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Heart Rhythm  (Expert Forum)
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Syncope?
Answered by
Michael J. McWilliams, M.D. - atrial fibrillation, Pacemakers, Defibrillators, Arrhythmias (SVT, VT), PVC/PAC, Ablation
Wilmington Health Associates Wilmington - NC
Questions in the Heart Rhythm forum are answered by Dr. Michael J. McWilliams. Topics covered include heart rhythm issues, arrhythmia, irregular heartbeat, implanted defibrillators, pacemakers, and tachycardia.

Syncope?

by imok111, May 13, 2008 02:32PM
I am a 54 year old female, have had a history ofMVP, palpitation, tachycardia, arrythmia's beginning age 19.  I have had two ablations eight years apart, the second, four years ago.  Within two years post the second ablation I have experienced A-fib and am now on Rythmol 150 TID. I have continual tinnitus in both ears which is a tremendous anxiety contributor as I hear my pulse 24/7. Last month I experienced an episode of (?) as I was walking from my car to enter a store.  I suddenly felt as if I saw a bright flash, was losing control and was going to go down, fighting passing out. I made it back to my car, called someone to pick me up, my heart beating rapidly. I called my cardiologist who suggested an EKG at the ER.  My enzymes were elevated and I was kept for observation for 24 hours with no answers to my episode.The enzymes came back down, my labs were normal, CT of my brain normal. I opted for a cath - arteries were beautiful.  The next week I had another episode standing in my kitchen. I made it to the couch, took my pulse which hoovered around 135 for 25 minutes. I am now wearing an event monitor for a month. I have had two near episodes, both of which happened on a day when I was feeling very stressed and had been crying.  It feels as if my heart stops for a long pause, then regains it's momentum. By the time I press the start button on the event monitor the episode what I am feeling has subsided.  Otherwise, I am completely healthy. (This is the first time I have participated in a forum and found this quite by accident. I try to igone this cardiac aggrevation and continue on with a normal life.) I am so frustrated!!!!!   Thank you for your time.  

by Michael J. McWilliams, M.D., May 13, 2008 04:16PM
The button the monitor will record a set amount of time prior to pressing the button -- like 30 seconds.  Most event monitors will also trigger if it detects certain settings like slow heart rates or fast heart rates.  The answer or clues to your symptoms will be on the monitor.  It is hard to say what it is.  Hang in there with the frustration, you will probably have your answer or at least clues soon.
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