I posted awhile back about vertigo. I got some reports today from my EP and wanted to post to see if any of you thought the changed they have made could be contributing to my vertigo. First of all on my EKG report it says: LVH w/ IVCD. I do have hypertrophic cardiomyopathy, so I knew about the LVH, but this is the first I've heard of the IVCD. Not even sure what it is. Here are the settings for 6-2007:
Right Ven. Lead Right Atrial Lead
Polarity: bipolar Polarity: bipolar
Threshold: 5.00V/0.30ms Threshold: 5.00V/0.20ms
Impedance: 888 ohms Impedance: 448 ohms
Amplitude: 9.8 mV Ampitude: 1.2 mV

% paced A: 97% and V: 37 %

Final Reprogramming:
Mode DDI
Atrium: 5V/ 0.8ms sense: 0.3mV
Ventrical: 5V/0.6ms sense: 0.3 mV

Settings in 10-2008
Right Ven. Lead Right Atrial Lead
Polarity: bipolar Polarity: bipolar
Threshold: 5.00V/0.10ms Threshold: 5.00V/0.03ms
Impedance: 360 ohms Impedance: 472 ohms
Amplitude: 8.6 mV Ampitude: 2.1 mV

% paced A: 91% and V: 0%

Final Reprogramming:
Mode DDI
Atrium: 5V/ 0.5ms sense: 0.3mV
Ventrical: 5V/0.5ms sense: 0.3 mV

Thanks for any thoughts or advice! I have no idea what any of this means!!

Heather

 

 

Hi,

I haven't read your previous posts, or at least I don't remember having done so, but it's important to understand whether you really mean vertigo or syncope. There's a big difference, as Vertigo would have nothing to do with your pacer/ICD settings.

Vertigo is a feeling that you or your surroundings are moving when there is no actual movement. You may feel as though you are spinning, whirling, falling, or tilting. When you have severe vertigo, you may feel very nauseated or vomit. You may have trouble walking or standing, and you may lose your balance and fall. This is caused by issues with balance such as inner ear.

Dizziness or lightheqadedness that can lead to syncope (fainting) is a feeling that you are about to faint but, you do not feel as though you or your surroundings are moving. This is usually caused by heart issues that limit the flow of blood to the brain.

In looking at your report, I don't see anything glaring, except that your ventricle pacing dropped to zero. The Ventricles push oxygenated blood out of the heart and to your body including the brain. So it's possible that the change of pacing the ventricle has caused this sensation/issue.

 

Heather,

I have suffered from vertigo for over 30 years now.
The way that Cabg Patch described it above was perfect.

It seems that I get a bad attack of vertigo a few times a year. Sometimes the attack is very frightning! It is like you have no control because you can't stand up and walk a straight line.

My vertigo is caused by an inner ear problem. I need to be very careful how I move my head at times. It could come on if I am sleeping on a pillow wrong. It was explained to me that there are little stones inside your ear that move. That causes the dizziness.

Right now as I am writing this, I have been having a few bad days of light veritgo problems. I think it is allergy related with the weather we are having in PA.

My attacks of vertigo have also left me with strange feelings when I am high off the ground...like sitting in bleachers or on a slanted floor.

Good luck with it,
Donna