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What Are Treatment Options For Supraventricular Tachycardia When You Also Have Bradycardia And Heartbeat Pauses?

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Posted on Tue, 11 Jun 2024
Question: What are treatment options for supraventricular tachycardia when you also have bradycardia and heartbeat pauses of 3 to 5 seconds while sleeping? Also taking blood thinner for occasional atrial fibrillation.
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Answered by Dr. Ilir Sharka (8 hours later)
Brief Answer:
I would explain as follows:

Detailed Answer:

Hello,

When dealing with bradycardia while sleeping it's necessary reviewing the level and extend of it. A mild bradycardia may be common while on sleep. Even pauses of up to around 3 seconds may be encountered in apparently normal individuals.

But considering your supraventricular arrhythmia, atrial fibrillation and relatively long pauses, a consideration for sick sinus syndrome should be taken into account.

First, coronary heart disease should be ruled out. In addition, the presence of any underlying cardiomyopathies should be investigated.

If you are highly symptomatic (persistent bradycardia, fainting or syncope, etc.) even during the daytime and sick sinus syndrome is confirmed, then pacemaker implantation is a therapeutic option.

You should discuss with your attending physician on the above mentioned issues!

Hope to have been helpful!

Regards,

Dr. Ilir Sharka
Cardiologist
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9545 Questions

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What Are Treatment Options For Supraventricular Tachycardia When You Also Have Bradycardia And Heartbeat Pauses?

Brief Answer: I would explain as follows: Detailed Answer: Hello, When dealing with bradycardia while sleeping it's necessary reviewing the level and extend of it. A mild bradycardia may be common while on sleep. Even pauses of up to around 3 seconds may be encountered in apparently normal individuals. But considering your supraventricular arrhythmia, atrial fibrillation and relatively long pauses, a consideration for sick sinus syndrome should be taken into account. First, coronary heart disease should be ruled out. In addition, the presence of any underlying cardiomyopathies should be investigated. If you are highly symptomatic (persistent bradycardia, fainting or syncope, etc.) even during the daytime and sick sinus syndrome is confirmed, then pacemaker implantation is a therapeutic option. You should discuss with your attending physician on the above mentioned issues! Hope to have been helpful! Regards, Dr. Ilir Sharka Cardiologist