St. Jude Medical Pacemakers & ICDs

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Messages in Checkups & Settings Forum



Posted by Catherine57 on 2016-01-02 13:14. 5 comments. 433 reads
 
I've been reading up on this for a few days because my mom is having problems. I have a few general questions about checkups.

1. The heart doctor says the pacemaker is working fine. This checkup involves a couple of leads placed on her chest and some machine in the doctor's office. Not an ultrasound. I take that to mean that it is sitting there twitching away as programmed. Can it tell if the heart is actually functioning correctly? i.e., is there a feedback loop?

2. Ejection fraction -- Is this the number I'm looking for that tells me how the heart is actually performing? Can blood pressure tell you the same thing? Or is that just pressure and not flow? Is an ultrasound the only way to measure EF? She h...


Posted by josmascarenhas@mail.com on 2016-01-02 12:35. 6 comments. 400 reads
 
I have been advised to have my upper setting ot 155 reduced to 120, without any explanation as to why, I have had my pm for just over one year. Initially, they did not turn on the rate response and the result was awful - I couldn't hurry across a busy road, no energy - the pm was then adjusted to 60/130 which was ok. A month later, because I swim and cycle and generally lead a fairly active life, the upper rate was increased to 155. That has been fine. Two months ago, I had an ECG, then an echocardiogram a month later; As a result of the ECG, I was put onto 1.25mg bisoprilol daily. I have just received a letter from the cardiac specialist that I should have the upper rate of my pm reprogrammed to 120 (which horrifies me) and withdra...


Posted by JWorth on 2016-01-02 03:49. 4 comments. 338 reads
 
I have a heart rate set to 70 rpm, and I feel it is too high. I was wondering what the lowest limit is on a pacemaker.

Posted by scooterdawg on 2015-12-31 15:30. 5 comments. 369 reads
 
Hello all,
Really just a quick question. I had a Medtronic A2DR01 implanted for bradycardia back in June of 2014. I'm 58 and in the US. The electrophysiologist has me scheduled for interrogations done every 3 months remotely. My job and insurance has changed since then and between having to pay them almost $60 and this Rythm Management group (does the remote data reading to send to electrophysiologist) $30 out of pocket is really breaking my budget. I paid pretty much nothing out of pocket back with the old job/ insurance.
Question is, does everyone get their device checked this frequently or am I a victim of greed? Everything has checked out fine since the implantation. Should I push back on the Dr. on the check up frequency?

Posted by Mona on 2015-12-30 21:45. 0 comments. 170 reads
 
Yeserday at my regular check up the tech adjusted my Boston Scientific CRT-D device because it had been causing some feelings like pulse beats from a lead being close to my diaphragm. Yesterday evening and today I have had a lot of skipped beats. Same thing happened after my ablation a few months ago. It seems like any disturbance causes these pvc's or skipped beats. Anyone else have this problem?

Mona

Posted by jsne on 2015-12-30 19:01. 0 comments. 201 reads
 
After seeing the consultant this am, I am now off the verapamil, he agreed it was doing nothing to help and the side effects I was getting were not worth putting up with.
So I now have a 6month trial of nothing to see how I settle, after adjustments in the summer which made a big difference I was still getting some arrhythmias (hence drugs) but he felt it was worth giving me chance to stabilise and see what happens. PM check was good, a couple of pmt and ectopics but nothing significant. Then to think about ablation.After 3months if still not good I'm to get back in touch.
Was torn between seeing his logic and thinking have I been fobbed off! he probably is right but I am now so impatient that I still feel very frustrated. But h...


Posted by Dave H on 2015-12-24 17:29. 2 comments. 415 reads
 
Hey Gang:
I was at my new cardiologists office yesterday (2nd visit). He had me in the Echo lab for a PM optimization. The sonographer seemed more competent than others I've had. He and the Doc. were definitely on the same wavelength. Device Tech was there also. After lying on my left side for an hour and a half, the results were in. At the beginning, Doc agreed with the previous assessment of an EF of 20%. As the "fine tuning" progressed, things were NOT looking better. Then, he and his crew made another change, and VIOLA! Major improvement. Doc stated the volume of blood pumped out of my left ventricle has been increased 25% compared to the earlier setting. I'll get the full scoop when I see him in clinic next month. A quest...


Posted by Dave H on 2015-12-17 19:21. 1 comments. 360 reads
 
As an A-V Node ablated person, I can offer the following: My procedure ( May 2012) created for me a more "normal" life experience. Late 2014, my Cardiologist and my EP agreed that a PM change to a PM/ICD device was a better option. This was performed last January. At times with the new device I would feel some shortness of breath and tiredness. Current EP did a PM optimization while watching the Echo last March. Life was better yet, and although a recent PM download and echo showed no A-Fib events my LVEF has fallen to 20% from 30% previous. I exercise every day for 1.5 to 2 hours which includes 5 - 7 miles of treadmill and walking track. I'm 65lbs lighter than I was 4 years ago - 6' tall and 177 lbs in my birthday suit.(I have no ...


Posted by Thing1 on 2015-12-14 02:38. 4 comments. 484 reads
 
I just had a pacemaker/defibrilator put in on November 2nd. I saw the doctor two weeks later and his nurse raised my heart rate but did not tell me what the numbers are, and I didn't know to ask. Both the nurse and the doctor were shocked when I told them I was not feeling better, but feeling worse. That was the reason they increased my heart rate. It only helped for two days. I am back to so much fatigue. I feel like there is a weight pulling me down. It just sucks.

My history:
Sinus bradycardia
Ventricular premature beats
Nonischemic congestive cardiomyopathy
Congestive Heart Failure
Conduction disorder of the heart

All this since April this year. I was having my final plastic surgery follo...


Posted by kellyeng on 2015-12-12 20:19. 17 comments. 755 reads
 
Hi everyone,

This is my first post on the site which by the way is amazing!!

Some background on my situation:
I am female and 38 yrs old.
I was diagnosis with 3rd degree heart block last November and had a Medtronic 2 lead pacemaker fitted on Nov 21st 2015.
I take no medication.

On my last check up 2 days ago and I was told I had 39 afib episodes, which has jumped up as on my check up in April I only had 2!!
Now I have read peoples posts where they have had 100's or even 1000's of afib episodes so maybes I am worrying for nothing?
The pacemaker technician told me the risks associated with having afib episodes but she said I was classed as low risk due to my age, not having diabete...


Posted by Marday on 2015-12-09 06:12. 6 comments. 474 reads
 
So I got my implant last week and until the EP nurse shut down the ventricle lead this morning, I had been feeling a beating pain, like every heartbeat involved a feeling like some little guy was kicking the inside of my heart. So, they shut down the lead entirely and said that since I have good conduction, pacing the ventricle should not add much security to the situation. An x-ray revealed 'some' forward movement of the lead from its implanted position, ostensibly further into the myocardium. So, problem solved for now. But why implant a dual chamber model if a single lead does the trick?

Now, all this was done in the hopes that I could tolerate some kind of beta blocker. Prior to this, a 25mg dose of metoprolol in the midst ...


Posted by TERESA on 2015-12-07 17:59. 0 comments. 180 reads
 
I changed Wi-Fi providers and my merlin toggle (don't know what it's called) goes between red and green so I'm not sure if I'm getting a read or not. Anyone ever had this problem?

Posted by relax221 on 2015-12-07 15:46. 1 comments. 275 reads
 
HOW OFTEN SHOULD I HAVE IT CHECKED WITH AN OFFICE VISIT? ST JUDE ICD

Posted by arg on 2015-12-07 14:14. 3 comments. 262 reads
 
I am two months post-op and just had my first echo since implantation(CRT-D). Before implantation my ejection rate was 30-35. It is still 30-35. Shouldn't it have come up a bit??? Diagnosis was primary cardiomyopathy.

Posted by Dave H on 2015-12-03 17:56. 1 comments. 346 reads
 
I've had a PM optimization last June to finalize my LV ejection fraction. Yesterday, I had a follow up Echo that went well until the end when the Echo Tech lingered around my mid chest area. She asked me, "How do you feel?" Well, I felt just fine 'til she asked that question. She did not disclose what concerned her, and went to confer with the clinics cardiologist. She returned and wanted me to be sure I kept my next weeks already scheduled visit with my EP. The fact that the clinics cardiologist didn't see a need to consult with me, I take as a good sign, but I'm still spooked. I exercise 1.5 hours daily -- 4 miles on treadmill, and 2 - 3 miles on an indoor walking track. I'm waiting for my EP's nurse to respond as to whether or ...


Posted by Mimiwags on 2015-12-02 00:51. 2 comments. 427 reads
 
Mom has had a pacemaker 12 years. Her second one is nearly six years old. They are checking her appliance monthly for battery lufe. Two months ago, they told her it was pacing at 78%. Last month ut was 87% and today, 91%. What exactly does this mean? She is 86 and thinks it means her heart is weakening. Help!!

Posted by health on 2015-11-26 18:02. 2 comments. 506 reads
 
Heart rate
39 minimum, 59 average, 106 maximum , 4 beats in tachycardia(>=100 bpm) <1% total , 53160 beats in bradycardia(<=60 bpm) 63% total , 2.3 second Max R-R.

Ventriculars (V,F,E,I}
439 isolated, 4 couplets, 0 bigeminal cycles, 2 runs totalling 8 beats, 5 beats longest run 102 bpm 06:14:33 15 September , 5 beats fastest run 102 bpm 06:14:33 15 september.

Supraventriculars (S,J,A)
63 isolated, 14 couplets, 0 bigeminal cycles, 2 runs totalling 15 beats , 11 beats longest run 60 bpm 14:41:29 14 sep , 4 beats fastest run 144 bpm 23:25:12 14 sep

Interpretation
24 hrs holter monitoring revealed a basic sinus rhythm with prolonged episide of sinus bradycardia, the max HR is 106 bpm & min ...


Posted by heckboy on 2015-11-25 18:52. 1 comments. 221 reads
 
Wasn't feeling great while climbing stairs or walking uphill, so I went in for an impromtu PM check. It turned out my HR wasn't getting much higher than 70 BPM with my low rate set at 60. My rate response had previously been off because I had normal sinus rhythm once upon a time. They tweaked my rate response and had me run around the building and up and down the stairs for five minutes and I noticed an instant improvement. Gonna test drive the new settings this weekend and report back to them in Tuesday for a follow up.

Posted by Grandadbren1 on 2015-11-25 09:53. 2 comments. 270 reads
 
Hello can anyone tell me when my st Jude pm has been interrogated and adjusted where is the information stored that has been downloaded is it possible for future technicians (if I had to go elsewhere say on holiday etc ) to view what has been happening from say 6months ago ?

Posted by Leady1 on 2015-11-21 02:11. 4 comments. 576 reads
 
Hi, new member that just had a St. Jude CRT-D device implanted a week ago. This is my 5th device, over the years implanted, so I'm not new to the devices. I have had different brands, last one was a Medtronic ICD unit. I have total heart block and have suffered with V-tach episodes for a long time. That has been taken care of, now I stay in Afib for months at a time. I have had 2 strokes, due to Afib. My question is for anyone that would know why my heart rate was set at 60 in the hospital. I am used to about 85 - 100 heart rate, and feel now that I have !just bottomed out. So tired, no energy at all! Can or will they reset your settings up to a higher heart rate if you just ask them? A simple question that I am very serious abou...




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