A what point does the sinus pause/compensatory pause become a worry? February 18, 2021 04:40AM |
Registered: 6 years ago Posts: 166 |
Re: A what point does the sinus pause/compensatory pause become a worry? February 18, 2021 11:55AM |
Registered: 6 years ago Posts: 920 |
Re: A what point does the sinus pause/compensatory pause become a worry? February 18, 2021 01:27PM |
Registered: 6 years ago Posts: 166 |
Quote
Pompon
We're dealing with the same kind of discomfort with ectopics. They usually come for me at rest and, as you wrote, the sensation is like being kicked in the chest. Awful.
FWIK, the most usual "compensatory pause" keeps the HR as it is. I mean that, on a tracing, the normal beats could be superposed, the ectopics in between don't change their place on the line. At rest, our HR slows down, so the pauses between the beats are longer and, therefore, those after an ectopic are longer too. The beats in our chest are felt loudly while laying down too. I'm often believing my wife can feel my bumps through the mattress...
I know there are other kinds of "compensatory pauses" than the "regular" type, but I'm no expert. You might have other issues too, and a good EKG tracing would help, of course.
There are better posters than me here to help you.
Wish you the best.
Re: A what point does the sinus pause/compensatory pause become a worry? February 18, 2021 05:08PM |
Admin Registered: 6 years ago Posts: 5,341 |
Re: A what point does the sinus pause/compensatory pause become a worry? February 18, 2021 06:12PM |
Registered: 11 years ago Posts: 4,222 |
Re: A what point does the sinus pause/compensatory pause become a worry? February 19, 2021 04:00AM |
Registered: 6 years ago Posts: 920 |
Re: A what point does the sinus pause/compensatory pause become a worry? February 19, 2021 05:42AM |
Registered: 6 years ago Posts: 166 |
Quote
Carey
The pause in your recording is due to the PVC that precedes it. A pause is normal following a PVC because PVCs are kind of like reboots of the heart. Your ventricles have to recharge before they can contract again, so you end up "skipping" a beat. That's the flat stretch between the red lines in your recording.
Under 3 seconds is nothing to worry about and you're well under that. Over 3 is time for investigation, but there's still probably nothing to worry about unless it's causing you to pass out or feel like you're going to. At 6 seconds it's definitely time for a pacemaker.
So they may be unnerving but yours should be harmless.
Re: A what point does the sinus pause/compensatory pause become a worry? February 19, 2021 05:45AM |
Registered: 6 years ago Posts: 166 |
Quote
GeorgeN
Amplifying what Carey says, your normal beats are about 4.5 large boxes apart. The space between the "good" beat prior to the PVC and the next "good" beat is 9 boxes, which is the normal space/time for regular beats.
My Polar heart rate monitor does not "see" PVC beats, so you can identify a PVC as a beat that takes twice as long (or reported as half as fast) as a regular beat. You can also have this compensatory pause after a PAC.
[i.ibb.co]
source: p 12 [www.afibbers.org]
Re: A what point does the sinus pause/compensatory pause become a worry? February 19, 2021 05:47AM |
Registered: 6 years ago Posts: 166 |
Re: A what point does the sinus pause/compensatory pause become a worry? February 19, 2021 08:50AM |
Registered: 11 years ago Posts: 4,222 |
Quote
DavrosT
Thanks for your reply Pompon, and yes, yours are sounding very similar to mine. I feel as if I can almost 'feel' them through the mattress myself, along with in my ears, stomach and neck!
I'm not entirely sure what type of 'compensatory pauses' these would class as but just uploading an ECG I took with my smart watch last night. This shows 5 boxes, which I believe is 1 second. But I've recorded a few recently (just trying to find them at the moment) that have been 1.4-1.6 which leads to an even more violent 'kick' after that 'pause'.
Re: A what point does the sinus pause/compensatory pause become a worry? February 19, 2021 10:44AM |
Registered: 6 years ago Posts: 166 |
Quote
GeorgeN
Thanks for your reply Pompon, and yes, yours are sounding very similar to mine. I feel as if I can almost 'feel' them through the mattress myself, along with in my ears, stomach and neck!
I'm not entirely sure what type of 'compensatory pauses' these would class as but just uploading an ECG I took with my smart watch last night. This shows 5 boxes, which I believe is 1 second. But I've recorded a few recently (just trying to find them at the moment) that have been 1.4-1.6 which leads to an even more violent 'kick' after that 'pause'.
Don't know if this matches what you feel, but I recall (originally looked at this ~15 years ago) that a PVC may not eject as much blood as a regular beat. So on the beat following the pause, the ventricles are overfilled. Then when the beat happens, it feels like a "hard" beat.
Re: A what point does the sinus pause/compensatory pause become a worry? February 19, 2021 04:54PM |
Registered: 11 years ago Posts: 4,222 |
Quote
DavrosT
That may well be it! The beat following the pause feels extra hard, quite violent at times so that may well be it. Makes total sense, really I guess. May look into that a bit too. I think understanding the process better often helps to make it less scary, so thanks again for that.
Re: A what point does the sinus pause/compensatory pause become a worry? February 19, 2021 09:10PM |
Registered: 6 years ago Posts: 920 |
Re: A what point does the sinus pause/compensatory pause become a worry? February 21, 2021 12:40PM |
Registered: 8 years ago Posts: 83 |
Re: A what point does the sinus pause/compensatory pause become a worry? February 21, 2021 05:32PM |
Registered: 6 years ago Posts: 166 |
Re: A what point does the sinus pause/compensatory pause become a worry? February 21, 2021 06:15PM |
Registered: 11 years ago Posts: 4,222 |
Re: A what point does the sinus pause/compensatory pause become a worry? February 21, 2021 08:38PM |
Registered: 10 years ago Posts: 2,515 |
Re: A what point does the sinus pause/compensatory pause become a worry? February 21, 2021 09:54PM |
Registered: 11 years ago Posts: 4,222 |
Quote
susan.d
Hi Peggy! I miss your paleo recipes you posted and “the list”. How can we retrieve the list? You should post all in a document or link for all the new readers and us as well.
Re: A what point does the sinus pause/compensatory pause become a worry? February 22, 2021 02:08AM |
Registered: 10 years ago Posts: 2,515 |