First Race afterPM

Yesterday I ran my first race six weeks after getting a pacemaker. I had a lot of fun. I got to run accross the Golden Gate Bridge with a freind. I have found that at this time I cannot run at my old pre pacemaker pace without breathing hard, and struggling to get a deep breath. When I slow down I do fine. Has anybody had this issue? Does it get better with training? I saw a PM tech about 10 days ago and she turned on the excelorator and said she would adjust it if needed at my next appointment. Thank you all


Getting dialed in

by Julros - 2022-11-14 10:38:34

I needed about 4 adjustments to get my settings maximized, both sensitivity and high rate settings.  I eventually ran on a treadmill with the manufacturer's rep present. They called it a CAEP test. 

How fun to run across the Golden Gate Bridge!


Accelerometer adjustments

by IAN MC - 2022-11-14 11:19:08

Like Julros, I had my pacemaker Activity Sensor ( accelerometer ) settings adjusted while running on a treadmill.  Several adjustments can be made including  how sensitive your pacemaker is to exercise i.e  how vigorously you have to run before the accelerometer kicks in .  The rate at which it increases your heart-rate is also adjustable

It is highly likely that your breathing problems will be improved by Rate Response      ( accelerometer ) adjustments.

I do envy you running across the Golden Gate bridge . One of my favourite memories is doing the Istanbul Marathon when  I ran across a beautiful bridge over the river Bosphorus . This involved crossing 2 continents . I started in Asia on one side and finished in Europe on the other.

There's something about running over bridges !!


First Run

by Kidfitz - 2022-11-15 10:05:54

Thank you both. The tech told me she was barely turning on the accelerometer and would see how things go. Hopefully at my next visit she can dial it in. Ian, that race in Istabul sounds awesome!

Running adjustments

by Mad Hatter - 2022-11-15 14:23:26

Congrats on getting that first run done.  I did a 10K two weeks ago, ten weeks post pm and it went fine.  But then I had a follow up with my EP that had been rescheduled from September and had my settings adjusted to address dizzy spells on rising from a head down position.  I don't think it was affecting my running except maybe at the start of a run or on hills it seemed like my heart/breathing was catching up.  But once I was at an aerobic rate I could maintain just fine.  The new settings seemed to have helped.  Good luck on getting yours dialed in and happy running.

Oh, and the coolest run I've done is a Run The Rockies half marathon.  It starts at Copper Mountain (9,700 feet) and runs downhill to end in Frisco, CO (9,097 feet).  And I got to run most of the way with my then 20 year old daughter, who I was happy to see beat me.  I don't think I could keep up with her for even half that distance now.


by stevebne - 2022-11-15 19:26:49

Perhaps suggest an exercise test with the PM technician present at your cardiologist centre, as this will provide real time input to help adjust the different settings. That said, it depends on the cause and degree of your underlying heart disease as to how far and how rapidly you can up the settings. Note that for running, the accelerometer adjustment is usually sufficient. Cycling and swimming ( and to some extent treadmill running) are more tricky and work best with a respiratory measurement as well. 

Tech visit

by Kidfitz - 2022-12-01 09:33:31

I saw a PM tech yesterday and he adjusted the accelerometer. I will not be running until Sat. Hopefully things are better. He said I was being paced 77% of the time. I asked him to lower my resting heart rate from 60  to 50 because my RHR has been in the mid 40's for about 7 years and I thought it would extend the life of the batterey . He talked to the doctor and he approved the lower rate.

You know you're wired when...

You play MP3 files on your pacer.

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Life does not stop with a pacemaker, even though it caught me off guard.