I see arrhythmias are variable, and am not that famiar with them. But my wife has had some stress and depression over the past 12 years with our daughter's diagnosis of severe systemic lupus. This started my wife on the road downhill to more and more miseries including gallstones, migraines increased, GERD became an acute problem with acidity studies indicating she had worsening problems with the reflux causing aspiration pneumonia eventually, and constant chronic costo-chondritis (inflammation of the ribs at the sterum rib joint connection, causing chest pain only on pressing the sternum.) 6 months ago, corrective full open fundoplication surgery required a full 8 inch incision, and the total fundoplication involved wrapping a portion of the stomach around the esophageal sphincter area where a mild hernia existed, permitting excessive acid reflux. Now she has since been expeiencing constant syncope problems, with bradycardia. To shorten this whole story, one or two doctors felt she should have a pacemaker, but another cardiologist said it would not likely benefit her after he conducted numerous studies including the tilt table test that is very diagnostic and proved her condition was a non-cardiogenic syncope due to Autonomic Dysfunction. Thus the bradycardia may not respond to a pacemaker or get rid of this syncope problem. Have any of you ever heard of such trouble with the vagus nerve that has origins and extensions from the brain to the body organs, like the heart, abdomen, and other areas causing bradycardia? My other question is, since her surgery, she has been afflicted with potassium defiencies due to dehydration that also aggravates and brings on these fainting, (syncope) events almost daily. It bothers me considerably that two doctors advocated rather prematurely that she should have a pacemaker, and another checked her out more thoroughly, and felt inserting a pacemaker procedure would NOT likely be of benefit due to the non-cardiongenic nature of origin. He said medications such as midodrin, and Fiorinef would help maintain better blood volume, which was a problem with the dehydration being significant. She can't take in much food after the surgery, but this is expected, but I'm concerned it all has contributed to her vasovagal syncope problems. Any thoughts on this?
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