Follow-up after first EP Clinic appointment today
I learned quite a bit today at my EP Clinic appointment that hopefully will help me feel better. I started my discussion with describing how I felt.
My rate was changed from 60-130 to 50-110 to help reduce the spike in heart rate I feel when I initiate activity. If I feel I need a change, I can make an appointment and the Biotronik rep will be there.
My atrium is pacing at 80% and my lower chamber at 9%. The tech explained that the 80% pacing in my atrium is trying to mimic my sinus node.
I asked the tech if there were any concerning events that my pacemaker revealed and she said none at all.
I was concerned about my PVC burden and was told that it is less than 1%. The NP said that at my age (I just turned 70), that is no cause for alarm. The tech said that getting PAC burden info. was much less clear cut.
Since I have episodes of lightheadedness and have had a positive tilt table test in the past (which my cardiologist diagnosed as vasodepressive syncope), the NP took me off of Diltiazem and prescribed 1/2 of a 25 mg Metropolol tablet every morning. She wants me to continue with the 200 mg Acebutolol every evening. I was wondering if perhaps I was overmedicated when my cardiologist doubled my Diltiazem when I told him about the spike in heart rate with activity. The NP said that was the pacemaker contributing to the spike and that I probably did not need the increased dose. Also, she explained that with the positive tilt test, Diltiazem perhaps wasn't the optimal medication but that another beta blocker at a very low dose might help. I had a feeling that perhaps the medication might be working against me. I guess that might take a few days to figure out.
My medical records indicate that I have "unspecified syncope" with PVCs and palpitations The NP told me I have sick sinus syndrome.
I am so grateful for all of you who offered advice! It was very helpful in framing the questions I posed today. I realize that having a pacemaker is like learning a new language.
You know you're wired when...
Your pacemaker interferes with your electronic scale.
Your hearts electrical system has a manmade helper. A helper that only knows to do what it is programmed to do and will perform that function day in and day out, without fail. Now, go enjoy your new grip on life.