An excerpt from my recent PM optimization report: "
Other Findings: Due to ventricular ectopy and restrictive diastolic filling heart rate was increased to 85 with a slight reduction of LV OT integral. Increasing left ventricle first to the maximum allowable setting demonstrated a slight reduction in mitral regurgitation with an apparent increase in ejection fraction. The LVOT integralincreased to 14.7 from 12.7.
Impression: Pacemaker optimization performed with an apparent improvement in ejection fraction from 15-20% to 32% with reduction of moderate to severe mitral regurgitation to mild to moderate. Ventricular ectopy was still noted at a heart rate of 85. The patient could benefit with further reduction of ventricular ectopy."
At my more recent device clinic appt., the nurse raised her eyebrows at that heart rate of 85 and questioned the need for that high a rate.
Should I continue down the road of questioning my EP (a Doc who did not perform the optimization) but appears to condone this rate?
BTW: My current typical BP is usually in the 95/56 range