cardio healing

Why not turn the PM off occasionally and see if healing of the heart enervation tissues has occurred?  If there is any existing information about this idea I'd appreciate hearing about it.

 

Ickabod


5 Comments

You try it first !

by IAN MC - 2023-08-27 13:49:05

That is a very interesting suggestion, Ickabod.  I assume that , if  miraculous self-healing of our cardiac electrics took place, our artificial pacemakers would simply stop pacing... they would no longer be required and our natural pacemakers  would take over.

As Marybird said , a  part of our routine pacemaker testing measures the extent of any  natural  heartbeats  which our hearts are producing... that is the moment which none of us enjoy in our PM  interrogations !   If natural healing had taken place it would be evident in these tests

Several of us are totally dependent on our artificial pacemakers i.e.  THEY KEEP US ALIVE so, the act of switching them off  could be an incredibly risky experiment.

I have a faulty TV which I don't think will suddenly start working either but who knows I may be wrong.

Ian

Can the heart recover from heart block

by Selwyn - 2023-08-27 14:43:11

Reversible Causes of Atrioventricular Block

Chiara Pavone  1 , Gemma Pelargonio  2

PMID: 34689897  DOI: 10.1016/j.ccep.2021.07.004
Abstract

Atrioventricular blocks may be caused by a variety of potentially reversible conditions, such as ischemic heart disease, electrolyte imbalances, medications, and infectious diseases. Such causes must be always ruled out to avoid unnecessary pacemaker implantation. Patient management and reversibility rates depend on the underlying cause. Careful patient history taking, monitoring of vital signs, electrocardiogram, and arterial blood gas analysis are crucial elements of the diagnostic workflow during the acute phase. Atrioventricular block recurrence after the reversal of the underlying cause may pose an indication for pacemaker implantation, because reversible conditions may actually unmask a preexistent conduction disorder.

AND

Late recovery of atrioventricular conduction after pacemaker implantation for complete heart block in congenital heart disease: fact or fluke?

J De Raet  1 , F Rega, B Meyns
PMID: 20690515  DOI: 10.1080/00015458.2010.11680625
Abstract

Objectives: Pacemaker implantation is a standard recommendation for patients with persistent complete heart block with congenital heart disease. This study was performed to determine the incidence and clinical significance of late recovery of atrioventricular (AV) conduction following pacemaker implantation.

Methods: A retrospective study of patients with congenital heart disease needing pacemaker implantation was performed between 1977 and 2008 at our institution. The postoperative course of all patients with complete heart block, in whom a permanent pacemaker was implanted, was followed on a semi-annual basis by clinical follow-up.

Results: A total of 56 patients with complete heart block underwent pacemaker implantation. Indications for pacemaker implantation could be categorized in primary AV conduction block (n = 28 ; 50%) and surgically-induced AV conduction block (n = 28 ; 50%). After pacemaker insertion, recovery of AV conduction was recognized in two patients. The first patient was operated for atrial septal defect type ostium secundum with complete heart block preoperatively. AV block resolved 2 days after pacemaker implantation. The second patient underwent mitral valve replacement. Postoperatively, the patient developed second degree heart block, which progressed 3 years later into complete heart block. A recovery of AV conduction was seen 7.5 years later. In these patients, no late recurrence of complete heart block was found during follow-up after 8 and 4 months, respectively.

Conclusions: Recovery of AV conduction was observed in one patient with primary AV conduction block and in one patient with complete heart block after congenital heart surgery. Lifelong cardiac pacing in these specific subsets of patients may not be necessary.

Reason?

by Penguin - 2023-08-28 08:33:59

I think it's helpful for posters of questions like yours Ickabod to explain the reason behind the question. Often there may be a very good reason which the answers fail to address. Would you be prepared to elaborate? 

cardio healing

by Ickabod - 2023-08-29 16:05:43

Penguin asked  my motivation for posting this question.  The short answer is that maybe I won't be able to get new batteries in the future.  The US of A is going through a change from free republic to some much less desireable political system with most likely less efficient healthcare.  It's always good to be prepared for the uncertainties of life.  Perhaps I'll find alternative ways to servive.  I do know that medical science is constantly learning to see things differently than it had before.  In the mean time I have great faith and admiration for the medical professionals that have helped me thus far.  Icabod  

Pacemaker Dependent

by Penguin - 2023-08-29 16:22:40

Thanks for answering. 

There will be a ton of people on here who hope that your concerns / predictions are wrong. Maybe you should discuss the likelihood with your doctors and how it would affect you should it happen.  

Unless you are pacemaker dependent and without knowing your diagnosis, I imagine that if you could manage without a PM you may feel compromised with a return of your previous symptoms. 

Selwyn's examples above are interesting. Do any of them apply to you?

Fingers crossed that your prophecies dont come true.

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