AS-VS=49%
AS-VP=0%
AP-VS=50%
AP-VP=0%

Boston Scientific Altrua 60

PACING THRESHOLDS:

ATRIAL:0.5V @ 0.4ms

VENTRICULAR:0.2V @ 0.4ms

SENSING THRESHOLDS:

ATRIAL:4.4mV

VENTRICULAR:>12.0mV


LEAD IMPEDANCE:

ATRIAL:590 Ohms VENTRICULAR:700 Ohms

What does this mean these are some numbers on my pacemaker report from the EP.

 

Hi there!

I have a quick question for those of you who have their rate response turned on AND have their pacemaker placed subpectorally (under the muscle): Have you ever been told that this placement could somehow affect the rate response sensor?

I have been dealing with rate response issues for quite a while to the point where even the manufacturer doesn't know what to do. Basically, it doesn't differentiate for instance between walking and jogging. It responds very aggressively, so whenever I just walk to the subway or the supermarket etc., I get 130-150bpm. Now, the last two times I saw my cardio, he mentioned that the subpectoral placement could have an affect on the rate response sensor. He doesn't implant pacem...

 

I've just had my annual pm check and am very worried.
I was told last year that the pm was pacing at 20% of the time. It appears that this was incorrect and it was pacing a great deal more than that.
This year I've been told it's pacing the atria 85% of the time and the ventricles 79% of the time....!! Thsi is a lot to take in.

I was told that in the atria "fusion" pacing could be taking place. This means that my heart and the pm are firing at the same time apparently. I am being paced in AAIR mode, which I was put onto 5 years ago due to a reaction to DDDR pacing mode.

They've adjusted the atrial pacing and I can no longer feel any pacing at all. They didn't touch the ventricular pacing for now.

 

Hello all. Excuse my ignorance Jax - but what is TMJ ??
I am pleased to report that the stiff neck and headaches are much improved. I sould abit like a "cry baby" but now I have another question!?!
On my recent visit (a month ago) to my heart specalist he turned the sleep setting ON to see if this would improve my bad sleeping at night. It is set to drop to 60 bpm at 10 pm and change back to 75 bpm at 5.30 am. Now I seem to feel tired all the time! Grrrrrrrrrrr . . . has anyone else had this problem. Do you think I should make an appointment to have it turned OFF again?? Thanks guys :)

 

Went for PM check up in April, PM fine. I asked do batteries run down, was told no, we can tell, when battery gets to 3 month of life left, then we replace it. i took my pluse a week ago 55, should not drop below 60, not to concerned thought my pulse oximeter was not working. Next day checked again 54, next day 49 even after exicise , thought this not right & went to A & E. as i was feeling unwell. I said i needed to go to pacing clinic, Test showed PM battery was dead. Replacement will be done 24th June. Not happy i have to wait so long.

 

Well I went for my two month interrogation yesterday. The Medtronic tech told me to start a daily walking regiment to see if it would help my physical and mental state. I have given myself plenty of easy time to heal, now the real battle of having a pacemaker begins, trying to get in shape. Now also my INR is always in therapy level, but warfarin is causing me to urinate blood. I can stop warfarin for 24 hrs and it goes away, but returns upon starting mess again...?

 

Hi,
I'm new here. Wondered if anyone could help with this issue.
I had my PM implanted in 2008 following a diagnosis of bradycardia/arrythmia when I came off an antidepressant.
Recently I've discovered that these two symptoms can happen (transiently) when you come off antidepressants and I've challenged my cardiologist as to whether I needed the pacemaker. He wasn't happy!
His suggestion is to turn it off and to see if I need it !! This sounds a little extreme and I'm worried about the effects of 5 years of pacing.
I have a dual chamber pacemaker (pacing on demand when pulse goes below 60bpm) and it seems to be used 20% of the time.....a lot at night as the pulse rate is quite high at night.
Do you thin...

 

FYI...I had the pleasure today of being shocked by my CRT-D (Medtronic), 16 times within 20 minutes. Ended up in the emergency room, and when the Medtronic technician showed up she said, "Your heart is fine, there appears to have been a malfunction with the settings on the device". Folks, make sure your physicians sets the appropriate threshold (window) on your device, otherwise it's going to feel like you went 16 rounds with a gorilla. Feeling a little sore, I’ll be seeing my physician tomorrow for some additional tweaking of the device.

Have a great day!

 

I am having a CRT-P fitted tomorrow, Do I need to buy a non magnetic I pad cover, any suggestions please for Apple i pad 3
x Thank you

 

Two weeks today since i've had my crt-p implanted. Surgery went well, released from hospital the following morning. Minor pain & discomfort afterwards, took some tylenols for the next couple days to lessen the pain even more. Was impressed with how well concealed the pm was under my skin although that was short lived, as the swelling is now going down the pm is becoming more visible, not a problem though. Been babying my left side, i can't help being paranoid about dislodging the leads. The first few days after the implant i felt dizzy and lightheaded, it was lessening each day so i figured it was probably due to the sedation i received during surgery. I told my regular cardiologist when i seen him last week about the dizziness and he agre...

 

ST JUDE JUST CALLED AND SAID TO COME IN TO INCREASE SOMETHING DUE TO MY ATRIAL FIB ! SHE SAID IF I DON'T I COULD BE SHOCKED ! I MADE THE CALL AND WAITING FOR APPOINTMENT..ANYONE SIMILAR CONDITION WITH SOME ADVICE ? NEVER HAD A PROBLEM BEFORE

MIKE

 

Always good to see what cardio doc has to say. Have afib and aflutter, will most likely always have it. Keep taking meds, if afib gets uncomfortable go to ER. How uncomfortable is to much, listen to your body, you'll know. When I come back from visiting my daughter, he wants me to go to cardio rehab to see if different levels of activity put me into afib. Apperently aflutter is just a basic part of my life. All in all I'm in good shape for the shape I'm in. He beleaves I should do anything I want to do, good thing cause thats what I do. My daughters don"t always agree, I told them even if I was wrapped in cotten batting everything ends, that also is a part of life. I also take warfarin, so don't worry about strokes. Most things that are be...

 

Hi everyone! I wanted to post this positive information, hoping it might help someone else who is having issues with their heart pounding. I had my PM installed in July of 2012 and ever since, I've had this incredibly uncomfortable pounding of my heart. Not all the time but off and on. Of course, it was really noticeable at night when I was trying to go to sleep. I was taking a Xanax every night otherwise I would not have been able to sleep. I went back to the PM tech a dozen times. I had my EP and another EP in this office changing the settings to try to bring me relief. Nothing. I got tired of taking Xanax because I know it's addictive so I stopped taking it because the tech told me to prop myself up on pillows and it might brin...

 

Rate response is a tricky thing to get set correctly. I had to go for my second interrogation within a month of implantation. They said my device was very sensitive. I think they got it this time. Now I can feel a couple of beats that feel like they stumble when I come off pacemaker and back onto my SA Node. It only does it for two or three beats and then the pacemaker kicks back in. Its annoying!!!

 

Anyone have a Biotronik and live in Austin Texas?

I'm considering relocating back down to Austin for work... but I'd need to locate a doc down there with experience with Biotronik Evia for syncope and bradycardia (due to ANS issues).

Thought I'd start by asking here in case anyone had a great cardio there they would recommend.

 

Well I thought my settings were good. It appears that when I am up walking around at a normal pace, my heart rate is running 130. When my heart rate is at 130 my blood pressure goes up to 150/100. But when at complete rest my pulse is in the low 70's, and that's right at my lower limit of 70. With a heart rate of 70 my blood pressure is real close to perfect. I can feel my heart running too fast for normal walking. Any thoughts on this?

 

I went in for my first interrogation this morning. Took two hours of testing and tuning. I love my "tune up" so far!

 

Hi all
Well, I saw my EP today & he is not as excited about my sinus node as I am....or was!

Due to my previous arrythmia history & location of my first 2 arrythmias, he is actually quite concerned that I might be developing IST (another arrythmia....inappropriate sinus tachycardia).

He said that as my condition has been so up & down, with another arrythmia developing everytime he cures one, it is going to be a "wait & see" situation & he will not change any settings on my PM for the next 6 months.

If my condition remains stable over the next 6 months, I'll have another PM check then & see him in clinic. Then he will look into lowering my lower rate, if my SA node is ok. He said it does not matter if ...

 

Two lead Medtronic implanted 2011 for bradycardia. All going ok until cardiologist began questioning why I'm being paced100% of the time and thinks third lead should be inserted. EP disagrees and says another lead would not make a difference since I have total heart block and signals sent from atria get lost and not accepted by lower chamber. I feel the EP is the expert but the cardiologist who raises this issue at every visit has now planted doubts in my mind. Also angry that I now feel I have to incur expense and uncertainty until I get another opinion to break the stalemate. Anyone out there who is paced all the time and does it cause shortness of breath or other issues?

 

Hi all
I had my PM check today. Deputy Head of Pacing did it as the Head of Pacing is off work due to the sudden death of her mum. That is so sad.

Great news!! You may remember from 3 weeks ago that they found my sinus node was working again on exertion but was still only running at around 50 at rest.

Now it is running at 70-75 at rest which is fantastic news!! Before I had my arrythmias & ablations, my normal HR was always around 70-75. When my SA node was damaged by 2 ablations near it (for atrial tachycardia) my HR dropped to 50 & even lower. So now it appears to be running at the level it always did before it was damaged! I was SO excited when I heard this news today!

However, my atrial pacing has...