Sinas Bradycardia found after 11 months by wearing 2 week heart monito

Yes interestingly I remember well trying to isolate symptoms. I found that the location of the Heart adds to the confusion. Within a small area you have a few organs that can produce symptoms. As I had Heart Rhythm issues could be confused with Stomach and lung issues. So for me to isolate it was my heart was to check my pulse. This was a sure method i was either have heart burn or a heart arrythmia. Having a arrythmia your pulse actually slows to a stop as blood stops flowing. So the use of the Heart monitor was crucial sometimes in initial diagnosis.

Have they suggested a course of treatment? I was the opposite of you as I had Ventricular Tachycardia or rapid heart beat. I ended up with a pacemaker to help control the rhythm.

Sinus bradycardia means you aren't in arrhythmia, so that's good. It could also mean, technically, that your heart beats on average only 50 times per minute when at rest. Or, it could mean that when you are being tested on a treadmill that your heart is both slow to raise its rate and that it doesn't raise its effort to sustain you sufficiently, maybe only climbing to 65-75 beats a minute instead of the needed 115 beats per minute. So, without our understanding of what your bradycardia 'looks like', it's hard for us to offer much to you. In fact, technically any resting HR lower than 60 BPM is officially in bradycardia territory (some cardiologists have begun to question the wisdom of this too-high number and think that bradcyardia is really only at 50 and below).

A pacemaker is designed to speed your heart rate into 'normal' territory. They don't normally slow a heart rate unless the heart is solely reliant on the pacemaker and the AV node has been destroyed via an ablation. In that case, the pacemaker is all that keeps the heart beating and the pacemaker must adjust per the effort required by the host.

@gloaming Actually i did not have my av node cut. It used a process of actually speeding my heart up even more to bring it back into rhythm. So yes a pacemaker can be programmed to bring down a fast heartbeat using a pacemaker and not be in AV mode.

@danab I'm sorry, I do not understand your statement, Dana. What I was suggesting is that a pacemaker is meant primarily to speed a slow heart rate, but not to encourage the heart to beat more slowly. It can only regulate the HR in both directions IF....and only if...it isn't forced to contend with a wonky/blocked AV node. AV node ablation, meaning it gets destroyed with the same technique as a catheter ablation of atrial fibrillation (that is, with energy applied, and sufficient to destroy the AV node completely...it will never be active again) is done for SVT, severe AV node block, and atrial fibrillation where the patient can't be left in AF indefinitely....it must be stopped. You only had, I believe, a slow heart rate, and that is what a pacemaker is meant to improve...to speed up your HR to a programmed base level, say 62-65 BPM, depending on circumstances and need.
Would you mind terribly rephrasing your statement and I will come back and read that, hopefully to improve my comprehension?
https://biologyinsights.com/what-is-a-heart-pacemaker-and-how-does-it-work/

@danab Thank you for your comments. I see a cardiologist next week. The EKG and ECHO
showed normal which are just a snapshot in time.
NT-Pro BNP high 540
BNP high 188
Troponini high 15
Since concusson 11 months ago have had extreme fatigue, chest pain, dizziness, light headed, left hand and arm numb all day (weekly), and shortness of breath. plus all the good stuff
from hormone/chemo therapy. It's hard to keep going at times..

@gloaming I had ventricular Tachycardia and had a pacemaker with a difibulator. My main problem was a rapid heartbeat which would go up to 220 at times. I was commenting on your statement that pacemakers were primary to speed increase a slow heart rate. So I was trying to explain that pacemakers are also used to correct a fast heart rate. When my heart would go up over say 160 and above my pacemaker would actually speed up my heart even more to bring it back into regular rhythm so I wanted to let you know its not only for bradycardia but also used for Tachycardia .
'Yes I know if they use a pacemaker to eliminate the AV node then its doing all the pacing but my AV node was intact. So Pacemakers can also treat a fast heartbeat using a technique to kind of reset it by forcing it higher. Strange I know, but it works. now in my case it would attempt these a few times and if it did not slow the heart down I would receive a shock.

@danab Okay, gotcha. I can see that, as with your particular case, you needed the pacemaker to restore normal rate which happened to be much too high in your case. It's counterintuitive that it would force your ventricular rate even faster than what it was, but if that resets the rate, good!

Thanks for that.