I have had an arrythmia for 4 hours or more. Feel like crap - tired and a little light-headed.

3rd arrythmia since pacemaker was implanted in Aug. 2021. This is the longest it's lasted.

Does this just run its course without intervention, or should I call 911?

I know you're not doctors, but you guys are pretty well informed. Would appreciate your input at your earliest opportunity. Thanks.



Seek help if your symptoms are difficult to tolerate

by Gemita - 2022-01-02 16:45:20

Joe some arrhythmias will not stop without intervention.  If you are really symptomatic it is best to go to ER/A&E so that they can check blood pressure, heart rate and run other tests to make sure there are no acute causes for the arrhythmia.  Do you know if your heart rate is high?  If your heart rate is not controlled, you should seek help.  

Do you have any meds or have your doctors given you any rescue meds to take as "a pill in the pocket"?  An emergency department can view your pacemaker data, do an ECG and give you vital feedback.  I would go and get someone to drive you.  I wish you well


by TAC - 2022-01-02 17:44:29

Most arrhythmias are harmless, except for the possibility of developing a blood clot that could cause a stroke. If you're having arrhythmias for the first time, you need to report it immediately to your doctor. You will need anticoagulants to reduce the possibility of having a stroke. If you had arrhythmias for some time and your doctor is aware, your provider most have given you blood thinners already. Even though your home monitor will record the arrhythmia, you should contact your doctor. 


by AgentX86 - 2022-01-02 18:11:30

Joe, if you have a question like this you need to get to an ER ASAP.  We can't diagnose the problem and it could be serious.  It probably isn't but it's not worth throwing the dice. After you get to know what your body is telling you, you can make a descision to ignore it, pop a pill, or head to the ER.  For now, you don't have the information to make that descision. To the ER. Now.


by TAC - 2022-01-03 12:06:41

Your PM home monitor will have recorded your arrhythmia and automatically sent it to your doctor. If you want to be double sure, you can send the PM information manually utilizing your home monitor. No need to rush to the ER, unless you're in the middle of a symptomatic arrhythmia.


by AgentX86 - 2022-01-03 13:25:38

I don't see what symptoms have to do with going to the ER.  The issue is stroke. In this case, being symptomatic is a good thing. It's an omen.

Yes, VT is really bad but that's not time for an ER.  It's EMT time.


by Joe-416 - 2022-01-05 18:50:38

So I dumb-lucked-out - didn't call 911, and HR normalized not too long after I posted here - before Gemita's post.

Many thanks to Gemita, TAC, AgentX86 for your good-sense advice. I hate the thought of spending who knows how many hours in ER. And that made me reluctant to call 911. Maybe next time I'll use my noodle a little better. I need to have a detailed discussion about this with my cardiologist.

Thanks again, wonderful people!


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