My wife has been diagnosed differently by some specialists in Cardiology with Vasovagal Syncope, associated with TWO very different ideas as to cause. Two cardiologists recommended after learning of some 8 Vasovagal Syncope spells over a 4 month period, following full open fundoplication surgery some 11 months ago, that with follow up for continued problems in this regard, plus severe fatigue and fear of more syncopes, that she needs a pacemaker. However another cardiologist of equal or better reputation, said placement of a pacemaker for bradycardia that is common with vasovagal syncopes would NOT be helpful other than possibly allow her to have MORE syncopes, but with a better Heart beat, or pulse rate. Currently upon standing, and tilt table studies, she starts having syncope reactions within about 10 minutes where she grows hot, feeling the faint coming on, and her pulse rate during this progression to vasovagal syncope starts the cycle of heart beat rates of 60 beats per minute, and on down during the passing out phase to around 40 bpm, with the diagnosis of bradycardia. The diagnosis for THIS type of syncope is the opinion that it is a Dysautonomia, or the problem originates in the brain stem vagus nerve function. It is possible that this vagus nerve malfunction resulted from the fundoplication surgery some 11 months ago leading to vagus nerve problems and gastric incontinence with many sleep problems, and digestive problems. The question is, now my wife is fearful of any more doctor visits due to the recent surgery that has compromised her for any more surgical anesthetic events that might lead to problems of bradycardia becoming a constant problem, and want no surgeries to correct a dropped bladder problem, as well as a cystocele. She is weak, has incontinence, and does NOT want a pacemaker if, as the cardiologist says it will NOT solve the problem of syncope. Some add that the best measure would be to implant a Vagal Nerve Stimulator much like the pacemaker, but routing the pacemaker to stimulate the brain and vagus function rather than a useless heart pacemaker. Her normal days activity, which now include a big fatigue factor, has altered her activity to disabled status. She cannot go away from home due to this miserable incontinence, and the anesthesia potential problem of sending her into more bradycardia events that have been typical of recent hospitalizations. She and I are confused by the variation of ideas, and the thought of putting her under for a pacemaker of questionable result make her inactive with the constant fatigue factor. She is scared to do anything that might bring on a potentially fatal heart attack due to the severity of her present condition. What do we do from here?Reply Follow This Thread Stop Following This Thread Flag this Discussion
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