accelerated junctional rhythm

I have a CRT device for heart failure. Lately I have been in and out of an accelerated junctional rhythm and have symptoms of dizzyness, blurred vision, and I can't walk far at all during these episodes. I know the accelerated junctional rhythm causes AV dysynchrony and that is probably whats going on with me.I have read that new devices are coming out, or are out, that have the capability to recognize and treat an accelerated junctional rhythm. Anyone have one of these new devices?


3 Comments

accelerated junctional rhythm

by golden_snitch - 2010-03-28 02:03:34

Hey,

never heard of a new device that can manage this problem. I have an accelerated av-nodal or idioventricular rhythm which causes AV-dissociation, too. That's one of the reasons why I'm on antiarrhythmic meds at the moment, trying to suppress this accelerated rhythm. Pacer is set at 70bpm but the accelerated still overtakes sometimes. I can't stand it! Did very well while on Amiodarone that seemed to slow this rhythm down but I had to get off of it because of lung damage. Now on Dronedarone but doesn't work as well. Betablockers, flecainide, verapamil only worked for a couple of weeks.

Best wishes
Inga

accelerated junctional rhythm

by maryeocmack - 2010-03-29 12:03:59

Thanks Inga. I am on high doses of metoprolol and it really doesn't work. I've been on amiodarone before and I can't tolerate that either. My pacer is set at 70 too and the accelerated junctional rhythm takes over a lot. They set my pacer higher to override the junctional rhythm, but it felt too high for me and there is also no mode on my device that lowers the rate when I'm asleep. I'm going to hold out for a new device. I read that there is a new patent for this type of device, so it will be out at some point; hopefully soon

Take care

Mary

Accelerated Junctional rhythm

by artist - 2017-06-17 16:26:55

Inga,

In St. Jude Medical pacemakers, they can program it in AAIR mode after ascertaining you have AV nodal conduction intact. Additionally, AF suppression alogrithm should be programmed "ON". Talk to your electrophysiologist/cardiologist about this option.

Good Luck,

Abdul

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