Most Recent Messages in Checkups & Settings

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1 year checkup

One year checkup for my current device today. Previous checkups not relevant because this is a new heart with a new set of problems (not AF and heart failure but intermittent high grade heart block with ventricular standstills)

Paced 40%. Delay adjusted to reduce that. My new heart has an intrinsic base rate of 100+ so lengthening the delay should not be an issue and will help battery life (currently 7 to 8 years estimated but it's too early to start worrying about that. A...

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PMT Detection Settings

Does anyone know if there are any other settings which have to be considered or altered when programming a PMT Detection Rate on the Abbott Assurity pacemaker? 

Thanks in advance for any info. 

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yearly in office pacemaker check

Was told everything was working just fine, asked about the leads, said they too were just fine.

Asked about any a-fib episodes while i was away, said just one for 2 hours while i was sleeping.  

Will have my next quartely transmission Sept.17 which will be from Aug 20.

Had wondered when the land phones become extinct what will happen to my transmissions.  She said my carelink was not tied to my land phone.  Which i thought was strange .  As when...

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P Axis on EKG

Hi all

just reading over my EKG results from my visit with my EP last Friday I notice a big change in the P Axis but no idea what that means (even after googling don't really understand) 

 

Aug 9, 2024

83degrees

May 3, 2024

37degrees

Mar 27, 2024

44degrees

Jan 9, 2023

40degree
 

Thanks in advance for all you guys input and knowledge! 

 

Amy 

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Functioning of sensors Boston Accolade versus Boston Proponent

I am paced 100% in atrium and ventricle and am also 100% dependent on the accelerometer and MV sensor both devices are implanted under the muscle.

I recently had a pacemaker replacement and was given the Boston Proponent L211. Before that I had the Boston Accolade L311 (battery was empty after 5.5 years). According to Boston the sensors of both models should work exactly the same.
Unfortunately, this is not the case at all and the first s...

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Abnormal R waves

Recently at a Cardialogist office visit , they did an EKG, The results of the EKG showed an abnormal R wave progression. Just wondering if that is something for me to be worried about. The Cardialogist at the time, said nothing either way about this finding. Later on,at home, I checked online, and read, usually with that type of finding,while it is not always something to be concerned about, it's more important, that further testing be done to find out,why in the...

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Rate Response Settings are?

Hello,

I have a Medtronic Azure S DR MRI dual-lead pacemaker.

Rate Response was recently turned on, and I understand in general how it works.  Movement triggers it, it will likely have to be tweaked some more, etc.

What I'm trying to get an understanding of is - can these things below each be adjusted individually (by my EP of course)?  And if so, by how much?

  1. Sensitivity - how much movement it takes to trigger rate/pacing up?  Settings are L, M...

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Volts Standards for PM wire in Atrium and Ventricular

Q1 - On Medtronic PM for about 2 months.  All going well and feel it is great to help me manage heart beat a lot better.  Doc says I have volt issue with my Ventricular (V) wire - seems it is set at 1.7 volts and Atrium (A) is set at 0.5 volts.  Doc says Ventricular should be at 0.5 volts. He has put me on significant restrictions until this gets resolved.  Looked up some AI stuff and it indicated 1.7 can be normal for Ventricular + or - simply because the V muscle is...

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ICD review yesterday

Yesterday I had another ICD review in hospital (see my previous post 23rdJune ICD & AF). It was five weeks since the last review and I have been feeling well since the DDIR had been adjusted last time. I had a 5 lead ECG and the Bluetooth device place over my ICD. The two EPs were pleased that I had been well since the DDIR had been turned on last time, this is set at 55 bpm which is the same as my base setting and will it will not track the atria when it goes higher than that. This seems...

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Outsourced PM Check "Visit" Report Finally Came In The Mail

As I previously posted, I was scheduled for a Rhythm Management Group remote "visit" (no visit) on June 13.  The 7/2/24 chart report had no information. PM Clinic said that it means all is good. I requested the full report. It finally came in the mail today, sent from my local PM clinic.  I am happy all is well.  But it leaves me with many unanswered questions.  Besides name, rank and serial number, this is all that is on the single page:

TINY LINE GRAPHS&n...

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My heart is working on its own ~5 months after receiving pacemaker

This is my first post on the site and first time sharing my experience online. Thanks for having me, I can definitely see this community being a valuable resource moving forward.

A little background on me: 

I'm a 33 year old man. I've never had any kind of serious health issues, I live an active lifestyle, I'm not overweight, and never considered my health to be of any concern.

A few months ago, in the early hours of 2/13, I was laying down to go to sle...

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3 Month Check-up Results!

Short version -   Great check-up!  All systems functioning and no problems identified.  Settings adjusted to allow for exercise and my naturally lower nighttime heart rate.  Have my first echo next week along with lipids panel to see if any reverse remodeling has started and to see if my beta blocker holiday has had any benefit.  (more detailed version below)

Detailed Version:   Just had my 3 month post-implant check-u...

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Check up

It's been a little over a year since having to have as an emergency a Boston Scientific pacemaker . No prior issues I am 67 yrs with an active lifestyle. I am scheduled for a Echocardiagram as a routine check up in September. I had frozen shoulder for many months and physical therapy has helped. Suffered from anxiety in results of all this , now that's 90percent behind me. I was put on 25 mg of Metropol 6 months ago . I walk daily and stay active most of the day. Wandering what questi...

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3 Month Upload Report - Questions Abound!

I see my Cardiologist next Tuesday but with the bevvy of street savvy folks on this site, why wait!  

So I've got all 50 page of the report that were dropped into my EMR.  Bottom line seems to be that the pacemaker is functioning just fine and has about 11.5 years of life.  All nice!  However, I'm trying to decode of the summaries and want to know if I'm on the right track.

Background: Metronic Azure placed for CAP secondary to a LBBB.  No othe...

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Remote vs. In Clinic PM Evaluation

Is remote monitoring a better option than peridic monitoring in Dr.'s office?

I have a Medtroncs PM, implanted at Johns Hopkins in Baltimore in July 2022. They sent me home with a remote monitor and a quarterly PM evaluation report posts to my medical record. Unfortunately, my local cardiologist (the one that referred be for a TAVR and pacemaker) is not in the Hopkins network and has no interest in reading/discussing the Hopkins  quarterly evaluation reports; instead,...

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Biotronik settings and maybe a Consultation ...

I had a Biotronik Entira 8 DR fitted in August 2023 to treat complete heart block.

In respect of the symptoms I was cured instanty.  But I am a very active 63 year old and have struggled to get my fitness back.

Ahead of my first check-up in late 2023 and at the suggestion of someone on this forum ("Penguin") I contacted Biotronik, and the helpful Tech Director called me and suggested having CLS enabled.

I'm not sure if this improved things.  My heart...

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Cyclist & active people read

Hi all

I have always been 100% paced in my ventricle yet my atrium has been only about 30% paced. That recently changed to 71% and had been affecting my activity level and endurance when working out in the gym and hiking.
I went in for rate response to be turned on and after a month noticed no changes.

 

long story short the Medtronic rep recently changed my settings completely and it's been a huge help in my active lifestyle!

she told me she doesn't...

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Automatic Remote Home Monitoring (e.g. Merlin) Outsourced

I posted before about being informed that Rhythm Management Group in Washington D.C. or Maryland taking over control of my Merlin remote monitor check ups.  Here's what happened. I received an "appointment" reminder for a remote PM check at another hospital's cardiac department. I called my PM clinic, they said I don't do anything, they automatically get it from the Merlin.  Yesterday I  got a MyChart notification for an "After Visit Summary...

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PM tested without consent

Hi Everyone,

I had a new Azure dual lead PM placed last week replacing a single lead after I developed 2-1 AV block.

When the Medtronic rep came to my hospital room to test the PM, I asked her not to do anything without telling me. When my atrial lead is tested, I'm symptomatic of dizziness, chest pain and sometimes shortness of breath. They just tested it the day before so I asked that the atrial lead not be tested. She said she would only test the LBBPM lead. 

I w...

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ICD Review

I saw my cardiologist last week who did an ECG and said I was in AF and I should have the Rate Response turned off and put on the list for an AV Node ablation (see my post 18th June AV node ablation). This week I had my ICD review. The ECG and the device historic data said I was only in AF once in the last three months and not last week. This is not what the cardiologist had said. The EP doing the review said I was experiencing tachy-brady. This would explain my heart rate frequently going fr...

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You know you're wired when...

You have rhythm.

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99% of the time, I totally forget I even have this device.