St. Jude Medical Pacemakers & ICDs

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Messages in Checkups & Settings Forum



Posted by L5 on 2014-08-09 10:43. 5 comments. 228 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. 241 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. 286 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. 304 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. 252 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. 216 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. 300 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?

Posted by CincyGirl on 2014-07-30 21:14. 5 comments. 227 reads
 
I saw my EP today for my annual checkup. My current CRT has 10 - 13 months of battery life remaining (Medtronics). He wants me to check back in 9 months to see what the battery life is. He is concerned that because of my age (49) I will go through a lot of battery changes. I'm on my 2nd CRT. Got 4 years out of the 1st one. Thought I would have this one changed this month but they say it may last another year. He is considering changing my CRT from Medtronics to a Boston CRT which he says has a longer battery life. He said there are lots of strides in the industry so that may change. Just wondering if anyone else has a "Boston" model CRT and if they have had any problems. Any info would be appreciated.

Posted by Dee224 on 2014-07-30 15:32. 4 comments. 244 reads
 
I had a Medtronic Revo Surescan pacemaker implanted in Feb due to sudden onset of complete heart block which resulted in heart rate of 35 and lower. Echocardiogram and complete monitoring for 4 days in hospital showed no signs of any other issues. Yesterday cardiologist told me he wants to do stress test because PM readout show I have had a couple episodes of VT (one at 3 in the am). They will have to do a nuclear stress test because I have knee issues preventing me from doing a treadmill. He did not seem to worried, and the test is not until Sept. Should I be worried? My dad had electrical issues in his heart (tachycardia) and died of a heart attack so I am very concerned.

Also, I have had adjustments made to settings alread...


Posted by Oldman on 2014-07-29 09:08. 5 comments. 258 reads
 
I have aMeditronic PM which isMRI proof. The MRI proof unit was selected as I have metastasised prostrate cancer. A few weeks ago I had to have an MRI. No problem said I to the Mri ladies. I am sporting the latest MRI proof PM.
Now I have just watched a video on the Meditronic site that states and shows quite clearly that the PM mri function has to be activated proir to the scan and turned off after. Is this.correct as no one from my cardiologist down ever told.me this.
Could this have damaged the PM?. Your thoughts please PM'ers.

Posted by daniel81 on 2014-07-27 18:14. 3 comments. 242 reads
 
Good day. Im from witbank south Africa. I dont have employment at this time and no medical aid. Were and how to I have my pacemaker check. Its been in from 2010 and I am starting to feel very weak and tried most of the times. Dont have money to see a private doctor and witbank government hospital can't be of any help. What sould I do or where could I find someone who is willing to sponsor me? If anyone is interested in helping me or known someone that's willing to help me. Please contact me on rsdvictor@gmail.com.

Best regards.


Posted by wjs1954 on 2014-07-17 17:44. 7 comments. 449 reads
 
I had RR turned on about 5 weeks ago. The Rep recommended it because i was being paced at I think 84% of the time at min which was set at 60. i was fine for walking, hiking, and biking. However as soon as I ran my HR went to 150 and stayed 150 was/is max pace setting. Pace had no effect, after 3 training run called the cardiologist office was told DO NOT RUN. they set up a appointment with the Medtronic rep and put me on the treadmill hooked me up stress test with EKG/HR/the works. The Medtronic Rep did a PM interrogation at the same time. I also had my garmin HR Monitor on. as the treadmill started all looked fine i kept telling them crank it up i need to be running for you to see what i am talking about. Finally got them to push the spe...


Posted by pattibish on 2014-07-16 01:32. 4 comments. 336 reads
 
At my last check up in march my dr became concerned because my impedance line was on a downward curve. He briefly said that usually means heart failure. He said we would watch it and he thought it maybe a false reading because I had lost 20 lbs. can someone explain the impedance line and how it works?

Recently I have been have more shortness of breath while working out and while jogging I feel fine up until I stop to walk and then feel like I may faint. I have to urinate more at night and have noticed skipped beats that take me down into the upper 40's heart rate. I feel dizzy until heart rate returns to high 50s.

Background on me: I'm a 30 yo female with icd for long qt syndrome. My last echo was 5 years ago...


Posted by billylittle on 2014-07-15 13:55. 4 comments. 225 reads
 
Went for a pacemaker checkup yesterday. They found over 1000 episodes within a month. So after three ablations and pacemaker, it is worse. Now it is back to the surgen for more ablation.

Posted by painthorse on 2014-07-14 17:34. 3 comments. 176 reads
 
So, does anyone have experience or knowledge about atrial overdrive programing? I have had a pacer for 14-years (second one) and have been in afib/ flutter for a loong time. I have recently developed central apnea along with insomnia. Been to the sleep study, blah, blah. But I have been told about this reprograming to my good ole' pacer that may help. Read up a little and it sounds scary. Well, here I am after a long absence .....

Posted by annie21 on 2014-07-13 14:34. 3 comments. 221 reads
 
second faint within 2 days, so not feeling full of beans, going to PM clinic tomorrow, to see what's going on.

Posted by evmohr on 2014-07-12 17:25. 2 comments. 288 reads
 
Hello,
I had my pacemaker implant in January of this year. The reason for the implant was 4 blackouts and heart pause of 20 seconds in length in a 1 day period.
I went for a second check up last week and find my results confusing!! I hope someone might be able to help me understand my results. The reading is from March 14 to present. I had 286 short V-V intervals. I asked what these were but did not understand the explanation at all. What is a V-V interval? Is 286 a lot for an almost 4 month time period?
Also I am already on coversyl for high blood pressure and now they want to put me on a beta blocker, I am questioning if that is even necessary at this point and I do not want to overmedicate. I feel sometimes they ...


Posted by BanjoPacer on 2014-07-09 14:40. 0 comments. 119 reads
 
I went to the heart doctor yesterday and I got a great report, everything is working like is should and I my next scheduled appointment is next year. He told me though that my battery might only last about 7-8 years becouse of the amount that it is pacing. He said not to worry about that sometimes that is normal, I know at the 3 month check up with the pacemaker clinic my battery life was already down about 3/4 of a year, so it must be working. The one thing that I do know is that I feel a ton better and if I have to have a battery replacement once a year it would be worth it.

Posted by Freddi14 on 2014-07-09 08:25. 1 comments. 118 reads
 
My pulse was originally set at 60 it suddenly reduced to 50, albeit
constant so I had a check up last week. The technician said the
pacemaker was working OK and when I questioned her about
the pulse rate dropping she suggested i need to do more excercise because my heart might be getting lazy. I am feeling tired most of the time (I am 92 but quite mobile) so do you think I
should get another opinion?

Posted by annie21 on 2014-07-09 06:52. 4 comments. 191 reads
 
60/130 am i right in thinking that HR will not drop below 60 or exceed 130.



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