St. Jude Medical Pacemakers & ICDs

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Messages in Checkups & Settings Forum



Posted by J00ney on 2014-02-25 07:36. 4 comments. 127 reads
 
Hello all,
I have had my pacemaker for nearly 5 weeks, feeling really well. Am going for first check with Cardioogist and tech on Thursday. Am not sure what yo ask apart from 'how's it going?'
So any tips on what I need to know and ask would be helpful.
Thanks
j00ney

Posted by Ck on 2014-02-24 17:41. 6 comments. 223 reads
 
I've scrolled thru a ton of posts, hoping to find one that covers my situation, but couldn't find one. So here goes:

I had a heart attack in 2004- after a 5K- in which I placed 2nd btw. Waited three days and two more episodes before going to the doctor, b/c that's how deep my denial was. Had total occlusion of RCA. Nothing could be done since I had waited, except to go on meds and learn to live with damaged heart muscle. (I was 44 and in awesome shape).
Fast forward to 2007 when I "died". EP thought v-tach but all tests came back ok. On instinct, he implanted a heart monitor.
Now go to Feb 2012. After 4 years of monitoring, it's discovered I have total heart block and need a pm.
I have Medtronic Revo MRI SureScan...


Posted by JoMarie on 2014-02-22 06:14. 3 comments. 184 reads
 
Having just had a pacemaker, I think I can feel and hear it working most nights, in that I have a pulse tinnitus where I can clearly hear my heartbeats (both annoying and sometimes alarming).

When I attend the clinic and they give me checkups on it, does the pacemaker record the demand upon it, ie how often it is being made to work and under what circumstances? I am jotting down a lot of questions for my next visit to both cardiologist and clinic, but this is the foremost one.

Posted by labor99 on 2014-02-21 20:17. 2 comments. 195 reads
 
I had a ICD implanted 01/30/14. The fellow who did the operation an EP is not with my heart doctor that I used in the ER. I went to that doctor a week ago to have my clips removed and they gave me a EKG. Then said come back on 03/26/14 for my next appointment. I called them wednesday to make sure someone would be there to check my device. After waiting a bit they said yes that someone would be there. Meanwhile I get this letter today from the EP folks saying that I need to come in so as to check my device. The folks I am seeing now say they are just trying to take away from them. What the heck am I to do? I'm leaning toward calling the EP folks because thats the guy who did the operation. Thoughts please. PS the last few days have been f...


Posted by Bernard on 2014-02-21 19:11. 2 comments. 134 reads
 
Hello fellow pacers
I just had my annual check up yesterday, in which context I raised the issue of poor circulation and concomitant issues such as chilblains and edema in one foot. I asked if increasing my beats per minute from 50 might help address these issues.
The doctor while doubtful, said it was worth a try and increased my bpm to 60.
Interestingly, the adjustment seemed to alleviate the edema ( but we shall see) and as it is still summer in Oz, it's too early to tell if chilblains may ease.
However, I did not sleep well at all last night and am a bit concerned that the increase in the heart rate may be an issue with sleep or whether my body will adjust to this higher heart rate over tine and sleep will return t...


Posted by Bernard on 2014-02-17 22:01. 1 comments. 122 reads
 
I have had a pm for just under two years and will be having a check up later this week. I am 70 and the pm was inserted because I had SSS. My pace is set at around 56, which is where I have been for the better part of my life. However while my blood pressure is fine, I do suffer from poor circulation manifested by chilblains and mild edema in one foot.
I am wondering if increasing my heart rate might help address these issue. Is it worth even exploring this with the cardiologist?
any views would be appreciated.happy pacing
Bernard


Posted by Hot Heart on 2014-02-15 14:18. 3 comments. 99 reads
 
Just quickly reporting that 6 years pacing, all is well. Test went great, hardly any af episodes, my heart seems to be stronger and isn't using the pm anywhere near as much as in the early years. Had a great tech who showed me how it all worked and explained everything, about 6.5 years left on battery life. Sooooooo I'm going out tonight and gonna dance the night away! Might have a few cheeky glasses of red as my daughter is driving! Benefits of having a pregnant daughter, we don't have to drive!!!!! Now I call that a result!

Posted by stillticking on 2014-02-15 08:41. 4 comments. 168 reads
 
I had my PM fitted on 14 October 2013. Since my first checkup my first checkup I have felt my PM do its Self Test at 10:08 every day. In the last 4 days I have been experiencing increased PVC episodes and have not felt the Self Test. My doctor says that PVC is nothing to worry about but I am more concerned that my PM is not working because the Self Test appears to have stopped. Is it normal for the Self Test not to happen or for me to stop having it?

Posted by Duke999 on 2014-02-14 20:41. 5 comments. 315 reads
 
Does anyone have a good understanding of this feature ATP, not APP (Atrial Preference Pacing) ?
I have a Medtronic Revo MRI RVD01. Today, my EP asked me if I want this ATP feature to be turned ON after interrogation because she mumbles that I have a bunch of tachy episodes in the past 6 months. I said obviously "Yes" and shouldn't it be "On" at the first place? Why did she NOT turn it on at the first place and now ask me a stupid question like that and let me suffer for past 6 months?

Does anyone know why that feature shouldn't be "On"?
I mean don't we want the PM to give us therapy when the heart goes into tachy? This is rather odd and ignorant in my EP and Medtronic rep, I think.

Anyway, I tried to look...


Posted by earth on 2014-02-12 19:02. 3 comments. 209 reads
 
not sure why my pacemaker voltage was raised?

Posted by Vmurph on 2014-02-10 22:38. 6 comments. 233 reads
 
Hey guys. I've been having a hell of a time the last 2 weeks. My fatigue is so bad, I'm having a hard time functioning. My EP pulled back on my beta thinking that might help but it doesn't seem to have made a difference.

I almost feel as exhausted as I did before I had my pm. My brother is in federal prison and we went to see him in early Jan. We called beforehand to make sure all of their security measures were pacemaker safe. They assured us they were, and then when I was there, the guards were jerks and said No they weren't and wanded over my site multiple times and just laughed.

I highly doubt any of that caused an interference, but if it did, wouldn't my merlin have picked up on it by now? I've talked to my Dr....


Posted by bmccasland on 2014-02-05 18:55. 7 comments. 264 reads
 
Hey! I had a dual chamber PM implanted a month ago today. Tomorrow I'm scheduled to have the first interrogation. Is there much to this? And also when did y'all start relaxing on restrictions, such as; lifting arm above head etc... I've seen so may different recommendations that says from 1 week to 6 weeks. I guess I've been a little paranoid...

Posted by Texas54 on 2014-02-05 16:31. 16 comments. 329 reads
 
This is Texas54 checking in with fantastic news. I had an ejection percentage of 30 prior to having a St. Jude CRT-D implanted a year ago, January 31st. I have a left Bundleblock, enlarged heart and the Cardiomyopathy that goes along with that. I am participating in a research study for St Jude. They pick up my heart activity at night and I go for 6 month adjustments. Today was my first Echo since the surgery. I had an ejection percentage of 65!!! Normal results. The cardiologist said he has never seen such an increase while he has been in practice . I was on three meds and now down to two and one of the two has been cut in half for dosage. I hope my story helps some of you to know that it is possible to obtain these kind of resul...


Posted by PaulFromSydney2 on 2014-02-05 03:26. 4 comments. 325 reads
 
Can anyone help explain the contents of my PM interrogation report. What is good (normal), not so good. I have no concerns but would like to understand and be able to ask intelligent questions. Some figures
- Pacing impedance (ohm) RA lead 566 RV lead 507
- Pacing threshold (V) RA lead .5 RV lead 1.2
- Sensing ampl mean / min (MV) RA Lead 6.4 / 5.4 RV lead 13.3 / 9.8
- Event episodes As-Vs 0%, As-Vp 1%, Ap-Vs 1%, Ap-Vp 97%, Vx-Vx 0%
-Pacing AP% 99%, VP% (98%)
The ways I read this suggests PM is doing all the work? Also lead voltages are good (reasonably low)

AF Settings for Biotronic Evia DR-T
- Mode DDD-CLS
- Basic rate / UTR (bpm) 60 / 130
- AV delay at 60bpm / 140bpm (MS) 150/120

Posted by Anna on 2014-02-02 01:00. 4 comments. 336 reads
 
Pacemaker set at 85 reading 114 with a fever of 100.3 with pulse 120/74 any thing to be concerned about??Anna

Posted by 34withsss on 2014-01-31 01:36. 12 comments. 291 reads
 
Hello
I am a 34 year old healthy, active male. I received an emergency PM installation while visiting the hospital after approximately 15 episode of presyncope and syncope over a 5 month period. No pattern as to why or when, my episodes are random. While in the hospital the monitor registered 8-10 second pauses and the doctor recommended a PM. Since implantation I am still having episodes of presyncope, the feeling of nausea and lightheadedness but not fainting. I am wondering if this is common and if so what kind of adjustments my PM may required.

Posted by PaulFromSydney on 2014-01-30 01:16. 12 comments. 341 reads
 
Hi Everyone
My first post on this site. Already appreciative of previous contributions - great just to know what others have gone through and the questions / concerns they have had.

Last week I had a 2 lead Biotronik Evia DR-T put in - bradiocardia and AV block. Itching to get back exercising (running, cycling, weights) but doctor says the first 2-6 weeks is critical to getting leads embedded well so plan to take it easy.

Would be keen to know what things I should be asking at the first check-up. Would seem important to know
- level of dependence on PM
- voltage delivered - the lower the better for longer battery life?
- battery life - told at post op review the current usage should give 13 year...


Posted by bzam on 2014-01-27 20:22. 0 comments. 134 reads
 
I am husband of joyzam and on Christmas eve I got a new St Judes 5820, like the one Joyce got in September.
I just had a 30 day readout and they gave me a copy, as they did with hers.
So I have been working to understand it. First, my AS-VP was pacing at 78% but AP-VP was at 21%. So he made some adjustments that the cardio agreed with to even out the bottom half being overly dependent on the pacer. I am not sure where this adjustment shows as there was only a few adjustments showing in the Initial vs Present columns.

The St. Judes guy did say something about heart blocks and I was not quick enough to ask about that.

Where in this report does it show heart blocks? I did read some about the various types so n...


Posted by daynanestor1 on 2014-01-26 17:21. 1 comments. 236 reads
 
I had my St. Jude Pacemaker put in on 10/22/2013. I had heartburn symptoms, dizzyness and that was it--taken to the ER and diagnosed with 3rd degree heart block and had the pacemaker put in.

I am still experiencing fogginess and lack of focus--Does anyone know what this pacemaker should be set at or could be set at to relieve these feelings?

At my last pacemaker check they told me it was set at 50 beats per minute and it would not go lower(when I was rushed to the ER I was 28-30 beats per minute). He also mentioned about my blood volume and turned that up to 200 (not sure what this means either). He also said I am using the pacemaker 100%. What else can I do to feel more like myself again? Can the pacemaker b...


Posted by Orba615 on 2014-01-26 14:12. 5 comments. 186 reads
 
I have an echo yearly, one 7/2013. Did not see cardiologist even tho I had an app. Nurse told me to go home, that if anything amiss dr would call. He did not. Near the end of 2013 his asst. called and set up an appt for 1/17/2014 at which time doctor tells me my ef has dropped from 45 to 38. He says I need a new two lead pm vs 1 lead. He sent me for a short echo on 1/2014 in prep for the new pm. Have heard nothing from him. I am feeling insecure with this doc even though he is supposed to be the best in my city, nashville tn. Am I expecting too much or is he negligent?



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