How Can One Determine If The Heart Is Not Blocked Or Skipping Beats And Needs Treatment?

Posted on Fri, 15 Jun 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 15 Jun 2018 Answered on

Wed, 5 Jan 2022 Last reviewed on

Question : I told my own doctor that my heart was stopping during the night but he would not listen to me. I had all the heart checks in Cyprus 2012 first night my heart was blocked for 2.36sec. and was 37 beats I get no satisfaction in this country. I had another check 2017 still same 2- 1,99Sec in one night.Beats are higher now50-60 but get some very nasty noises sometimes like heart trying to jump out.checked with machine no reading little heart simble going at about 300 I guess Mussel reading was 13.7in 2012 and 13 .4 2017 do you think I need a pace maker.

Answered by Dr. Sagar Makode (30 minutes later)

Brief Answer:
NO, it's not an indication

Detailed Answer:
Hello,
As such it's not an indication for pacemaker, however its better if you can upload recent holter report here so that I can have a look in detail rather than deciding with this incomplete information.
Indication also depends upon whether you have symptoms or not. Do you get any dizziness during walking, routine activities, or history of any syncope. If yes then it suggests the need for pacemaker.
Heart symbol reading of 300 is likely a false reading as at heart rate of 300, one would be very symptomatic with shortness of breath, dizziness and loss of consciousness etc. So it's likely a false reading.
Hope this helps you and get back if you have any doubts or more information to share.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Sagar Makode (5 days later)

As requested please find the report and suggest

Answered by Dr. Sagar Makode (1 hour later)

Brief Answer:
Reports are fine.

Detailed Answer:
I have gone through the reports, and there is no need for pacemaker in you. Holter is just showing few supraventricular beats with intermittent short episodes of supraventricular tachycardia.
I guess you don't have any symptoms like dizziness or syncope, and if not then nothing to worry about. Heart rate go upto this low level during sleep and nothing to worry about it. However, it's worthwhile to get thyroid tested once, if not done.
I guess you don't have any other comorbidities like hypertension, diabetes, history of stroke, limb claudication etc, this is to know chadsvasc score, which is calculated to asses the need for blood thinners in patients with supraventricular tachycardia. So you discuss this issue of anticoagulation with local doctor, which is not absolutely necessary in you as chadsvasc is just 1.
All the best.

Above answer was peer-reviewed by : Dr. Prasad