Arrhythmia Alliance
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Long pause in heartbeat

Long pauses in heartbeat. I have been experiencing pauses of about 4 seconds in my heartbeat which result in a feeling I am going to pass out, this is a recent problem. I have ectopics, Svt and a leaking mitral valve,am 71 years old and have had ectopics for 43 years and svt for 12. My question is whether anyone else experiences this and has it continued?

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I may not have the answer u r searching 4.. Since you have ectopic for 42 years I would like to know.. Is that everyday u r having ectopic? I just have this problem

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As I,ve got older the ectopics are all day every day, I haven,t been tested for a fib. I saw the electrophysiologist 3 weeks ago, I was not sure I wanted the ablation at my age but my quality of life is not good now after being very active so I,m considering going for it. I read too many posts where it is unsuccessful so made me indecisive, this long pause has made me think I should go for it.

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Hi

I used to get long pauses (I have 6 second recorded) as part of my arrhythmia though this has stopped after 2 ablations for atrial fibrillation. My sinus node doesn’t really function anymore and I am soon to have a pacemaker implanted. The treatment is often/usually pacemaker if getting symptomatic to the point of passing out but sometimes treatment/ablation of other heart arrhythmia can resolve it as in my case. You’d need some testing/monitoring to see what’s going on (unless you’ve already had that and that’s how you know).

Take care.

Jo

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I have long QT which I only found out about when I had heart attack and had stent put in. I am now being investigated as to why lo g QT.

As a teenager I used to faint a lot for no explainable reason but the last episode was some 40 years ago u til 2016 when I HD my h/a.

I am now 70 I have a reveal device fitted which h when I have " turn" I should use, I do go off for second/minutes and am supposed GO use the reveal when I come out of "a turn" but I don't always know that I have had one. The reveal has a three year life so I am being monitored annually unless I need to go back earlier. All ECG`s come back abnormal so not sure what is going on. Maybe you will be offered the reveal!

If there is anyone else on here with a reveal device I would like to know how they get on with it.

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I think nowadays pacemakers do this job continuous monitoring that when you go for your checks are downloaded to see what your rhythm has been doing. Mines all over the shop I had an ST depression that looked like it could be an MI on first ablation they had to stop and do an angiogram (clear) and only yesterday was arguing with GP who thought I was in NSR when I was in a rate controlled Atypical Flutter with a 2:1 conduction. Lucky I trust my cardiologist. I’m glad you’ve got proper monitoring though haven’t a clue on the implications for you for the long QT apart from it needing careful and specialised management. One woman on the AF forum was told she had it induced by a heart drug she’d taken.

Take care and keep well.

Jo

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I did think I may need a pacemaker because I live alone, if I passed out it would be a problem.

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My pauses were only 3.5 seconds and I was told that I needed a pacemaker.

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Thanks for all your replies. I live outside London, our health service is failing badly, I worked all my life and paid in to this, our general practitioner does not like referring you , I went to see him Wednesday and came away feeling despondent so I thought maybe I should go for ablation.

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First of all I don't think the Health Service is failing badly. You need to be more positive with your GP and insist he refers you to cardiology. Once you are there they will carry out many tests and suggest the best way forward.

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