Heart Rhythm Community
junctional rhythm 26y.o. pacemaker?
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

junctional rhythm 26y.o. pacemaker?

Hello, I'm a 26y.o female who has a history of svt induced by exercise- had two unsuccessful ablations because the tissue is on my regular electric conduction path- these were when i was 18 and 19 years old.  In august all of a  sudden I felt lightheaded frequently when doing activities and not.  I ended up fiinding out I was in junctional rhythm heart rate in the 40s and 50s.  When sleeping my heart rate goes into the 30s with occasional 2-3 second pauses.  It was found I was hypothyroid and was treated with synthroid and my symptoms resolved and was in normal rhythms according to a heart monitor placed on me for a week.   7 months later I am again in junctional rhythm- tested for lymes which came back negative except one IGg band 23 which isnt enought o be positive but being treated anyways in case lyme carditis.  After treatment still having occasional lightheaded episodes (no fainting).  Thyroid is still slightly off and now we are waiting to my level to return normal and then see what my heart rhythm is.  However, if it isnt back to normal and I'm not feeling well I'm told I will need a pacemaker....is there any other casues for junctional rhythm?  Any comments that you can think of?  Just frustrated and scared even though I am involved in the medical community.  Any help given- I am thankful.
Related Discussions
2 Comments Post a Comment
Blank
Avatar_n_tn
forgot to mention that echo was normal, stress test was done and my heart rate climbed approprately to 170s......usually with junctional rhythm your heart rate doesnt increase like that!
Blank
1124887_tn?1313758491
Hard to answer your question. To me it appears they are borderline. And I am no expert.

A lot of strange things in the heart happens during sleep. The sinus node is, and should be, slowed down, which can cause other "pacemakers" in the heart, including the AV node, to take over. This is called escape rhythm. Atrial escape rhythm, nodal (junctional) escape rhythm and even ventricular escape rhythm can occur during sleep and is considered, to a certain degree, normal phenomena.

Pauses during sleep should not be longer than 3 seconds.

It's good that your heart rate responded properly to exercise.

The fact that your sinus node stops during activity is abnormal. This MAY indicate so-called sinus node dysfunction, which is, in severe cases, treated with a pacemaker.

Your cardiologist must answer if the findings are significant/serious enough to warrant a pacemaker implant. This is difficult for us, as patients, to decide.
Blank
Post a Comment
To
Top Arrhythmias Answerers
1423357_tn?1373023915
Blank
tom_h
Central, MA
612551_tn?1247839157
Blank
Jerry_NJ
NJ
1807132_tn?1318747197
Blank
michellepetkus
Chicago, IL
257552_tn?1404606154
Blank
Artaud
Pittsburgh, PA
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
995271_tn?1408549100
Blank
itdood
PA
MedHelp Health Answers
Recent Activity
1755089_tn?1376057155
Blank
drewlevas uploaded new photos
11 hrs ago
1236893_tn?1408490528
Blank
USDA Approves New GE Corn and Soy, ...
15 hrs ago by gymdandee
Avatar_f_tn
Blank
mkh9 commented on photo
16 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
1423357_tn?1373023915
Blank
tom_h
Central, MA
612551_tn?1247839157
Blank
Jerry_NJ
NJ
1807132_tn?1318747197
Blank
michellepetkus
Chicago, IL
257552_tn?1404606154
Blank
Artaud
Pittsburgh, PA
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
995271_tn?1408549100
Blank
itdood
PA