I can feel fluttering and it seems to be getting more frequent. Mentioned it to my cardiolagist and he does not seem concerned. Should I be and is there any kind of adjustment that can be made to the device.



by Tracey_E - 2024-01-23 09:08:52

If you're feeling extra beats between the full beats, they are considered harmless. The pacer is a gas pedal, not a brake. If the heart does extra beats on its own, the pacer can't stop it. 


by piglet22 - 2024-01-23 09:44:59

Harmless maybe in themselves.

Get enough to the point they interfere with the pacemaker timing, then not harmless.

Losing consciousness is a direct result of the pacemaker not filling in the PVC gaps.

It might be following the settings, but you can end up with the same symptoms as you had before the PM.

Have you had any external Holter monitoring?

by Gemita - 2024-01-23 10:12:54


Should you be concerned about fluttering?  It depends what is causing the fluttering and what symptoms you are getting?  If you are getting difficult symptoms, like breathlessness, feeling faint/unstable, having chest pain, then any symptoms of fluttering needs to be investigated.

I am assuming because your cardiologist is not concerned, that you have had all the necessary checks?  If this is not the case, then I would ask for additional long term monitoring to try to pick up the problem, especially if your symptoms are difficult to tolerate.

Once they have established a diagnosis, they will be in a better position to treat your symptoms which might include some settings adjustments, medication, lifestyle changes or other treatments 

Flutter - Atrial Arrhythmia

by Penguin - 2024-01-23 10:36:23

Re: PVCs. A lot of people do not feel PVCs and often they are not a concern. I have had PVCs counted in my pacing notes for years and for years didn't feel a single one of them.  If I do feel them these days they feel like a pause followed by a thud. I don't feel them as  a flutter. 

An alternative explanation for fluttering feelings 'could ' be an atrial arrhythmia but this needs to be confirmed. Did your cardiologist mention this or are you diagnosed with one already? 

 Kardia mobile is a tool you could use at home if you are concerned.  Most cardiologists are happy with this form of evidence (in the UK at least) but check. 

I'd also add that some devices do not capture atrial arrhythmia on their ECG or record them for various reasons peculiar to programming and different manufacturers - so sometimes you may feel an arrhythmia but it doesn't show up in your interrogation. 

Re: Settings - there may be ways to help via settings but these are best adjusted once you know what you are dealing with. 

Ask for further investigation if you are concerned. 


Thank you

by Jgrubic - 2024-01-25 08:18:42

Thank you all for your feedback. 

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