Hi. So, I have vasovagal syncope. Needles are very upsetting to me. My pulse goes down to 30 and then I have experienced a heart pause. The one they recorded on my tilt test was 3.2 seconds long. I am struggling with the recommendation for a pacemaker because I don't experience syncope episodes outside of triggers. I have not had the best time getting my questions answered by the doctor. I think I would feel better if I could understand WHY the recommendation was being made.
I am feeling overwhelmed and uncertain about scheduling the procedure when I don't feel like I understand the reasoning behind the recommendation. I passed my stress test no problems and my halter EKG was also normal. Outside of the brachycardia and the pause in my heartbeat during the tilt test (and a severe syncope episode during an endoscope also brought on by needles), I don't experience any other symptoms I am aware of and again none were picked up by an EKG.
I have a follow up appointment with my NP on Thursday 05/19/22 but so far everyone is feeling very forceful about implanting a pacemaker rather than assisting me in understanding the reasoning behind it. The research I am looking at show that pacemakers are the last resort treatment for syncope and used only in rare occassions. They also prescribed a beta blocker but couldn't answer questions about this either. (Like if I would need to take it for the rest of my life.) And the research I have done on this indicates it could be contra-indicated for syncope because it can reduce both heart rate and blood pressure. Also, between a placebo and a beta blocker there was no substantial difference in the effect on syncope.
Has anyone else had a pm implanted based on a diagnosis of syncope?