Explanation

Hi All, Is it possible someone can tell me a little about the device follow up report. The secretary gave me a copy . It say's 5600 rate drop episodes. , 3 non sustained  VT - SVT,  3  AT/ AF episodes 45 sec plus 8 mode switches less than 45 secs.  I am now atrially paced at 74% and ventricular at 13%. I Have never been vent paced , always less than .01 % Could someone please help me understand what this means. Thanks, and have a great wknd. I have a dual chamber medtronic pacer. 😊


3 Comments

explanation

by Tracey_E - 2019-03-30 11:38:46

If you are pacing ventricle when you weren't before, they could have adjusted the settings last time to have the ventricular lead kick in more quickly, or it's possible to develop a bit of av block (which is no big deal because the fix is already in place!) How do you feel? If you feel good, then don't worry about extra pacing. That's what it's there for, to work when we need it. 

5600 rate drop episodes- rate dropped too quickly so the pacer jumped in to keep it up

3 non sustained  VT - SVT, non sustained means it didn't last long. VT is ventricular tachycardia, or a fast rate coming from the ventricles. SVT is supraventricular tachycardia, which is a fast rate coming from above the ventricles. Sustained should be watched, non sustained is usually no big deal

 3  AT/ AF episodes 45 sec - AT is atrial tachycardia, or racing that starts in the atria. I've never understood the difference between AT and SVT, they sound the same to me? I guess it depends where it originates. AF is afib. If it happens for too long or often they will probably want you on something to prevent it. 

plus  mode switches less than 45 secs. Not sure what this one is :o) 

mode switches less than 45 secs

by AgentX86 - 2019-03-30 13:11:51

I believe this is the indication of AMS (Automatic Mode Switching) activity.  AMS is where a DDD pacemaker (Dual Pacing, Dual Sensing, and Dual mode) can either pace/sense atrially or ventrically.  Depending on the rhythm, the DDD pacemaker can "shift gears" to optimally pace the heart.

explanation

by MARYNEWSOME - 2019-03-30 17:00:35

Thank you so much Tracy E and Agentx 86 for your help in understanding the  info. Much appreciated 😙😎

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