I've been fainting for two years now, but only recently has it happened while under a doctor's care (I never could even manage to do it with an event moniter). The doctor noticed that my heart rate (already high) of 110 skyrocketed it 137 right after I collapsed. He's scheduled for me to have an EP consultation, to see if there's anything wrong with my heart, given that I have normal EKGs and normally my heart rate is under 110 (though I've noticed it's higher when I've had a cluster of fainting spells).
However, this EP study thing sounds kind of scary to me, so I went out and bought one of those real-time sport heart rate moniters, just to see if I could get data to the doctor I go to for consultation that helps him decide not to do it. What I've found kind of confuses me, and I wanted to see if it made sense to anybody (or if they outright recommend I stop self-monitering and leave it up the proffesionals)
On average, my heart rate is in the 70's to 80's while laying down for awhile, 80s to 90s when sitting, and as soon as I stand up it's at 120-130, but quickly drops back down to 100-110. When I'm walking it tends to be in the low 100s (lower than just standing, at least). However, all of this is without any symptoms at all, much less full on collapse.
When I DO have presyncope symptoms (I feel cold, chest pain, heart palpitations, and sometimes I'll grey out, feel tired or full on pass out), my heart rate is much LOWER than it normally is. I've had symptoms while sitting with a heart rate of 59, I've stood up and felt symptoms with a heart rate of 86 (both rates much lower than anything I'd seen before in those positions.)
Even more confusing, on days when I have symptoms, hours before I have the symptoms my heart rate is extremely high. It's hit 157 just standing (after picking something up off the ground) before, and then a few hours later it was at the 59. A few days later it was 135 standing (I was standing for a few minutes before it hit that, and it never went down), and in the afternoon it was at the 86 standing, with me on the verge of collapse (the only reason I didn't was that I sat down very quickly and put my head down).
Is this normal? Is my high regular heart rate meaning that a 'normal' (for most people) heart rate is low enough that I pass out?
If so...would an EP study be useful for this afterall? What exactly would it be able to tell me that an EKG keeps missing?