Pacing episodes


Bit of a random one and i really should have paid more attention at my annual check-up today. I have a medtronic dual lead pm, ive had it for 3 years now (i'm 41).. 

The technician mentioned that i'd had 18 episodes totalling over 100 hours.. Im assuming this was over the last 12 months??

Does anyone know what this meant? The technician did alter something immeadiately afterwards and said i shouldn't feel so breathless from now on.. Like i said, i wasn't really taking it all in today.

Any help would be appreciated..



Grab all of your data every time!

by crustyg - 2019-08-22 10:28:16

I echo AngySparrow's advice - and have learned to take a relatively empty USB (==thumb-drive) to my interrogation sessions so that I can take a copy of all of my data away with me.

One of the things that they teach in Medicine is that folk don't always absorb as much information as you or they hope.  Tell a patient that they've got the big 'C' and they hear nothing else for the rest of the consultation - which is why all good clinics have leaflets to take away.

I often find myself regretting not asking one or two key questions - make a list and work through it while your backside is glued to the chair in front of your Doc!

What the tech meant isn't possible to determine with absolute certainty: but for me, my PM writes events to the Arrhythmia log - and events can be HR too fast, cessation of pacing or switch to async mode (e.g. magnet effect on the box).  But there are lots of 'events' which your box may or may not be setup to record.

So for you, it might well mean 18 episodes of abnormal rhythm since the last interrogation (therefore a year ago), which ran for a total of >100 hours.  But I'm guessing.

Pacing episodes

by Chrisf - 2019-08-22 17:22:16

Thanks for the replies, i'll ask for a copy (or details) of the check up.. But like you say, its easy to lose focus and get absorbed in the moment..

All the best everyone.

Be prepared

by Heartthrob - 2019-08-26 12:34:40

Chris, your post brings up an important subject:

Some suggestions for everyone, for doctor visits:

1. Go with a sheet of questions.

2. Have someone accompany you when possible, as an extra set of ears and eyes. I'm unbelievably stubborn (not a good quality) about handling my own life and not calling on others to take care of me. However, my daughter who lives about an hour away, read me the riot act after I misconstrued something at one visit. (She is, by the way, an assertive hot ticket.) 

She now insists on going with me to that occasional appointment, maybe once a year, where some important issues might arise. I hated that at first and now I completely appreciate it. This is why so many people in waiting rooms have someone sitting beside them. Gee, who knew?

3. If something was not covered or was unclear, call the office and ask for clarification.


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