Settings....ElectricFrank or anyone else that can decipher!

I will post what I see on my first interrogation report....I can't make since of it.
Here is what I know...
Model: St.Jude Zephyr XL 5626
I have one lead in the atria for sinus brady/ SSS.

Here is whats on the report.

Mode: AAI
Base Rate: 50 bpm.
Pulse Amplitude: 1.50
Pulse Width: 0.4
Sensitivity: 0.5

Episodes: Episode triggers are off
Battery >10 years
Voltage: 2.80
Magnet Rate: 98.5 bpm
Current: 8 a

Events:
AS: 83%
AP: 17 %

Capture & Sense
Pulse Amplitude: 2.50
Amplitude Monitoring: Off
Sensitivity: 0.5 mv

Mode: AAI
Sensor: Passive
Threshold: Auto(+0.0)
Measured Avg.: 3.8
Measured Auto: 10
Max Sensor Rate: 170
Reaction Time: Fast
Recovery Time: Medium

Rates:
Base Rate: 50 bpm
Rest Rate : Off
Max Sensor Rate: 170 bpm (whats that mean)
Hysteresis Rate: Off

Sorry if I put alot of useless information in here...but...thats the problem. I don't know what's pertinent and whats not.

Thank you so much for your help.....I appreciate all of you. I can't wait til I can give back!

Holly
Impedance: <1

6 Comments

Data

by scadnama - 2008-08-02 11:08:37

Fom what I can see and understand, your lower rate is set at 50, which means that pacemaker will aways keep your rate above that number.You have 10 years left on your battery (woo hoo!!!). AS: 83% is that the atria is being sensed 83% of the time, or just monitored. AP: 17% is that your atria is being paced 17% of the time. The sensor rate is the rate that your heart should not go above. If I understand correctly, your heart can get above that rate, but the pacemaker probably records those as events and stores them for your doctor to see, or it may try and intervene and keep your rate from going any higher...sorry, I'm not exactly sure on that one.
These are the numbers that I always focus on and try to understand. Sorry i couldn't be of more help, but maybe this will get you started!

Amanda

Data

by ElectricFrank - 2008-08-03 02:08:42

Hi,
Amanda covered the settings correctly. With the lower limit at 50 and being paced 17% of the time it looks like your heart is handling things more than you think. My guess is that you only need the pacer to handle things during those times when your natural pacer gets lazy.
One possibility is that before getting the pacer the long periods of slow HR was affecting your heart and producing more times of slow HR.
By the way the 10 battery life is about right for the low percentage pacing in only one chamber.
Sounds like it is doing its job well. Relax and enjoy it.

frank

BUT Frank?????

by LIVE_STRONG - 2008-08-03 03:08:04

If I know I am pacing at least 50% of the time...why does the interrogation show 17%. I just turned my event monitor in. I was in the low 30's unless I was actively moving...up and walking. So why would it say 17% when during that period of time...I know I was paced at least 50% of the time if not more! When I wore the event monitor...I had to call in at last 20 times a day...with it being full. I was always down in the low 30's. I was also in the low 30's the entire stay in ccu for 4 days prior to the event monitor.
So that is what confuses me..if I only needed it 17% of the time....it was a waste of my time to get a pm!
My EP told me I was in the low 30's over 50% of the time...most likely closer to 75% of the time.
If I only need it that little amount of time...I just went through hell for nothing.
And before my first interrogation....I was told my battery life was 14+ years.
Maybe I don't need the darn thing! This is so frustrating.
It sounds as if I barely need it....
ughhhhh............I am disgusted! I am going to ask for it to be removed.

Thank you,
Holly

Thanks Amanda

by LIVE_STRONG - 2008-08-03 12:08:08

It is so confusing! I know I had it set at 50 bpm....but thr rest might as well be a in Chinese!

What I don't understand is...I know that while I am sitting At my pc...I am being paced...my own hr would never be as high as 50 bpm....and when I am sleeping I am being paced....so how could I only be paced 17% of the time.
with my surgery so recent...I have been at my pc or resting. hmmmm

Thank you,
Holly

Removal?? are you kidding?

by ted - 2008-08-04 01:08:07

I hope that you are kidding about removing your pacemaker. I can't imagine any doctor being a party to such a thought.

ted...

by LIVE_STRONG - 2008-08-04 11:08:13

Yes....you actually can request that it be removed. If it is placed for quality of life improvement...and you do not need it to live...and feel it is not improving your life..it's a pain...but they will remove it.
I actually discussed that with my doctor before the implant.
I talked to him after this...he said I am reading the report wrong.
I will see this week...I have an appointment.

Think of it this way....if you have a pm implanted only to improve the quality of your life...its not a life saving device for you...and you are barely using the device....how is it improving the quality of your life....I mean lets face it...no matter how well you tolerate your new device..there are so many things to deal with for the rest of your life....in my case it even ended my career...so why would you want it....I was told that I would depend on the pm probably over 50% of the time...if not closer to 75%. So I weighed the issues..but if I am only using it 10% of the time.....

Confused.. Holly

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