AV block type 1 and 2 (as diagnosed)

2017-08-14 11:00:37
Hi Dr Shyam, I am a regular athlete (National Level Table Tennis Player). But I have been under Nexito 10mg for the last 3 years due to anxiety issues. For the past 2 months or so I am feeling an extra beat when my heart rate goes up to 180. I was adviced TMT and 24 hours holter ecg. TMT is normal. But I have vitamin D deficiency. But after seeing the holter report the doctor told that I have Type 2 and Type 1 2nd degree AV block and I need a pacemaker to be implanted. I am just 22. It's scaring the hell out of me. I have had echos and ecgs earlier, it was negative. Even I had 24 hours holter 6 years back. It was negative too.
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Answers (1)

What you have in holter is a variable block now what we need to see is if there is any reversible cause which we can correct so that you may not get these blocks again and also your current resting Rhythm needs to be checked whether it is sinus or having any blocks. If you are having a progressive block or symptomatic block which means that you are having dizziness or syncope episodes then you definitely need pacemaker. I would advise you to take a second opinion from another cardiologist and you might as well repeat another holter test, also get your kidney function test done with a thyroid function test

Answered2017-08-14 16:58:13

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