This. Also, if it were me I'd consult with an electrophysiologist. Not my wheelhouse, but I'd want to know if there was a prospect for ablative therapy before somebody put a fucking Gameboy in my chest.
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Oh, sure. I’m already operating under the assumption that the syncope itself isn’t going to off her. I’m just saying, if this is as advertised, then pacer is the logical choice
I think she needs to gain about 20 pounds of bodyweight. She's not very "robust," and it usually helps with frailty.
Agreed, but I haven't seen a rhythm strip or EKG on this lady yet. I'm not sure I accept the diagnosis.
‘Ablation before Pacemaker’ in a patient with bradycardia: a case report | QJM: An International Journal of Medicine | Oxford Academic
I would be fairly sure if she’s under a cardiologist they’ve looked for a potentially treatable cause- how far they go down a full electrophysiological study is down to them. But in the absence of a reversible cause for the bradycardias a PPM could be the best treatment and is a VERY low risk procedure for someone who sounds young with no co morbidities. My point is that it is by no means a ludicrous option, but should not be undertaken lightly.
Just as an anecdote, my sister was troubled with wolff-Parkinson-white picked up after pregnancy and was getting semi regular tachycardias and had an ablation planned. She started to lose weight before the procedure and utilised some weight training as part of it. The tachycardias disappeared and I’ve always wondered if frequent valsalva manouveres during lifting could have contributed to the problem resolving.