Pacemaker settings and underlying rhythm
Since my PM implant in July I've been back several times at various places for device changes. The process I've experienced is:
- the device tech connects to the PM (in my case a Boston Scientific)
- changes/adjustments are made either based on my input or on an exercise stress test
- the device is programmed with the new settings
A visit report is produced. There's a lot of data there including the changes made and current settings. There's also quite a bit of information/graphs/etc of readings since the last device check.
One thing I've noticed is a section at the very top labeled "rhythm". For me, this has been all over the map: "SB 38 bpm"; "SB with 2:1 AV block"; "Sinus rhythm with occasional Mobitz II block", etc.
It seems borderline impossible to me that my underlying physiology has changed that much in four months and seems much more likely that this is a result of the PM settings during that interval. Does this make sense?
It seems to me that a smart device tech can program the PM to produce just about any heart rhythm.
The reason I'm asking is the last report showed a very high level of RV pacing. Settings were changed but given how the process works I've no idea whether they're better or worse without going in for another device check which seems sort of pointless (only to satisfy my curiosity). I generally feel "OK" and the PM is responding more or less normally so I'm thinking I'll just wait until the next device check.
Another possibility would be to push the button on the bedside monitor to send them data and produce the report. For those in the states, does this generate a bill to insurance?
You know you're wired when...
You read consumer reports before upgrading to a new model.
Try to concentrate on how youre able to be active again and feel normal, rather than on having a machine stuck in your body.