Heart Rhythm Community
2nd Degree AVB Type 1 Wenchebach
About This Community:

This patient support community is for discussions relating to heart rhythm issues, arrhythmia, irregular heartbeat, implanted defibrillators, pacemakers, and tachycardia.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

2nd Degree AVB Type 1 Wenchebach

I have had what seem to me very un normal heart rythyms for the last two years.  I am only 29 and I have been in the hospital at least three times for what has been diagnosed as synscope.  During and after these episodes and I am unable to speak clearly for several hours and am very tired afterwards.  I have edema throughout my whole body.  I have tightness in my chest almost everyday and when I do any athletics I feel as though I am going to plum pass out with very little exertion.  I start shaking, like there is too much adrenalin in my body and my heart cannot handle it.  I have had two MRI's and the first one was unremarkable.  I had the first one two years ago when my symptoms first appeard.  My second MRI showed scattered foci in my frontal lobe.  I have seen about 12 doctors and all of them say that I am fine and the arythmias are nothing to be concerned about.  They suggest I take anti deppressants or anxiety meds.  I know I am not anxious and feel as though time is ticking against me.  Second degree AVB type 1 Wenchebach showed up on my most recent two week holter report.  Is second degree AVB type 1 Wencheback really nothing to be concerned about, especially if I have such severe symptoms?


















Related Discussions
13 Comments Post a Comment
Blank
612551_tn?1247839157
Sorry you haven't gotten some input from someone who knows your subject much better than I do.

But as none have, I'll make this post from the little that I know and hope the "bump" to the top of the list will attract better inputs for you.

It is my memory that 2nd degree AVB is not dangerous, I know/don't-remember anything about Type 1 Wenchhebach and while I could look it up, I'm sure you already have.

I find a little information on AVB at:
http://www.medhelp.org/search?query=AVB&camp=top_nav_search

Have you tried using the search on this forum?
Blank
Avatar_f_tn
Thank you for your post.  I have looked it up but the information is all a bit confusing to me.  There seems to be Mobitz type 1 and Mobitz type 2 and both are called Wenchebach and I am not sure when I read about them which one I have.  The last doctor that I saw who caught the block didnt go into any detail.  He just said your ventricles dont beat.  I just know I have severe symptoms that are not going away and I am tired. I am having to wear compression socks because I am so swolen...that is not normal at my age.  I will hopefully find more out on Monday, I go in for a stress test...finally.  

Thank you again.  


RaeAnne
Blank
Avatar_f_tn
be careful on the stress test, do not exhaust your self, im not gonna say why unless you ask, your swolleness could be a sign of heart failure, if your ventricles dont beat how is blood being pumped around the body? is you need to look up anything go to www.patient.co.uk it will explain everything to you because doctors use it, good luck with the stress test and i hope you get well soon
Blank
1124887_tn?1313758491
2nd degree wenchebach is usually nothing to be afraid of in itself, and it should not cause syncope.

The sensation is just like having lots of PVCs, like skipped beats.

If you have syncope, it's likely you have another problem (a possibility is 2nd degree type 2, 2:1 block or 3rd degree, or other arrhythmias). Of course, it can be completely non-cardiac related and benign, but it must be confirmed.

This should be investigated and it's really important you get a monitoring during the syncope / near syncope events.

Heart blocks often occur during times with high vagal activity (during rest). Adrenaline decreases AV conduction time.

Please be aware that 10-20% of all Holter tests of young healthy people have events of Wenchebach, usually during sleep (according to an article I read about this, that I really shouldn't read...) it's usually a sign of high vagal activity.
Blank
Avatar_f_tn
So, what does that mean if I had the Wenchebach type 2 block while I was asleep?  Mine happened at 4 am.  I have done a tilt table test and almost passed out, "but almost only counts in horseshoes, hand grenades and atomic weapons."  Anyway the test was normal.  I dont really understand what that means if it happens during sleep.  Does it mean its not serious?   What will happen if I work to hard on the stress test.  I dont really have control of the treadmill, I dont think, while they are doing the test.  

Help, anyone.  

RaeAnne
Blank
1124887_tn?1313758491
According to an article in "Heart forum" vol 5, 2004 by the Norwegian Cardiologist Association (which I shouldn't read at all, because I'm not a doctor) it's stated that Wenchebach during sleep is a "normal phenomenon" and not clinically significant.

The cause is high vagal activity (the vagus nerve is "connected" to the sinus node and the AV node, and high vagal activity slows both down, causing slow heart rate and slow conduction, causing short AV blocks.

If you almost passed out during a tilt table test, and the EKG was normal, it's likely to be short blood pressure drops, it's really common, and if your doctor wasn't concerned, neither should you be.

Try to relax and trust your doctors. You obviously don't have a heart disease.

Blank
Avatar_f_tn
I  am  sorry  but  I  do  not  feel  as  though  I  obviously "dont  have  a  heart  disease"   something  is  being  missed  by  the  doctors. I  have  sleep  apnea  and  I  have  never  had  that.   my  resting  heart  rate  is 120 to  150  while  just  sitting  and  I  feel  sick. I am  not  on  any  drugs and  this  is  not  normal.    
Blank
Avatar_f_tn
Well, if your resting HR is indeed 120-150bpm, it is too high. It is a good thing that your are having the stress test in a few days.  I hope you will find some answers.  After wearing the compression stockings, has the edema in your legs subsided a bit?  Good luck to you.  I hope you find some answers so that you can start feeling better.
ksig
Blank
Avatar_f_tn
I think those resting heart rates are too high too, but the doctors don't think so.  The compression socks have helped a little bit but not alot.  I can still push on my shin and there is an indention left for a little while.  The last few days I am struggling with a lot of chest pain.  It all just ***** and I hope the new doctor can figure out what is going on.  

Thanks,

RaeAnne
Blank
Avatar_f_tn
If you are suffering from excruciating chest pain, you need to go to the ER... NOW.
Blank
Avatar_f_tn
The chest pain is not excruciating, nothing yet that has dropped me to the floor it just hurts in the middle of my chest and radiates to the left side of my chest and up my left shoulder.  Sometimes the shoulder pain varies to one side or the other.  I have been in to the ER for my chest pain about three months ago and they cant figure anything out.  
Blank
Avatar_f_tn
If it gets worse, go in.  Better to be safe than sorry.  Oft times heart attacks present differently in women.  Good luck to you.  Keep your feet up and settle down with a good book.  Monday will be here shortly.
ksig
Blank
Avatar_f_tn
Thanks,

RaeAnne
Blank
Post a Comment
To
Top Arrhythmias Answerers
1807132_tn?1318747197
Blank
michellepetkus
Chicago, IL
1423357_tn?1373023915
Blank
tom_h
Central, MA
612551_tn?1247839157
Blank
Jerry_NJ
NJ
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
257552_tn?1404606154
Blank
Artaud
Pittsburgh, PA
995271_tn?1408549100
Blank
itdood
PA
MedHelp Health Answers
Recent Activity
1755089_tn?1376057155
Blank
drewlevas uploaded new photos
3 hrs ago
1236893_tn?1408490528
Blank
The Ultimate Food Storage Cheat She...
8 hrs ago by gymdandee
6579347_tn?1388505968
Blank
mele48 Just keep swimming, just ke... Comment
9 hrs ago
Heart Rhythm Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
Top Arrhythmias Answerers
1807132_tn?1318747197
Blank
michellepetkus
Chicago, IL
1423357_tn?1373023915
Blank
tom_h
Central, MA
612551_tn?1247839157
Blank
Jerry_NJ
NJ
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
257552_tn?1404606154
Blank
Artaud
Pittsburgh, PA
995271_tn?1408549100
Blank
itdood
PA