newbie with questions...and migraines
Hi, all- total newbie here. I am mid-diagnosis and have questions.
Most of August I was having dizziness on standing. I had just gotten to the point of acknowledging I needed to see a doctor about that but got mowed over by a big migraine early September (in bed 5 days).
My migraines are regular and come with a long tails leading up to them and as they fade. The impact to my life has been severe. I do see a headache specialist neurologist, tried many drugs, none really work.
Since that migraine in September, I’ve felt like total crap. I have had many checked out migraine days, fatigue days and now general tiredness. It often feels like someone is pushing on my chest as if to say, whoa nelly! Now you just sit your self right down in that chair right there! I’ve been logging my migraine pain…I now often wake up or go to bed in pain (that’s new for me). It’s never awful but it’s nearly every day. These symptoms are only slowly dissipating since September. I still get dizzy every day.
My daytime heart rate averages low 40’s but can be in the 30’s. My nightime heart rate averages 32-34. These numbers are crazy to me. I’ve always had a pulse right around 55-60, now if I can get myself to spike at 50 it seems like a miracle. I’m only 52. In good shape. Eat right, exercise, normal weight, etc.
My ECG’s do not show a heart block. I had a normal Echo and 24 hr Holter. I have a stress test coming up on Friday which is probably not going to go well. I do not have any tachycardia that I know of. I do not have sleep apnea, my thyroid and all other labs are normal.
My questions are as follows. (I’m driving myself a little crazy here, so I need a sanity check.)
Is it enough to be a candidate for a pacemaker with just bradycardia and no other arrhythmias, heart blocks etc?
Is the next step an Electrophysiologist? What specific tests will he do that my cardiologist has not? How will they determine exactly what part of my electrical system is not working right?
How much should I care about WHY my heart has had this sudden change??
It feels like someone dialed down my life from 10 to 4 (it was all the way down to 2, so I’m improving). Right now, all of the things I cared about three months ago are gone…in the sense that I simply do not care about them anymore. I tick all the boxes for depression. However, I know I didn’t feel this way before this last migraine. I think that my brain is now not getting enough oxygen because of my low pulse and it’s driving these feelings. Is this a reasonable line of thought?
If there are other migraineurs on this site, did your migraines improve after you got a PM?
I have an appointment with my neurologist coming up to ask these questions to as well. It will be interesting to see what he says. There is a definite link between hypoxia and migraine. When I’m feeling somewhat together and slightly optimistic, my brain says a pacemaker might solve some of my migraine problems. Then the rest of my brain says: are you serious? You’d have invasive surgery to get something permanently implanted inside your body on the unproven chance that it will help your migraines? Are you crazy??
I dunno. Am I crazy?
Aside from the migraines, did you get your life back when you got a PM? I feel like mine is gone.
If you read this far, thank you muchly. I'd appreciate any thoughts/insight you kind people are willing to share.