Can heart rate affect fluid retention?

I have kidney disease stage 3 and heart disease. I have had my St Jude Pacemaker since 2015 for SSS, low setting currently at 60 BPM.  I  limit sodium intake to 2300 mg (usually less) and limit fluid intake to 64 oz (both per Nephrologist advice). If I have 2 lb weight gain, I take Lasix.

I feel hesitant to take Lasix since it is hard on kidneys but know excess fluid is hard on the heart

I'm wondering... if I had my low rate higher, such as 70 BPM, would I have less fluid retention  since more blood being filtered thru the kidneys.

Anyone have any experience with this?

3 Comments

have your nephrologist and cardiologist talk

by Tracey_E - 2019-03-17 09:43:40

How hard the heart pumps usually has more of an effect on fluid retention than how fast it pumps. Sometimes it helps to have the two specialists talk and find the best balance for you. 

Maybe

by AgentX86 - 2019-03-17 13:47:34

I noticed that when I was in Aflutter my weight dropped eight to ten pounds. My heart rate was 80-90, rather than 40-50. The pacemaker fixed that part.

Setting

by Finn - 2019-03-19 14:39:02

My dr set mine at 70bpm since I am very active. 

I’m 58, male, st Jude pm, 2009, getting a new one this summer.

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The pacer systems are really very reliable. The main problem is the incompetent programming of them. If yours is working well for you, get on with life and enjoy it. You probably are more at risk of problems with a valve job than the pacer.