my symptoms. I also was given an event monitor to use when I have these spells. Is it possible to have bradycardia and only have intermittent spells?

There are many mornings when I wake up when I feel terrible (weak, dizzy, nauseous). This morning I checked my heart rate before I left for work and it was 60 - which shouldn't be causing any symptoms, should it? I also have asthma and have difficulty telling if it is my asthma or something else going on. I have told many doctors that something else is going on besides my asthma, but they never take me serious.

Five years ago I was having problems kind of this this, and they did an exercise stress test and I had 3 beats of ventricular tachycardia. They did a few more cardiac tests but said everything was okay. I've also been diagnosed with pericarditis in the past.

I'm wondering if this sounds like it could be bradycardia and how low your heart rate has to be before having symptoms.

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Yes it is possible. Mine was finally caught by the INR clinic nurse. I told her I was feeling jumpy and she checked my pulse and called in the Dr's RN, my pulse was so erratic she could not take it so she did and EKG. The Holiter monitor never caught it and several calls to the Dr on call left me frustrated he would always want me to check my pulse and I could not get it. He would tell me I cannot do a thing unless you can give me your heart rate. I thought it was my asthma also. THey put in a pacemaker 2 days after they caught it on tape. Hope this helps.

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I forgot to tell you they called mine Tacky Brady because I was up down up down on my heart rate

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I know at a few appointments, they've had trouble getting my rate too. I checked it again this morning before I left for work, and it was 57. I'm going to try and remember to do it right away in the morning and see if that makes a difference. This is driving me crazy because they can't seem to figure out what is wrong with me. I've been complaining about these symptoms for a long time, and they are getting worse! I got this event monitor on Tuesday and haven't had anything to record yet. I never thought I would actually be hoping to have another spell!!

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I really know what you mean. My symptoms were blamed on my weight, my bad ankle, my early menopause, stress, told me I was depressed on and on. I think that most heart Dr's and orthopedic Dr's just treat the problem if they see it other wise that do not want a thing to do with it. If a test does not show anything they want to let it go. I told my Dr that I felt so alone with my heart problems, bingo they wanted my primary Dr to put me on depression drugs. Like I tell my daughters you know your body better than any one else and if you feel something is wrong do not let someone make you feel like you are imagining it.

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The last couple days I have felt pretty rotten, especially in the morning. I've been waking up with left chest pain, shortness of breath, nauseated, and with shortness of breath. I'm not sure if it is my asthma (not the tight feeling on my chest like usual with this). Anyway, I checked my heart rate, and the last two mornings it has been 56 and 54. I did use the event monitor although I didn't actually have a "spell" (sweating, feeling like fainting, etc) but with the chest pain, I thought I might as well use it. Does anybody else have symptoms with a heart rate in the 50's? I read some place that people don't have symptoms unless it drops to 40 or below.

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Seven months ago I suffered symptoms similar to yours. One day when I was feeling particularly bad, lighted headed and sob I tried taking my pulse and it was in the 40s. I was more worried about my blood pressure and it was low, but normal. I went to my gp the next day and my EKG was fine. Two days later woke up feeling extremely drained and sob. My pulse was in the 30s. Ended up in the ER with 2nd degree heartblock(pulse 37). When they wheeled me up to my room I went into 3rd degree heartblock. The doctors were convinced that I must have Lyme Disease or some autoimmune problems so they watched and tested me for everything over a few days. All tests were negative , but on that 4th day my heart stopped for several seconds several times. That is when the decision was made to put in a pacemaker.

If you can, see and Electrophysiologist or a Cardiologist asap. An event monitor will only pick up what you record. There are other monitors, like Cardionet, that monitors you all the time and transmits data when it senses something erratic or if you record the event.

You could be in the beginning of 1st or 2nd degree heartblock and need to get it checked out before you pass out and cause some real damage.

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Heartu,

Have you used the Cardionet monitor? If so, how long did you where it?

I've had event monitors and don't like that it only records when you press it. I've had a Holter monitor, too, which continuously monitors, but it's only a 24 hour monitor which is next to worthless.

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I was supposed to wear the Cardionet monitor for 28 days, but ended up in the ER after wearing it for 9 days. You can record an event when it happens, but as I understand that it transmits events also when they happen in case you don't feel them.

I was very lucky that I had this monitor because my EP was able to find out that some of my heart's own conduction had returned. I don't think they would have known any other way.

Today I had an appt with my cardiologist at my EP facility and she was going to tweak some of the settings after she saw some notations from the Cardionet report. While the technician interrogated me and was about to change a setting they all saw that my heart was beating on its own. I have never been happier. Now to make sure it is not a fluke. My pacemaker is now set to monitor my heart while my heart is beating again. I just had to share that info.

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MNELS,
You mention that you feel the worst in the mornings. Does this feeling go away in late afternoon to evening
when you have had oxygen and circulation all day?
My pulse goes down to the 30's before my pacemaker
kicks in and brings me back while I am sleeping but
it is due to hypoxia from sleep apnea (while deeply
sleeping.)Some medicines for the heart can also cause heart block. If you are taking meds-call your pharmacist and ask questions about possible side effects.Ditto your doctors. Good luck.
Shamal

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I do feel worse in the morning, but I actually get up at 3:30 to get to work by 6:30. I do feel a little better later in the day although I have had a few dizzy, sweating, nauseous episodes at any time during the day. I haven't had any of these bad spells since using the event monitor, of course! I have also in the past had a few episodes at work where my vision got funny (like seeing silver streaks) that lasted for about 20 minutes. I know that this is usually associated with migraines, but I did not get a headache afterwards. Does anybody else have problems like this? I do take Atenolol (started on this years ago for palpitations and a borderline high blood pressure). I have also noticed lately that my diastolic blood pressure has been a little higher than normal lately (always above 80); this was always around 60 before.

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One more silly question - when recording with the event monitor, it has a steady tone but occasionally is making different sounds - does this mean it is picking up something other than a regular heart beat or something like PVCs?? The last time I used it, it was more strange tones than the regular tone.

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Sure wish I'd been given a monitor to record episodes of syncopy. I was in and out of ER like a revolving door. If my blood work and CT scan of my head was OK, they tell me everything checked out fine and send me on my way. This went on for months and kept getting worse. I couldn't get enough oxygen, lay down to sleep or even get out of bed and dress without help. And, yes I did see some specialists, e.g., neurologist, cardiologist. But it was my PCP who finally diagnosed a third degree heart block. Sure glad I was able to make it to his office for a routine appointment; he said I could have had a sudden cardiac arrest. I really like my PCP but would hate to have to go back to that hospital again.

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I just got a call from the doctor's nurse I saw - she said my event monitor tracing was fine - no arrhythmias. I told the nurse this was only 1 recording and that I still have another 2 weeks to go, which she didn't have a clue about! When I called in 3 recordings on Monday, only 1 actually came across, and when I talked to the person taking the recording, she made it sound like it was my fault - that I must have done something wrong. Anybody else have problems with event monitors? I did exactly what it told me to do. I'm worried now that this event monitor will not show anything and they will think this is all in my head! Right now I'm sitting at work with chest pain.
When I've used my blood pressure/heart rate machine at home, my heart rate has been as low as 53, which isn't real low, but isn't this still considered bradycardia - when I'm having symptoms?

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I went back in to see my physician a week ago because I felt like I was coming down with some respiratory infection or something like that again. He ordered some more tests - blood tests, chest x-ray, and echo stress test. He left a message on my answering machine last night saying all of these were negative including the event monitor and that if I was still having problems, I should call him. He had talked about cutting my Atenolol down or changing it because of my pulse being so much lower than it used to and because a lot of people with asthma can't tolerate it. I woke up in the middle of the night again with chest pain, shortness of breath, and feeling really nauseated. This is driving me crazy! I don't know if it is my asthma that is getting worse or if it is something with my heart although all my tests were negative. Does anybody else have problems mainly in the middle of the night or morning? I have been on Atenolol for 5 years now, and it never bothered me in the past. Can you become intolerant to a beta blocker like Atenolol?

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Have you ever googled variant angina or Prinzmetal angina. It seems to affect people during the night time hours. GERD may be another possibility worth investigating and discussing with your doctor (my dad had this).

Hope you get answers soon so you feel better!

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