I was referred to an cardiac electrophysiologist this year for sudden near faint or loss of conscious events on a daily basis. My symptoms at rest are chest pain radiate to left side of chest/arm/neck, difficulty breathing, strange palpitation, headache at top of head, dizziness and blurry vision, faitgue with numbness in feet and leg, feeling of lossing consciousness with inability to focus. (at least three times per week for few seconds or minutes during afternoon hour or sleeping hours) followed by tiredness and sleepiness for an hour. In addition, I had difficulty exercising will become tired very fast after a short walk.
My doctor requested the ECHO test which came back normal and the holter monitor test for 24-hours which showed some problems when my symptoms raised, the results of the holter test as follow:
Impressions and Findings
Ambulatory ECG Analysis
The recording is performed for a period of 24:07:29 and a total of 128496 beats (QRSs) are analysed.
Average Heart Rate:
The average heart rate is 92 bpm, with a maximum rate of 147 bpm and a minimum rate of 60 bpm.
Ventricular Ectopic Activity:
Present and consists of 1 total VEs. There is 1 isolated VEs. There is No Couplets, No Bigemeny/Trigemeny and no Ventricular Tachycardia.
Supraventricular Ectopic Activity:
Present and consists of 1 total SV ectopics are present and consists of 1 Isolated SVEs. There is no Couplets, no runs of SV Tachycardia. No Paroxymal SV Tachycardia.
Always good to get another opinion. But My mother has a defibrillator in her and it has never gone off and does not get any pain from it. It's all under the skin. Worse case scenario, they implant it under the skin and you get on with life and forget it's even there. Modern devices live under the skin, little scar from operation and you forget it's even there.
I am not saying you do or do not need one, but once you get all the opinions out of the way and if you do get one. I would not worry about it too much. Hard I know when you might be the one getting one. But relax.
FYI - Listen better to what you Cardio thinks you might need, rather than GP.
That's why my GP sends me to a cardio, because at least they know what they are fully talking about before sending scares into you about getting a pace maker.
My cardiac electrophysiologist still want to find the best medication to slow the heart rate. However, I am only concerned with sudden dizziness and blurry vision, faitgue, disorientation and feeling of lossing consciousness.
I had events of sudden extreme fatigue where I had to lay down inable to move or talk eventually fall sleep afterward. It used to happen after exercise but with time it started to happen with stress and sometimes at rest on a daily basis. I was instructed to limit my exercise and rest more often. My neurologist thinks it might be epilepsy but said it cannot be confirmed.
However, I think my symptoms are linked to my heart because I was diagnosis with sinus tachycardia since I was a kid. However, with my near faint, I am starting to wonder if this is linked to LQT. My mean QTc is 401 but my maximum QTc is 682. The holter hourly report showed my mean QTc (at a certain hour while driving to the hospital) to be 632, my average heart rate to be 110. It seems like my heart rate and QTc are high with simple exercise which is what concern my cardiac electrophysiologist.