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rem cardiac arrithymia

Posted by david kracheck on April 22, 1999 at 23:23:03
Four years ago I was diagnosed with rem cardiac arrithymia.
One of the holter reports showed only during rem sleep an interrmitent complete heart block the other showed high grade a-v block with a 4:1 a-v conduction. The longest r-r interval is 9.6 second associated with supravetricular ventricular asystole with a 9:1 a-v response. during this time a measurable heart rate was not obtainable. With the help of a very good doctor the therapy we agreed to was a pacemaker. At the time little info was available for for this type of arrithymia. Now four years later is there anymore information available about this subject and has anyone to your knowledge been diagnosed with this as well?
Thank you in advance for your help

Posted by CCF CARDIO MD - MTR on April 23, 1999 at 08:43:31
Dear David, thank you for your question.  I agree that a permanent pacemaker was the best treatment for your condition. In 1999, we still would recommend the same treatment.  This is a rather rare disorder, so I don't personally know anyone who has this.  
I hope you find this information useful.  Information provided in the heart forum is for general purposes only.  Only your physician can provide specific diagnoses and therapies. Please feel free to write back with additional questions.  Good luck.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter.   The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.

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