Mobitz type 1 and Mobitz type 2

Holter

by Tracey_E - 2017-10-21 09:29:21

Why can't they just send you home with a Holter monitor? 1 and 2 by defiition only occur intermittently so it can be hard to catch.

If you are asymptomatic and your rate doesn't get dangerously low when it happens, you can often be watched for now rather than paced. It can progress or stay the same for years. There isn't a single answer when is the best/right time to do it. My advice would be when you can no longer do the things you want to do, OR if you start getting very low at night because that will affect you during the day more than you know. My rate dipped so gradually that I didn't realize how bad I felt until I had a normal heart rate again. I looked back and realized there was a lot that I wrote off to other things. No need to rush into it, but when it's time, don't be afraid of it. Most of us come out of it surprised how energized we feel. 

Mobitz type 1 and Mobitz type 2

by Maverick - 2017-10-21 14:26:29

Thank you very much for your comments. More food  for thought. I did not realise that Mobitz 1 and 2 were so difficult to pin down.

I think the main problem is that I have no obvious symptoms.

Can Mobitz 1 and 2 just disappear or will it inevitably get worse?

My lowest heart rate was 57. It's usually 65 to 80. I always thought that would be good. Lost 25kgs. Eat very healthy food, exercise, don't drink or smoke. Was type2. Still am of course but sugar normal now.

Thanks  to everyone.

Mobitz type 1 and Mobitz type 2

by Maverick - 2017-10-21 14:27:02

Thank you very much for your comments. More food  for thought. I did not realise that Mobitz 1 and 2 were so difficult to pin down.

I think the main problem is that I have no obvious symptoms.

Can Mobitz 1 and 2 just disappear or will it inevitably get worse?

My lowest heart rate was 57. It's usually 65 to 80. I always thought that would be good. Lost 25kgs. Eat very healthy food, exercise, don't drink or smoke. Was type2. Still am of course but sugar normal now.

Thanks  to everyone.

If you do need a pacemaker,,,,

by Terry - 2017-10-21 14:44:27

Be sure you get His bundle pacing. Then every ventricular contraction will be the same as your normal function. Caution - if your doctor decides to bypass the cardiac conduction system (by plopping the lead in the apex of the rigt ventricle) and you are paced more than 20% of the time, ventricular remodeling will occur and that can result in heart failure. Google His pacing or see His-pacing.org.

Terry

1 and 2

by Tracey_E - 2017-10-21 19:27:28

1 or 2 means most of the time your heart beats normally but sometimes the signal doesn't make it to the ventricles. It rarely goes away. It tends to stay the same or get worse. I normal heart rate is 60 so you're just barely below that so your rate appears to be good at rest. The other half of the equation is does it go up on exertion. Before I was paced, my rate was 44, always. I have 3rd degree block, which means the signal never gets through to the ventricles so no matter what my atria was doing, the ventricles marched to their own drummer.

Electrical problems are a short circuit. They have nothing to do with lifestyle. Eating right and exercising helps keep the muscle strong and the arteries clear. Electrical problems can be as a result of surgery, medication, infection, but more often than not they appear at random and we never know why. Nothing you did caused it, nothing you could have done differently would have prevented it.

1 and 2

by Maverick - 2017-10-22 05:17:31

Tracey thanks very much for your valuable advice. My pulse rate does behave normally. It goes up when walking or exercising. It also comes back down to normal very quickly, which I think is good. 

From what you have written it is easier to understand why you needed a PM with a pulse of 44, even on exertion.

How do you feel with the PM?

Terry thanks also. I will ask my doctor if it comes to having a PM about his bundle. As my heart rate has only dipped to 57 on one occasion I am hoping that the PM will not come into play much, if at all.

Anyone have any problems with MRIs?

It's all very ironical to me as my stepfather has a resting heart rate of around 47 and is as fit as a fiddle. He is 78. Doctor says his low heart rate is no problem, as he has had this all his life!

pacing

by Tracey_E - 2017-10-22 09:09:22

Some people get by just fine with a resting rate in the 50's, even 40's. As long as they don't have symptoms and it goes up on exertion, that's their normal. 

Yes, mri's can be a problem. There are some devices that are mri compatible but they have some limitations, like a lower upper limit (how high it can pace). Mri's can be done but only at some facilities and following a protocol. There are also more and more facilities that are now safely doing mri's on devices that are not rated mri safe. In 20+ years, this has only come up for me twice, each time we got by with a CT instead. I would consider this the most serious potential drawback, but I think over the next few years it's going to get better. 

How do I feel with the pm? Fabulous. Seriously, really amazing. I'm congenital but they didn't pace kids in the 70's unless it was life and death so growing up I had limited stamina, wasn't allowed to play sports, etc. Dizzy spells were a way of life. My rate dropped off and was 21 when I was admitted for surgery. I could literally feel it the minute I woke up in recovery, was like mainlining coffee. I got in trouble that night with the nurses for pacing the halls but I needed to MOVE. The day I was cleared for activity, I stopped on the way home and bought rollerblades and a tennis racket. I joined a gym. I had two babies (out of the question before I was paced). My kids are in college now, my heart even survived teaching them to drive. I  meet up with my oldest to do races and we do Crossfit together when she's home. We did our first 5k to celebrate my 20th anniversary of pacing. I created a monster and now we are doing our second half in December for her 21st birthday. My youngest was home on fall break last week, we went ziplining and kayaking and spent a day at Disney doing coasters. There is nothing I want to do that I cannot. They moved my device last year (#5) and now the scar shows in my gym tanks. Every once in a while someone will ask what it is, the look on their face cracks me up. No one looks at me and sees a heart patient.

Pacing TraceyE

by Maverick - 2017-10-22 09:27:53

Wow!!!

What an I inspirational post!

That should be pinned on the front page of the site!

Well done! So happy for you!