HEART DISEASE EXPERT FORUM
heartbeat stops

heartbeat stops

I am a male, 28 years old,in excellent health, working out daily. I was recently taken to Reno, Nevada's Heart and Cardiology Dept and scheduled for a "tilt test" because of my dizziness and passing out. I was strapped into the bed and 10-11 electrodes were placed on my chest and stomach for the EKG and an IV  for pumping salt/hydrate into me to hydrate me better. The doctor told me that they would be pumping  something, nitrocyphene? into my bloodstream after bringing the hospital bed into a standing position so that they could determine what part of my body is shutting down causing the me to pass out about every 4 or 5  months. But as the bed started tilting upward and I got close to standing position, I started feeling dizzy and told the doctor I was feeling sick already. They didn't have a chance to put any of the drugs into me before I passed out. Next thing I know the doctor is shouting at me to wake up and I was coming to and the bed was lying back down andthey had pumped something into me to wake me up. The doctor said that I passed out on my own and showed me on the EKG that I was out unconsious for one minute and 15 seconds and my pulse and heart stopped completely for 11 seconds. He said he would schedule me to see a heart surgeon for a possible pacemaker. Can you tell me what this would entail, and what I should do next?
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This is called vagal mediated syncope.  Because your heart slows down quite a bit a pacemaker might help prevent these syncopal events.  A pacemaker is a small device which is implnated, typically, on the left side of the upper chest.  It is the size of a man's watch.  A couple of wires, or leads, are implnated in the heart through a large vein that runs below the clavicle.  There is no bone or muscle cutting involved.  Everything is done through small opening in the vein.  There will be a small scar on your upper chest where the pacemaker sits.  The battery in the pacemaker lasts about 10 to 14 years and at the end of that period the pacemaker can has to be replaced.  The wires, or leads, last about twice as long.  You will have some limitations in what you can and cannot do in the six to eight weeks following the implantation.  I am assuming that your surgeon will be contacting you shortly.
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