Most Recent Messages in Checkups & Settings

AFib below the threshold for detection?

I've been having what feels like an SVT at night most nights.  My Kardia 6L keeps saying either possible AFib or unclassified.  Had them run a check, no events recorded.  Threshold for recording is above 200BPM.  My last SVT was not AFib and was below the threshold.  The tech told me also fine AFib sometimes does not get picked up.  He said he changed the settings for me so that it would mode switch to 80 BPM V paced if I had any lower rate SVT and I would kn...

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Difficulty with Stairs

I posted a while ago regarding having difficulty going upstairs. I have a Medtronic PM since July 2022. I received many helpful messages here regarding rate response, attributes of various PM etc. I went back to the pacemaker technicians several times and they insisted the problem wasn't with my PM. Due to the encouragement of people here on the group, I persisted to check. I went for a stress test. The next day, the PM technician went out of her way to call me and say that she review the...

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Pacemaker monitoring

Hi all, 
I am just curious what the costs are like in other countries for Medtronic pacemaker home monitoring? 
I live in Singapore.  Myself and my 2 boys have a pacemaker.  The montoring costs are: S$1000 for initial set up and then $400 per year after that, that's for the clinic to review our transmissions monthly.. I find it very costly and have not signed up for it myself, but considering it as my leads are old (23+ years).  

If...

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Anyone else from UK get check ups with NHS? Think MV Settings need to be adjusted

Hi All,

Just looking for other people in the UK who have their device fitted by NHS and get their checks through the NHS. In January there I got a new device and leads fitted in the left clavo al after having my PM placed epicardially in my abdomen for the last 20 years (I am 27F) due to complications as a child. I got a Boston Scientifc proponent mri sr L210 device but I am finding I am having issues when trying to walk fast, pushing my niece and nephew in their prams, I am&n...

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A good idea or already available

I have been thinking that it would be a great idea for some individuals to be able to use existing ECG or pacemaker data to provide a simulation of how different pacemaker settings would perform.

I am surprised some of the pacemaker manufacturers don't have this? It would lower the amount of setting iterations and enable decisions to be made more quickly.

 

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Not quite right

Hi all. Went back to work 2 weeks ago. Had a tune up aweek before I went back. Have been feeling good until  a week ago when I started getting blurry vision again. And yesterday I had an episode but did not black out and another today When I was a bit confused and things and felt as if I was going to be sick. But didn't. Also tingling in my left hand on and off for a few days. Your thoughts would be great 

Thanks

Sean

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Settings and adjustments for arrhythmias

I have a Medtronic Ensura dual chamber pacemaker for tachycardia/bradycardia syndrome (implanted in 2018).  A few days ago I returned to my clinic and they looked at NCAP (non competitive atrial pacing) and APP (atrial preference pacing). 

I was told NCAP helps prevent atrial tachy arrhythmias by avoiding (delaying) pacing after a premature atrial contraction (PAC)

whereas

APP

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CRT-D adjustments today and update

I saw my EP today and he was happy to adjust my lower rate from 60 to 70 on my CRT-D.  He also adjusted the rate response to make it more sensitive so I hope my heart rate will respond to a higher rate than 70 when walking or climbing stairs.  I will get the device checked in 6 weeks on one of his patient days and he will look at the adjustments with me.  He told me to call the office if I am feeling worse.  I have had no ventricular arrhythmias, but lots of non-susta...

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Built in settings turned off

Posted a little while ago re new PM making me feel worse especially when exercising. 
After some advice from Biotronik a couple of pre programmed settings have been turned off. 
As I get some AT I'm slightly limited in upper rate and tracking. The new device was putting me into 2:1 block when I hit 120 bpm and also seemed to be self adjusting at random times. It does a self check at midnight which I feel if awake. 
so it's wait and see how I go, if no rea...

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Biotronik Rate Response (Acclerometer) vs. CLS (Closed Loop Stimulation)

I asked a question in another post about bumpy roads affecting my Biotronik pm.  I was confused about the difference between the Biotronik CLS setting and the rate response setting.  Penguin provided a link that explained a lot.  Adding here in case anyone else may find it helpful.  It seems especially relevant to those like me who exercise a lot.  Looks like there are a lot of previous posts about having difficulties getting the settings right and it may be because t...

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nightly checks

Biotronik Pacemaker placed 1/18/23 after botched ablation for SVT. 100% ventricular pacing. Last night around 11:20 I felt a quick buzz at the pm site and then several minutes of weird heart rate changes. Is this something I will feel every night if I'm awake when it happens? I got no information about what to expect at hospital discharge.  

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Medtronic Azure Settings - Advice Please

I've been looking up the settings which the Medtronic Azure offers on the manual which Gemita kindly posted on another thread and found the following which I need to ask some Qs about: 

MVP

The sales blurb mentions Updated MVP.  Could anyone explain to me how MVP works to manage VP and how it may have been improved? 

Tachyarrhythmia Detection

I also noted Tachyarrhythmia detection parameters listed as follows: <...

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Closed Loop Stimulation

Has anyone got any feedback / advice on the effectiveness  'Closed Loop Stimulation'  - Biotronik's rate response algorithm? 

Thank you for any replies.

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Appointment today with new EP to discuss way forward with my arrhythmias

Hello everyone,

A signalling failure delayed and cancelled train services into London this morning, so a difficult start waiting on a freezing cold platform.  But I wasn’t late because when I got to the clinic it was still teaming with patients.  It was supposed to be a morning clinic and I was seen at 2.30 pm.

Although rushed, my appointment went well.  I liked my new EP although I sensed quickly he didn’t really want to be too aggressive with my arrhyt...

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Abbott / St Jude Assurity Pacemaker - A.Cap Confirm Setting

Wondering if anyone can add any detail to my basic knowledge of the Automatic.Atrial Capture Confirm (A.Cap Confirm) setting on the Abbott Assurity Pacemaker? (There is also an automatic ventricular capture setting - I forget the name of it - but this is not programmed. Not sure why. I receive less than 5% vp.)

I have found an online explanation of the setting - but it's complicated. I've grasped bits of it and worked out others, but I particularly need to know a)...

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Should my lower rate be increased?

I (in my mid-60's) have had my BS dual lead PM for just over 7 years now, with the lower rate set at 50. This level was chosen as it had been my normal resting rate for all of my adult life. FYI - had to have PM due to brady/chrono incompetence following a hiatal hernia/fundo surgery.

About 2 years ago I was feeling more tired/fatigued. GP found my B-12 levels were very low, had injections + supplements. While it helped a little still had symptoms. Then foudn I was significantl...

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This forum rocks (again!)

Once again, I have to thank the knowledgeable folks here for making sure I am ahead of what my doctor tells me. I just had my 6 mo check-in with my cardiologist. I had seen my pacemaker reports when they posted in my test results, so I knew that there had been no events recorded, but there was something I thought I'd better mention. I have been noticing, especially during rest, that I sometimes get that fluttery feeling that I associate with afib. My cardio, for the first time in my exper...

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Battery replacement pacemaker changeout

I live 9,000 miles from my rythem specialaist, and cardiologist. Once I am ready for a battery change, I will travel back to the US. I also have a leaking Mitral valve that is knocking the shxx out of me, causing oxygen deprivation. I will have both attended to upon my return. I cannot afford the thousands of dollars to go back & forth. I go to Makati Medical Ctr in Manila once every 6 months, and have been trackingt my battery charge closely. I was told originally that the batteries woul...

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Appointments

Hello Gemita,

First, good luck with everything❤️ All over the world is the same situation,regarding any appointments (sadly)⁉️  What works well for me is that I bring my husband with me....suddenly there's time to discuss all concerning issue in length....quite annoying, but hey 👋🏻 it's working💝 ....

 

 

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New EP appointment

Hello everyone,

Well I have finally got my EP appointment coming up on the 16th January.  Haven’t seen an EP since before Covid although I have had a few telephone consults, but they are not quite the same, are they.  I have been referred back to my EP to discuss my atrial tachy arrhythmias and where to go from here?

I will be seeing a new EP, since my old one has now retired, so it will be an opportunity to start afresh.  I hope we will like each other and th...

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