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Sinus bradycardia with sinus pause while sleeping

Johnbobby profile image
10 Replies

Hi, i’m new around here and was hoping for some advice from anyone who has experienced similar. 24HR R-test has shown episodes of sinus bradycardia mid 40’s with sinus pauses of <3 secs. Longest was 2.1secs. I believe these were during sleep. I’ve been told this can be normal and anything less than <3 secs for a pause doesn’t need treatment.

Anybody ever experienced similar? As much as they say don’t worry believe me i am!

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Johnbobby profile image
Johnbobby
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Catwoman55 profile image
Catwoman55

My resting heart rate was sometimes as low as 34 and I also had the 24 hour monitor which showed my heart stopped for around 2 seconds when I slept. I have been monitored

by the cardiologist since 2012 . At first he wasn’t really steering me towards having the pacemaker but now I’m 64 he started pointing out that things will get worse with age etc. I put it off as long as possible but have now had the pacemaker 8 weeks ago. All is going well.

Prada47 profile image
Prada47

Hi

My resting pulse was 33 and I started to have Pauses which I could notice if I woke in the night !!.

Cardiologist thought I was a little over Beta blocked at 10mg Bisoprolol so reduced it to 7.5 mg been OK since .

Regards

Johnbobby profile image
Johnbobby

As far as the cardiologist is concerned under 3secs is normal even in healthy people. Which is reassuring but also still scary! It could be due to high vagal tone. I suppose i just gotta trust the process. Thanks for the feedback guys

Bigdan profile image
Bigdan in reply toJohnbobby

I had a loop recorder fitted as I'd had a few faints, I could feel missed beats especially when lying in bed before getting to sleep, this was called wenckebach which they didn't seem to fussed about but after 3 month the loop showed a 15 second pause! I've now got a pacemaker fitted so rate doesn't drop below 50 at night and 60 through the day. 6 week post op now and its been a really positive experience. I'm 41.

in reply toBigdan

Do you often get the symptoms when you are about to fall asleep?

Have you ever been suggested to have any overnight sleep study if you don't mind me asking this?

Johnbobby profile image
Johnbobby in reply to

Yeah sometimes i can get these feelings when falling asleep, usually at the point when i’m drifting off. Never had a sleep study mentioned. Could be worth mentioning about

in reply toJohnbobby

Thank you for your reply, much appreciated.

Wow . . . ! Mine is the same.

Johnbobby profile image
Johnbobby in reply to

Its a strange rushing type feeling just as i’m drifting to sleep. Does that sound similar?

in reply toJohnbobby

Very. . . It would be useful to know the underlying

mechanism.

Thank you.

NewerJoin profile image
NewerJoin

29male. I also have this. My pauses are from 3 seconds to 7.

Electrophysiologist said its OK, suspects increased vagal tone.

It worries me. I have nights with just 2 secs and nights with longer. I bought a holter myself from ebay, it shows pauses each night accurately.

My walking around hr is 52 or 55. In the 50s during the day, when laying still I'm in the 40s, at night it stays in the low 40s,but I do get the pauses.

Further reading suggests rem sleep bradyarrhythmia as the name of this unknown thing we have.

Some have gotten pacemakers, I would spend the 200$ for a holter so you can monitor your pauses. The thing is there are days and days so it's good to have it one every night for 1 month so you can see what happens.

Please reach out to me with anything about this, further reading or whatever, I will also share anything I find out and what I can accomplish at the doctors.

Sleep study confirmed there pauses happen only in rem sleep stage.

No apnea was found with me.

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