This is very easy to do in Meteor. You just tell Meteor to only publish the information you need, just as you would in any other web application.
I am currently running an enterprise software project on meteor with thousands of pieces of data in the database. If I published all of the data at once, it would crash the browser. I know because I actually did it when developing. Once you write the correct publish functions, it runs extremely quickly and only has the information you need in memory. All of this data is reactive too. And yes, you can paginate the information.