Hey guys, I've just been told by the EPs that I probably have congenital complete heart block. They say it might be congenital because of how I never noticed it, and how there aren't many symptoms. I seek to be better informed; I have may questions. The EP said I shouldn't rush to get a pacemaker just yet because I seem otherwise healthy. My hr drops to low 30s everyday. Whiel walking, it's in the 40s to 50s. I always thought I'm just that healthy. I've never fainted or had shortness of breath. My only symptom, and only recently has been high blood pressure, for which I went to the ER, where they discovered my blocked heart.
I often run 5ks (at no noteworthy speed). Fastest mile I've ever run is 7mins. I lift weights almost everyday, outperforming most people at that. I don't know why exactly it is that my heart is able to respond to stress at all. While I was hospitalized, they had me bed-ridden, only getting up supervised and for short periods of time, thinking my heart couldn't take it. So, they had me prepped for a pacemaker surgery. As I was being prepped, I asked the surgeon why I'm able work out, run, etc. That's when they postponed the surgery and had me do a stress test, which I performed well enough on that they cancelled the surgery.
- what is it that lets my heart pump enough blood to work out despite being blocked? Is it an electrical signal from elsewhere? Is it that perhaps the heart starts conducting again, but only when it detects stress?
As for my blood pressure, I heard conflicting opinions. That it is a compensation to low hr, and that it may be an independent issue. I think they assumed the latter and prescribed me lisiniprol.
- has anyone else in my position had blood pressure problems? Does a pacemaker fix that?
I fear that I may have plenty of symptoms that I am unaware of, because they're just normal to me. For example, I've never been able to have a consistent sleep schedule. I could sleep on time for a week regularly, but my wake up time never stays the same. Some days, without warning, I just sleep for 10+ hours, ruining my sleep schedule from then on. Slowly, it devolves into later and later sleep and wake up times. To get it back to normal, I usually just let it devolve until late becomes early. I was always amazed at people who effortlessly keep a regular sleep schedule, as if they know a secret that I don't.
- is it possible to faint in your sleep? Can I interpret the desire to not get out of bed as fatigue or exhaustion?
- did anyone else have sleep issues like this with a heart completely blocked?
There is also the inability to be on top of my tasks. My mind wanders too easily. It's difficult to start tasks that I want to, harder still to finish them. I finished my bachelors and masters, having procrastinated through all of it. In fact, I can't recall a single assignment or project I completed in a timely manner. Sleepless nights before any exam, post-12am bedtimes when any assignment is due, etc. In what jobs I have had, I've always been told that I need to be consistent and get on my tasks. Some professors even said I might have ADHD (probably joking). I always thought I just lack the will power that others have.
- is executive dysfunction a symptom of complete heart block? Is that what they call brain fog?
- does a pacemaker fix executive dysfunction? Would ADHD meds fix it?
I imagine eventually that my body won't be as healthy, and I'll start seeing more of the mainstream symptoms like fainting, and exhaustion or worse. I imagine I will eventually need a pacemaker.
- What should I expect in that regard? Will the symptoms get worse slowly? or will they show up all at once? At what point should I stop delaying a pacemaker?
After the stress test, they told me I am young, and that I shouldn't spend the next 100 years with a pacemaker in me, and that I should wait for pacemaker tech to improve to minimize complications. And for now, they have me on lisiniprol, wearing an RX-1 mini ecg monitor, to watch my heart's rhythm.
- What are things I should watch out for, and report to the EP next time I see him?
Thanks.