How do you know if your leads are failing?
It's been some time since I last wrote this group.
I have had my pacemaker for idiopathic third degree heart block for a little more than four years now. I am in my late thirties, I jog three miles regularly, and apart from the heart block I otherwise have zero health issues.
Today, I had a concerning experience. After walking quickly up two flights of stairs to my apartment, I had a series of really strong heart palpitations. My underlying heart rate felt slow, and then I felt these regular, very strong beats over the underlying beat every 3-4 beats or so. While I was feeling this, I was fortunately able to capture a mini ECG on my Apple Watch, and, honestly, the tracing looks like a heart block rhythm with the big escape beats and all. It quickly resolved itself after a few minutes, and I haven't noticed any other weird rhythms today.
Is it possible that -- going on months now with not enough sleep, likely a little too much caffeine, and high stress due to working from home while simultaneously watching my toddler due to the pandemic, etc. -- this was just a random palpitation, no biggie, just get some extra sleep tonight?
Or, because this seemed to be a heart block rhythm, could this mean my leads are failing and I need to get in to see my EP right now? Would there be other signs telling me there's an urgent issue afoot?
I'm wondering specifically about the leads because I have a strong and active toddler who I probably lift more than I should, and he's accidentally hit me pretty hard a few times on my Pacemaker side, and so this possibility has been in the back of my mind for some time.
I'm due to see my EP, coincidentally, for my annual check up on 12/16. The rhythm I felt today just really freaked me out, and I'm wondering if I should be advocating to get in there sooner.
Thanks in advance for any advice!