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Old 01-26-2009, 03:44 PM   #1
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DickETicka HB User
Angry Second degree block M***** type 1 Wenckebach

Well that's a bit of a mouth full isn't it !!

I never questioned years of occasional light headedness and dizzy spells when standing too quickly (usually after tying laces etc), I just put it down to getting older (I'm still only 43), anyhoo, about five years ago I noticed that when I was relaxed in the evenings, especially when lying on my back, that I skipped beats , aaagh .

So I immediately made an appointment and went to the docs, who said it was nothing to worry about, happens all the time to young fit people (I excercise regularly, cycling upto 100 miles a week), so I relaxed, cut out ALL cafeine including chocolate and things returned to normal.

However, there's more, early last year, symptoms returned with a vegeance, to the extent that I could gaurantee dropping beats if I laid on my back. It has now got to the point where I know when the dropped beat is going to happen, and I feel, what I can only describe as a lump in my throat followed by the thump in my ear.
So back to the docs, who this time hooked me upto a 24Hour ECG, sure enough, when relaxed, dropped beats.

I was diagnosed with the above mouthfull in April, again, the consultant said not to worry, it's common in young fit people, the only treatment is a pace maker , but he'd only recommend one if I started having Syncopic episodes (blacking out), or if I still have them to age 45.
I haven't had a blackout yet, but my resting heart rate is between 55-60, I'd better not get any fitter , but I'm not too far off 45.

My problem now is, that I am now feeling the skipped beats all the time, probably 1 every 10 mins, even now typing this i've noticed 2 or 3, so should I just carry on and ignore them, am I putting myself at risk, I'd rather not have a pace maker, but I don't want to exasperate the problem.

It would be great to here from similar folk

Thanks for reading

Dick

Last edited by moderator2; 01-28-2009 at 06:29 PM. Reason: please use language appropriate to this community - abbreviations do not make it okay

 
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Old 02-08-2009, 12:55 PM   #2
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Kfrancis HB User
Re: Second degree block M***** type 1 Wenckebach

Hello,
I read your post about your condition. My daughter, 16, was just diagnosed with M***** type I wenckebach after passing out during a basketball game on Friday night. She has been complaining of lightheadedness, dizziness, headaches and lumps in her throat for months..... I thought she was lacking sleep, anemic, and a typical teenager until she passed out. We are now in the stage where the specialists are testing. I have been looking online for a treatment because the doctors haven't offered much yet. What has been your treatment, if any? I hope you are on your way to wellness.

 
Old 02-09-2009, 03:07 PM   #3
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DickETicka HB User
Re: Second degree block M***** type 1 Wenckebach

I was begining to think I was the only person to have been diagnosed with this
I take it your daughter has had an EKG/ECG to verify Wenckebach ?
The only treatment for SOME Second degree heart block and ALL Third degree heartblock is a pacemaker.
Pacemakers for Second degree block are generally only recommended if the patient has bad symptoms i.e. Tiredness, fatigue, fainting, black outs (syncopes).
It's important to verify the difference between second degree and third degree, the latter being more serious, an EKG/ECG will verify this.
It's common in young fit people, especially teenagers, and generally needs no treatment, just monitoring.
Obviously if your daughter is blacking out, you may have to consider pacing, but I'll leave that to the experts, I may need to consider it too someday.
Does your daughter have a very low resting heart rate ?
Symptoms usually occur when resting, or "taking your foot of the gas", anything less than 45 can cause faintness.

Common medications for heart block include atropine and isoproterenol. These drugs may be used in the short-term to treat a slow heart rate that causes symptoms, but second and third degree heart block may be unresponsive to atropine.

Sorry, it's probably not what you wanted to hear, but there doesn't seem to be a quick "pill" to take, not that I've found yet anyway.

Hope everything works out for you both, keep me posted

Dick

P.S. I could point you to some good websites, but the forum police don't allow me to add website links

Last edited by DickETicka; 02-09-2009 at 03:31 PM.

 
Old 02-09-2009, 03:20 PM   #4
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sam78 HB User
Re: Second degree block M***** type 1 Wenckebach

Hi Dick, I recently went through a period where I was in wenkebach. I was dropping a beat every 3 beat I had. I was told the same thing as you, if I wasnt passing out then they were just going to watch it. It got quite annoying because you felt like someone was punching you every other beat but eventually once my anxiety from having it went away, I was able to cope with it and just eventually forgot about it. There are times when certainly I have stronger palpitations then normal, but it does gett better with time. Good thing to know is at least your heart rate increases and goes to a normal rhythm when you are up and about. It is those patients that are in that rhythm 100% of the day that end up getting the pacemaker.

 
Old 02-09-2009, 03:43 PM   #5
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DickETicka HB User
Re: Second degree block M***** type 1 Wenckebach

Thanks for the reply Sam.
Yeah, I agree totally with the anxiety, when I first discovered this, I made it 10 times worse, through constantly "waiting for it to happen", it got a lot better when I could just ignore it.
Trouble is, it's hard to ignore sometimes, it's annoying more than anything, but it doesn't stop me from doing anything.
Incedently, chilling out over Christmas, and a new year holiday on the beach, seem to have made it worse , so if I'm reading this right, don't get too fit and don't chill out too much ...... no symptoms ...... urgh, you just can't win sometimes

D

 
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