Chest Discomfort and Shortness of Breath
Hi, I'm new to the club. I'm a 53 yo male, very active and workout 5-6 days/week. My resting HR was typically around 42-45 bpms. In mid January, I went to the cardiologist for a routine check-up. The EKG showed an abnormal pause in my heartbeat, which concerned my doctor. A holter confirmed I was experiencing pauses of up to 2.3 seconds, but was not experiencing any symptoms. He immediately sent me to see an EP, who diagnosed Sick Sinus Syndrome and told me I was eventually going to need a PPM. On Feb 19, he performed an EP study, which confirmed his initial diagnosis. He decided not to insert a PPM, because I was totally absent of symptoms. However, he cautioned that should symptoms start presenting themselves, I was going to need one immediately. Approximately one week after the EP study, I started experiencing near syncope correlated to long sinus pauses. On March 23, I had a second holter done, which indicated my pauses were up to 4.2 secs. On March 31 (3 days ago) my EP implanted a Medtronic Azure XT DM MRI SureScan dual ch PPM. I felt great the first two days and then last night, as soon as I went to bed, I felt mild chest pressure, strong palpitations and shortness of breath, which lasted a few seconds. I fell asleep afterwards and slept fine. However, I'm still experiencing shortness of breath when I go up a flight of stairs (not normal for me.) I spoke to my cardiologist this morning and he told me that my PPM was probably at standard settings and will need to be adjusted. I believe the min HR is set at 60 bpms, because my iWatch and Fitbit reflect my current resting HR is 60. He did caution, if the palpitations were to persist for minutes at a time, to contact him immediately or to go the ER. I'm wondering if this is normal for first time PPM patients and hope to resume my active lifestyle, once my recovery period is over.