Heart & Cardiology/Heartblock

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Question
Hi Dr. Richardson,

You have been such a wealth of information.  Again, many thanks for the service you provide.  Heart issues scare so many people, myself included.

For the past few months, I will notice an event which can occur 5-6 days a week, but only when I'm in bed, just waking up.  I even know when they are about to happen.  It's subtle but when I make any movement, such as rolling over, it feels as if my heart stopped or maybe restarted.  I think?  That's the best way I can describe it.  I thought it might be a PVC but I can feel those and I know when I have a PVC.  Could this be heartblock?  If so is intervention (pacemaker) necessary?  I don't know if this matters but when I exercise I have NO PROBLEMS get my HR elevated.

Thanks,
James

Answer
If your heat pauses for just one beat, it's a skipped beat, maybe an atrial premature beat, and doesn't need attention.  If the pause is much longer than one beat, you should get a 24-hour EKG monitor (Holter).  I doubt if it's atrio-ventricular block, but that's possible if the pause is a long pause.  Might need a pacemaker.

Heart & Cardiology

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David Richardson

Expertise

Adult heart function and disease. Not very good about children lesss than 12. Hypertension is o.k. Heart rhythm a special interest.

Experience

Certified in cardiology by the American Board of Internal Medicine. Was chairman of division of cardiology at the Medical College of Virginia. Am now mostly retired.

Organizations
Fellow of American Heart Association and American College of Cardiology and member of American Physiological Society..

Publications
Circulation, American Heart Journal, Hypertension.

Education/Credentials
M.D. from Harvard Medical School. Residency training at Yale Uhniversity School of Medicine and Medical College of Virginia.

Awards and Honors
Gold Heartt Award from American Heart Association in 1995.

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