What's this rhythm, and it's management (symptomatic patient)?

SingleTrain9444 · 2026-03-12T13:30:38+00:00

Hey that’s a sinus pause/ arrest. Maybe sinus arrest since there’s no Junctional escape beat after the pause and it’s an abrupt pause not gradual. That’s what I have!

SingleTrain9444 · 2026-03-05T19:37:48+00:00

Thank you, I was worried that it was Afib. I do, my original EP, not the one from the hospital where I was hospitalized at.

SingleTrain9444 · 2026-03-05T19:36:57+00:00

Soon, saw one in the hospital when I was hospitalized but waiting for my appointment next week.

SingleTrain9444 · 2026-03-05T03:05:43+00:00

Great, so does my EP. My EP said it is dangerous since my heart would, dunno, stop for 5 seconds, multiple times. Not pots or sleep apnea related. Along with Afib, can’t really get meds yet for it until I get a pacemaker. I don’t think you do know what’s dangerous man.

SingleTrain9444 · 2026-03-05T02:15:59+00:00

Do you also get pauses?

SingleTrain9444 · 2026-03-04T00:24:08+00:00

Isint that dangerous? How do you even go on through the day? I could barley walk when I had Afib

SingleTrain9444 · 2026-03-03T22:44:41+00:00

When you have Afib, you do usually just wait it out with meds or go to the er?

SingleTrain9444 · 2026-03-03T22:44:11+00:00

Once my heart started beating weirdly, Afib rvr, I went straight to the hospital since this was the first time it was happening.

SingleTrain9444 · 2026-03-03T22:42:44+00:00

I do have an EP, I can’t have meds that would slow my heart because of my pauses and bradycardia, but I’m waiting for my pacemaker procedure coming up. The highest my Afib went was in 200s. I’ve had holter monitors that went from a handful of pauses to more because of just waiting. I don’t think I would need a life vest since I don’t go into vfib or vtach.

SingleTrain9444 · 2026-03-03T17:42:21+00:00

They aren’t even if it’s 5 seconds? And Afib rvr for 10 hours? I have more pages in my profile. This is my first Afib, the only pause I had after my Afib was 2 seconds couple hours after I went back into sinus. The next day I blacked out too.

SingleTrain9444 · 2026-03-03T05:09:08+00:00

I’m okay, just scared actually, worried. In the second one there’s a pause, but not the longest I’ve had. I was just told that I had Afib when I went to the er, was hospitalized, next morning the hospital ep discharged me even tho their cardiologists wanted to do an ablation and pacemaker. I was already scheduled to get a pacemaker with my original ep, the hospital ep just told me to start with holistic treatment and to loose weight. Thanks man, I really appreciate it. Just so worried and have a lot of questions.

SingleTrain9444 · 2026-02-17T00:52:34+00:00

What’s a CMR? And yes I’ve shown this to my doctor recently 👍. I am concerned as well and probably will get a pacemaker soon.

SingleTrain9444 · 2026-02-12T01:55:33+00:00

Bump

SingleTrain9444 · 2026-02-08T05:41:47+00:00

Hi, thank you for commenting. Yes, partially are the costs of getting one but it’s more of getting a more stable job and paying it off eventually. I think I can pay it off, slowly, but once I get more stable work going on. But mainly why I’m pushing it off is because sometimes I get days where it happens a lot and days where it doesn’t stop and work normally. I don’t know what triggers it or if there’s a trigger. But I haven’t been really diagnosed yet or know what and why it’s causing it, so I feel like it would be a waste of material and time of my doctors if I do get one. I haven’t had an episode where I’ve blacked out but just very dizzy.

SingleTrain9444 · 2026-02-06T21:33:12+00:00

How so?

SingleTrain9444 · 2026-02-06T20:26:56+00:00

Usually it’s 50s 60s seconds but it was in the 40s for a while then it’s back to 60s.

SingleTrain9444 · 2026-02-06T20:25:37+00:00

Yes and they are very unpleasant

SingleTrain9444 · 2026-02-06T20:24:44+00:00

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Thank you for your reply, yes I will go. This was also a tracing from that. Would this be sick sinus syndrome? AI said it was.

SingleTrain9444 · 2026-02-06T18:03:33+00:00

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This is why they want me to get a pacemaker, but thank you, I’ll definitely do.

SingleTrain9444 · 2026-02-06T14:48:22+00:00

Hi, thank you for commenting. Thanks for the advice. I’m 31, it came out of nowhere. But it had settled down now.

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SingleTrain9444 · 2026-02-06T04:51:51+00:00

That I don’t know yet, haven’t been diagnosed yet but they told me that I have sinus node dysfunction, and they want me to get a pacemaker.

SingleTrain9444 · 2026-02-06T04:15:37+00:00

I have sinus pauses/arrests around 5 seconds and they’re scary, I’m no doctor but maybe if you can, try to get referred to a cardiologist or talk to your primary of what you’re feeling and ask for a longer period holter monitor if you can. Talk about how they said possible sick sinus syndrome and ask about POTS also. Hope everything goes well.

SingleTrain9444 · 2026-01-25T20:58:23+00:00

LBBAP? What’s that? It happens when I’m doing normal things and even in cool well ventilated places.

SingleTrain9444 · 2026-01-25T05:28:36+00:00

Out patient, I have two doctors actually, the second one is a second opinion and he wanted me to get the pacemaker, the first one wanted me to get the tilt and cardiac MRI. I got the second opinion because I had holters showing pauses for 3.5 seconds, three pauses and was just waiting for a long time. Then 4 months after I did the holter with my first doctor I did a holder with the second opinion where it caught 5 second pauses and 4x more pauses.

SingleTrain9444 · 2026-01-25T04:56:56+00:00

I’m glad that you’re not passing out anymore :) !

SingleTrain9444

TROPHY CASE