It seems I am not bone idle but genuinely in need of some rate response
Thank you all for your helpful contributions and support to my recent post. I thought I would do a new post.
I have just received the following message from my pacing clinic. Here is their response, early Monday morning. It seems I do need Rate Response turned on and left on.
I am having difficulties getting the graph posted, so I will try to post it to the gallery where you can view if you wish. Update: finally managed to do a screenshot - posted in Members Gallery
Do you think there is still a need to have a formal exercise test to confirm Chronotropic Incompetence? I can see that my beta blocker might also be contributing to this and there is no chance of coming off this med.
Sorry that you’re not feeling completely confident on what we did on Friday. Hope I can clarify some of it for you.
The physiologist that saw you on Friday definitely did the right thing by turning your rate response feature on. I’ve attached the graph of your heart rates below and you’ll be able to see that its almost entirely at the 70-80bpm range, don’t worry about the small bars that go up to higher rates as this will be when you’re in AF and isn’t relevant. The rate response should help with this but it’s a feature that can often take quite a lot of fine tuning, so may not work immediately. Definitely see how you get on over the next few weeks and hopefully you’ll see an improvement.
This will have nothing to do with your level of exertion, in fact, if we suspected that you were very sedentary then we would likely not turn on the feature as the flat heart rate would be suitable for that. However, with you being active then you should be getting higher heart rates during exertion, which it seems your heart is not able to achieve on its own, which would mean that you do indeed have chronotropic incompetence. That isn’t necessarily a problem and may be a result of any rate control medications that you’re taking. We’re hoping that the rate response feature might help boost your heart rate and give you more energy and less breathlessness when you’re exerting yourself.
It's a shame that rate response hasn’t worked well for you before and having it turned on and off would definitely be confusing. We’ll see if there’s any improvement when we do your remote check in February and if not it may be worth bringing you in again to fine tune it.
Hope that answers your questions, feel free to call us if you want to discuss it further.
You know you're wired when...
You invested in the Energizer battery company.
I am very happy with mine. I am in the best shape of my life. I lift weights, compete, bike, golf and swim.