St. Jude Medical Pacemakers & ICDs

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Messages in Checkups & Settings Forum



Posted by bexy on 2014-08-22 10:37. 2 comments. 157 reads
 
I've just had my 6 week check after having my first pacemaker and everything is as it should be, but they've found another arithmya due to palpitations I've been having.
I have my print out but don't know what it means.
AT/AF 350ms (171bpm)
VT Detection 400ms (150bpm)

Can anyone tell me what this means? I presume it's the arithmya?


Posted by AnaLena on 2014-08-21 18:48. 3 comments. 193 reads
 
This is to thank everyone who has encouraged contacting your physicians and insisting on what you need. Especially noting that the EP may be more attentive to your pacemaker than to you and your pacemaker.
I'm 73, had sudden onset of intermittent 2 degree and complete ventricular block last fall. No other cardiac issues (or other health issues). My pacemaker was implanted at the end of January without any problems. It took about 4 1/2 months for all the little twitches and tingles, etc. to disappear. I tried to increase my exercise level and kept running into SOB with my heart rate staying at maybe 70-80. Not increasing to match my exertion. So, hearing your encouragement in my ears, I moved my pacemaker checkup earlier than schedule...


Posted by Robind78 on 2014-08-19 19:46. 2 comments. 159 reads
 
Hi all. My husband has a st. Jude crt-d. It was implanted in June 2014. It was originally set at a low rate of 60 and a high rate of 120. The rate response is on. He was interrogated yesterday and they turned his heart rate up to 70 bpm because he was only being paced at 88%, not 100%. They want him paced at 100%. The technician said that My husband's heart looked better with an increased heart rate. He is now feeling light-headed at times. Is this normal? Will it just take a little time for his heart to adjust to the new rate? His voltage was also turned down to save battery life. Thanks for any information you can provide me.

Posted by ettmayr on 2014-08-19 02:53. 0 comments. 91 reads
 
Hi all...I had my Medtronic pacemaker renewed at the beginning of July this year. All went well

Posted by Vinnie on 2014-08-17 14:36. 0 comments. 92 reads
 
Hi Inga, I sent you a "private message" of thanks hope you got it ---( first time I'm using it ). Thanks again.
Vinnie

Posted by Sheepwash on 2014-08-16 13:34. 0 comments. 131 reads
 
I have had my pacemaker for 5 years and 7 days ago had my yearly check up and was told that I have 15 years battery life left as it only kicks in occassionaly however I am getting like a tingling sensation on the opposite side of the pacemaker and sometimes get it in my arm is this normal?

Posted by Vinnie on 2014-08-15 20:07. 1 comments. 155 reads
 
Hi everyone. I need a little help. I'm trying to understand the Rate Response on my CRT-P. My AV-NODE is ablated and I have a Consulta CRT-P. My rate response is set at "medium" and the Mode is set at V V I R. PROBLEM: When I walk at at steady pace after about 10 minutes I get fatigued and really don't feel like walking any more, I'm not out of breath; just fatigued. The same thing happens when I walk up a flight of stairs, about 20 steps. The CRT-P has settings of LOW, MEDIUM & HIGH on it. Since I"m now set at MEDIUM If I have it reset at HIGH would that help? Also what is Mode V V I R? The CRT-P is set at 60 BPM on the low & 130 BPM on the high. Any help would be appreciated. Thanks.
Vinnie

Posted by ironmanjon on 2014-08-15 04:50. 9 comments. 320 reads
 
My consultant cardiologist has written to my GP following my last appointment with him. The letter includes:

"I chased up the details from his previous pacemaker check (when he was an inpatient) and this showed an atrial fibrillation burden of 9% ie pretty low. Interestingly he also had a bit of atrial flutter during the pacemaker check at which point his pacemaker was pacing at the maximum tracking rate. This was managed by reducing the post ventricular atrial blanking period and changing the pacemaker to DDIR mode."

I understand AF. I think I understand maximum tracking rate. The final sentence defeats me. Can anyone help please?

What is DDIR mode and what mode would I have been on previously?

...


Posted by slarnerd on 2014-08-15 01:23. 9 comments. 288 reads
 
Both of my kids have pacemakers and we do a routine Carelink check every 3 months, plus as needed if something seems off. On my old insurance, I never saw a charge for Carelink - not in a hospital bill or even on an Explanation of Benefits from insurance company. With my new insurance (still Blue Cross PPO but different plan through different employer), I have co-insurance obligations of 15% and I'm seeing Carelink bills. The hospital is charging $980 (per child) for each Carelink reading. I do not understand why this is so expensive - an in-office pacemaker interrogation and adjustment is billed at under $200. The few people who use Carelink that I have asked have reported lower costs on their EOB or not being billed at all for it.
...


Posted by Leesh on 2014-08-13 18:24. 6 comments. 250 reads
 
Hi, I'm new here. I'm 32 and just had my pm implanted June 24th. I'm either to emotional or forgetful to ask my Dr. all of these questions.Sometimes I get contradicting answers also. My first question is..when you get an adjustment will you know right away wether it will work for you or not? How long should I wait to feel an improvement before I go back for another? Also, I had an adjustment that I thought was perfect. I was feeling back to my old self for about 7 days, but after a night of drinking a little to much for a friends b day I felt like the slate was wiped clean and I was feeling like crap again. So my second question is can you do things to alter how your settings work? Or can a setting just stop working for you ? I get ver...


Posted by Royale on 2014-08-11 18:41. 6 comments. 1069 reads
 
Last week I had an interrogation by the fourth pm tech/company rep I have met since my implant. They should clone her! Firstly, she is the only one to introduce herself - I know they are busy but how long does it take?
Secondly she said that they like to have a company rep at interrogations so that they can make sure that the settings are appropriate for the patient. REALLY. I like it.
Thirdly, when I asked questions she said that I knew all about it, and she was pleased. Well, I don't but I do know a great deal more than I would without this site - so thank to everyone who posts their questions and answers. It is a great source of information.

So I'm sharing what I learned in case it might help others. Comments relate...


Posted by dlconover on 2014-08-11 12:42. 1 comments. 105 reads
 
Like several others I have read about here I too have no land line, just cell service and cable internet. I bought a USB adapter and loaded the software on my computer and while in the USB connector on my computer it connects and seems to work. When I remove it from the computer and insert it into the Merlin transmitter I get nothing. Does anyone know what I'm doing wrong? Will a off the shelf USB adapter work to transmit over my cable line? Thanks for any help you can give. Douglas

Posted by Thedcn on 2014-08-10 18:51. 4 comments. 161 reads
 
Just wanted to say I had my PM replaced last week. Battery finally went into the red after seven years, NO problems at all. The removal and replacement took about two hours from the time was rolled under the lights till I was out of the hospital and on my way home. This one is wireless and they say I will not have to go to the doctors for the quarterly visits - it can be done over the phone.

Cheers,
Ken

Posted by L5 on 2014-08-09 10:43. 5 comments. 240 reads
 
At my checkup yesterday, the tech lowered my voltage and also changed my pulse width from .4ms to .1ms. (I didn't understand, at that time, threshold voltage so didn't ask her what it was and what my new voltage ended up being) I came home and read, and I understand how she figured what to lower the voltage to, as in the safety margin and how to determine the threshold, but how do techs come up with the pulse width? Can anyone explain that in easy to understand terms for me? Do voltage and pulse width go hand in hand so whatever number voltage landed at, the corresponding pulse width was plugged in? I am 100 percent paced in left ventricle and the changes were made to this lead. .1ms seems like a mighty short time to initiate a heart bea...


Posted by SteveE on 2014-08-05 17:28. 3 comments. 247 reads
 
This may be a long story, but please stay with me – I need to set the stage for my current questions.

My pacemaker (Boston Scientific S603, DDDR) was implanted 3 ½ years ago when I went into complete heart block following aortic valve replacement. At time of implant, I was 100% paced. Over then next couple of years, my intrinsic pacing grew stronger and more dependable, so my EP began carefully lengthening my A-V delay step-by-step to allow for whatever underlying intrinsic pacing I might have. At his last adjustment, atrial pacing was down to less than 25% of the time, ventricular was about 35%, and feeling fine. This was great, but I live about 20 miles of city traffic away from the EP’s office, and had to take half ...


Posted by hovancsek on 2014-08-02 14:11. 4 comments. 296 reads
 
I went for a routine check (interrogation and rate adjustment) last week. I had all but forgotten about the pacemaker being there 8 weeks after insertion since I was active and feeling good after a week or two of adjustment time. The nurse adjusted the PM so that it would "last longer" not activate as much. She said I was doing evry well and just using the PM 20% of the time. I am howver concerned because I feel a little different since the adjustment. I feel like I sense skipping beats and am a little breathless at times- just not as good as I was. Is this enough concern to all in and have another check whe I was not scheduled until December?

Posted by matkim6 on 2014-08-02 00:15. 14 comments. 330 reads
 
I already have a dual chamber pacemaker (Biotronik) I have tried every med with no avail and currently have AV dissociation and a type of pacemaker syndrome at that time where Wenckebach is occurring, and there is atrioventricular dyssynchrony. We are planning on AV Node ablation as I have had 5 other ablations within the last 2 years for flutter, av node reentry, svt. The question I have is the Biotronik only alerts the doctor, can not show ecgs to them as I have to go in to see them. The St Jude would give the doctor the ecgs right away if they were to change my pacemaker. Looking for thoughts and input on if we should change the pacemaker so they can watch it more carefully once Im totally pacemaker dependent. Thanks for your input.

Posted by Gotrhythm on 2014-07-31 14:50. 2 comments. 258 reads
 
Looking over the last interrogation report, I can find a setting of 65 bpm, which is my base rate. But I can't find an upper setting.

I have SSS and that's all. No block. No fib. I suspect (but have no hard data) that I have occasional, short-lived tachycardia episodes. My PM is St.Jude Accent DR 2110.

Is it possible that no upper range is set, or do I just not know where to look?

Posted by wjs1954 on 2014-07-31 13:00. 5 comments. 224 reads
 
well I guess the adjustment not right YET..

I hate to admit it but 4 dizzy spells last 2 weeks I was not going to say anything, was a little sick late last week I thought it was that.. But now I think not..
Called the cardiologist they want to get me in and reset to same as before.. That is going to happen.. I could not run as it was before I AM A RUNNER with a pacemaker. Not someone with a pacemaker that runs!!!!!!!!!!!! I will have them turn RR off I would rather feel a bit sluggest and be paced at 60 80% of the time than not be able to run..Will have to see how they feel about that......

Posted by billylittle on 2014-07-30 22:00. 10 comments. 316 reads
 
I went for a pacemaker checkup two weeks ago. The cardiologist eyes got real big and he said you are going back to see the EP. (Well over 1000 high rate episodes with it set at 160bpm).
So my wife and I go to see my EP this morning, and he says that it is not Afib this time, rather he is thinking it is ventricular tachycardia basically all the time. He set a date to remove my single lead Medtronic Sensia SR, and replace it with a dual lead Medtronic Advisa MRI pacer and more ablation. This will be my fourth ablation in a year and a half. What are your thoughts on this?



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