how to read Pacemaker interrogation report help

My dad had the below report , i just need to know how to read it..Because the doctors here are rarely telling us about these stuff..Appreciate your help

Battery Voltage : 3.13 V

Pacing History
As- Vs : 2.2%
As - Vp : 97.1%
Ap - Vs : <0.1%
Ap - Vp : 0.7%

Impedance
Atrium : 475 ohms
R.V 285 ohms
L V 722 ohms

RV Defib 41ohms
SVC 54 ohms

please point me to a link if there is a explanation already available.

Let me know if you need more details.


9 Comments

reading the numbers

by Tracey_E - 2015-01-27 09:01:49

Voltage is how much juice it takes to get the heart to respond

As- vs is atrial sensing, ventricular sensing, aka the pm is just watching
a = atrial
v = ventricle
s = sensing
p = pacing

I don't know how to explain impedance but when it starts to go up, that's a sign the battery is starting to go.

Does he have heart block? His numbers look pretty typical for block, ventricular pacing nearly every beat (97%), a little bit of atrial pacing here and there (less than 1%).

thanks tracy -

by mkyah09 - 2015-01-27 11:01:01

yes he has block. His Left ventricle has lot of issues. Lately after 1 year of installing the pacemaker he has again complained about SOB , so i was wondering what might me the reason if the PM is working fine.

He complains SOB after he has his food and when he lies flat as well.

see the GP

by Tracey_E - 2015-01-28 04:01:56

Heart failure should be ruled out, but see the GP also. Cardios know hearts, not GI. Has he had an echo? It's not complicated to find out how efficiently his heart is pumping.

I'd try a....

by donr - 2015-01-28 07:01:51

....Gastroenterologist - they specialize in everything from the spot where the AIRWAY & ESOPHAGUS split apart all the way to the bowel & that's a long boatride down the alimentary canal!

They can talk realistically about GERD & rule that out.

Where is "Here"?

Donr

thanks AS and Nice

by mkyah09 - 2015-01-28 09:01:58

Thanks Angry sparrow, i thought it might be GERD but the cardiologist doesn't even want to hear my opinion at all and he is linking SOB with heart failure. Anyway while eating he feels his esophagus is tightening which is very similar to the symptom of GERD(GI issue)

I have no idea what to do. Here the doctor's are more focused on money rather than consulting.

Echo done

by mkyah09 - 2015-01-28 11:01:25

Yes he had his echo his EF was 28% which was very similar for a long time. He always had his EF around 25 -30%.

Could be a number of things

by NiceNiecey - 2015-01-28 12:01:50

I've been paced for 13 months now and discovered at my last check up that 1) my PM is working great; and 2) I I have developed diastolic failure which is the Left Ventricle not pumping well and/or in rhythm with the heart's right chambers (somebody correct me if I'm wrong about that explanation).

I sound a lot like your Dad so it could be that he has the same problem I do. And it's treatable! Please let me know what you learn.

visited GI

by mkyah09 - 2015-01-29 06:01:08

He prescribed couple of tablets, but his SOB is very bad when he finishes his lunch and lies down for a afternoon nap and it starts from afternoon till midnight right after his dinner as well.

We are confused and have no idea what to do except go and admit.

For starters STOP...

by donr - 2015-01-29 08:01:26

...lying down for a nap immediately after eating. Guaranteed to cause troubles to be exacerbated if it is GERD. You can do this w/o spending any money or waiting to see a Dr.

Then grab a couple of 2X4 boards (Or whatever is about that size in your country) & stick them under the head board of the bed to raise it up a bit - usually the 2 inch raise will do the trick. That can help keep reflux of stomach contents out of esophagus while lying down.

What, exactly are the tablets he gave him?

Also, What did the Gastro say was going on?

Donr
























































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