Tachycardia after pacemaker placement ??

Tachycardia

by AgentX86 - 2018-10-14 20:30:30

There is such a thing as "Pacemaker Induced Tachycardia" but it doesn't sound like what you're experiencing. In fact, what I see is pretty normal but you don't give much information about yourself (there is a Bio page to give us some information so you don't have to copy it with every thread).

When they do a check up, or "interrogation", they'll look at a histogram of your heart rate to see if it has a "normal" shape.  From there, they can tweak the settings to help you out.  If you do anything odd, make sure to tell them about it so they can factor it in.  For instance, the PM tech saw a pretty much bimodal distribution of my heart rate - all at 70bpm or 100bpm.  She asked about it so I told her that I walk 4-5hrs per day, half on an elevated treadmill, so it's "normal" to see a couple of hours at 100bpm (I asked to have it raised to 110).  Since there was nothing between the two extremes, she also changed the rate response slope. The more they know about you the better they can tune the pacemaker. 

Dizzyness when you stand or at the start of exercise is pretty normal.  They may be able to help some here but it's something that I've had to live with.  I try to stand more slowly or just enjoy the high.  ;-)

You're going to have a lot of bumps in the night.  Most are quite normal.  Your body has just been assaulted and now have a foreign entity controlling your heart.  It's going to take some getting used to the new you.  That said, don't hesitate to bring up any new symptoms to your EP.  He'll probably tell you that everything is normal, no matter what it is, but without information they can't help, either.

Tachy after pacemaker

by 69ChargerMD - 2018-10-14 20:38:46

 Thanks for the response, sorry for the lack of information. 53 years of age. History of Wolf Parkinson White, cardiac ablation age 22. Have had intermittent problems with tachycardia ever since requiring beta blocker therapy. Over the past year I’ve had problems with symptomatic first-degree block in developing, symptomatic 2nd° block. 

 Physician had mentioned possibility of going on beta blockers after pacemaker placement if I was still having some tachycardic issues. First few days after placement I notice my heart rate was actually very nice, 60s, 70s. Although, I was not very active. I am now walking up and down stairs, walking around, but other than that no formal exertion. Just seems like my resting heart rate is sitting in the high 80s, 90s a lot of the time. Again, perhaps this is all part of the process. Not sure if it’s related  history of idiopathic tachycardia over the past many years. I have been off a beta blocker now for over 10 months and seem to be doing quite fine without any severe tachy rhythms. Thanks for any input. Sincerely, Doug 

tachy and av block

by Tracey_E - 2018-10-14 22:27:41

When you are in av block, you don't feel the tachy because the atria is racing but the signal isn't getting to the ventricles so they beat at random. Now, the pacer makes sure the ventricles beat whenthe atria does so you are feeling it. Talk to your doctor, that's the best person to decide how high is too high. My resting rate is often in the 80's. I don't take anything for it. 

Tracey

by 69ChargerMD - 2018-10-14 22:45:31

thank you for the response. 

Heart Rate

by ROBO Pop - 2018-10-15 17:17:11

Doug ~ As usual, TraceyE is right on, anytime she offers up advice I strongly recommed you listen. I've been a member here for nearing 10 years and learned she has great wisdom.

A resting heart rate from 60 to 100 beats per minute is normal. Stop worrying if your heart rate falls within those parameters, and in fract stop checking it so much, it just make3s people crazy. I'm paced 100% in both ventricles at 80 bpm, no biggie. I have had pacemaker mediated tachycardia and they had to keep increasing my pacing rate until they overcame the problem which is why I'm paced at 80bpm. Trust me you don't have that.

You really do want your heart rate to increase with exertion as your body and organs require an increase in oxygenated blood with exertion so it really sounds like you are fine. Frankly most doctors won't worry about a heart rate at or below 150 and my defibrillator isn't even set to fire until after 185 beats per minute. 

Talk to the Dr about the dizziness may well be positional vertigo but you need a doctor to diagnose it properly, not some self annointed engineer who fancies himself a diagnostician and medical expert. 

good luck and let everyone know how you fare.