Hi guys, this is my first post, apologies for it being long, the paragraph below sums my situation up if you can’t be bothered reading. Go easy on me, I am struggling and wanting something positive to focus on.
I recently had a 3 day holter for palpitations which revealed that I had occasional instances of Mobitz ii heart block. The consultant gave me propranolol for the palpitations (worked wonders) and said nothing of the block. My GP also did not seem concerned about the block. However, all of the research I can find on Mobitz ii block suggests that a pacemaker is usually fitted due to risk of progression to complete heart block, and that the prognosis is “generally poor” for individuals left untreated. My questions are:
Am I at high risk of getting complete heart block? Is it common for people to drop dead from Mobitz ii block? What is the prognosis for people with occasional Mob ii block? Should I insist on a pacemaker being placed?
Some of my background:
24yo healthy and fit male.
I have bad health anxiety and am in the habit of checking my pulse and was aware that I was ‘missing’ beats (especially while waking up/hungover/day after working out/etc) occasionally. These missing beat periods normally only last 10 to 30 minutes (and go away as my day starts and my heart rate picks up), and normally have about 20-30 NSR beats before missing one.
I am completely asymptomatic aside from being able to feel a strange flutter sensation in my chest when having a ‘missed beats’ episode.
Thank you for reading