Most Recent Messages in Checkups & Settings

Pacemaker

Hi all I had my pacemaker implanted in February 2021 after being diagnosed with complete heart block, the electrical system of my heart wasn't working as it was supposed to the AV Node wasn't picking up the signal from the SA Node to tell it it's your turn to do your thing, all checkups have been good until my most recent.

My yearly checkups with the clinic has shown my pacemaker usage around 4 to 5 percent but my recent checkup shows 100% usage in the bottom chambers of the...

Read More...

Clinic follow up - DDR or VVI?

Following on from my recent thread about settings, I have now had my out-patient visit and discussed in detail with the cardiologist my issues. I am in a cleft stick - either to leave my settings as they are (because changing them runs the risk of further  PMT) or revert to VVI to act of a backstop if my rate falls to below 40. On the current settings with sensed/paced AV delay of 225msec and similar Post Ventricular Atrial blanking I am mostly fine but on exercise this only allows ...

Read More...

Settings - what do I need to ask?

I am due an appointment with the cardiologist and EP this week. I am still having trouble with exercise. I think the pacemaker is working correctly - it is triggered to fire if my p-r interval exceeds 225msec and this happens fairly consistantly once my intrinsic rate goes above about 105 when I seem to  develop AV block. Once working I feel that my cardiac output falls and I have to stop (I become light-headed, sweaty and a bit breathless) and can only continue...

Read More...

Update From My Previous QRSD Post..

So the Advanced NP did another ECG and this time my QRSD was 122ms. She has no idea why it was higher before other than a defective machine. Anyway, she decided it was best to leave well enough alone where I feel so well and with no symptoms. 

All my AV and VV settings are being managed by Medtronics AdaptiveCRT and she didn't recommend me going down the rabbit hole of making all those changes only to get a few more ms off of my QRSD.

As far as the Septal motion from the...

Read More...

Biotronic dual lead PM and Messenger home monitor

I had a Biotronik pm implanted 3 years ago with the intention of ablating my AV node. After a few weeks i was placed into the care of another cardioligist who decided to cancel the ablation and keep trying with drugs but i have been back and forth continually to my GP. She now wants me to keep a diary of how i feel and get data fro my PM in order to get a case for node ablation  which i might add they decided on over 3 years ago after a long period of misery. AF ablation wont work as i h...

Read More...

Settings

Got settings changed on my biotronic every 8 yesterday not to sure about CLS setting think it's making me lightheaded and dizzy, anyone else had this problem ,?

Read More...

Settings

Can anyone tell me if VVI -CLS settings on biotronic evity 8 pacemaker same as VVIR settings 

 

Read More...

QRSD & Dyssynchony Optimization

Going to my device clinic where a specialist is going to optimize my QRS duration on the 28th. They noted on my recent ECHO - "Abnormal septal motion is present, consistent with the presence of left bundle branch block." 

I interpret that as a septal flash and a clear indication of dyssynchony. All they told me is they want to narrow my QRSD as much as possible. From what I read, they are more than likely related. I have no idea what they are going to do as far as te...

Read More...

Settings

My pacemaker was set vvir when I was in hospital then they set it to dddr and I'm feeling missing beats last couple of days , should I go to hospital and get checked?

Read More...

Questions to ask

Good Day, All.

Next month I will have my 2nd annual in person PM check at the EP Lab. I have AV heart block and had fainting since a teen. Some VT pauses lead to a PM in May 2022. I have a genetic family history of sudden cardiac death (etiology unknown despite testing). I have a Biotronik Edora 8 DRT.

My question. I receive periodic device monitor reports, the last one being 42 pages long. SInce I will have the chance to speak with the EP TECH and my cardiologist,...

Read More...

Over air checks & 11 years and counting.

So its been a while since i last came to the club site. I thought it was a good time to update.

ive had my latest pm for over 11 years and its still going strong. I guess i don't need it as much as i used to. For the past 2 years, ive been having my checks done 'over air'. Even after these 2 years, i still check that the reader next to my bed is still working ok. The only thing I dont like about it, is i don't get to ask questions. I just get a letter saying "e...

Read More...

Surprise Fine During 3D Heart Scan

On 02/05/2024 I had my annual pacer exam.  The tech made a mistake as I am 100% pace and turned me off.  I went into cardiac arrest and it took the ER department to revive and restart my pacer after a reset.

 Because of the CPR, and cracked ribs, my doctor ordered a 3D scan of my heart.  The heart turned out fine and my leads are still intact.  However, they scanned my thyroid gland and found a 4.5 cm nodule.  The doctor ordered blood tests, an ultrasound,...

Read More...

The story continues

Well.

As you might remember RNRVAS had reared its ughly head so I returned to the clinic. Forewarned, the PA and tech had conferred with St.Jude about how to deal with the problem, so this time they didn't tweak the AV delay, they wiped the previous settings and took a differenent approach.

It worked and I have had no more PMT episodes.Yay. One good effect is being comfortable driving again. I have even been able to give rides to a friend who was temporarily restricted fr...

Read More...

Pacing rate change/rate response

Hi

i noticed from my last visit that my atrial pacing percentage has changed:

1-9-23 atrial pacing: 35%

3-27-24 atrial pacing: 59.8%
 

my ventricle paces 100% of the time and I'm pretty sure always has since I had a pacemaker.

i have complete heart block. 

the EP was explaining to me that my heart works fine but what doesn't work is the connection area (forget the term) where the atrial speaks to the ventricle to relay the beats etc....

Read More...

yearly cardiologist visit

Said see me next year.  Blood pressure was good 124/74. Heart rate 69.  Nurse did EKG all good.  Then the doctor came in listened with stephscope all good.  Then she wrote down what i have and what i should take. The same thing every year.

Blood thinner(asperin) told her no thanks, for A Fib, Beta Blocker for VT(bottom part of the heart speeds up.  Only 1 episode last quarter for 22 seconds.

Mild Carotid Blockage( statin)

Aortic Stenosis.

...

Read More...

Abbott biventicular pacer

I am due for replacement.  This unit lasted 4 and 1/2 years, 100 percent paced.  Low HR setting is 60.  Yesterday I noticed my heart rate at rest was 55 and stayed constant while at rest.  I called the pacemaker clinic.  I got a call back from the pacemaker tech who said he had to call Abbott technical to find out.  They told him when the pacemaker went into elective replacement they lower the threshold to 55 to conserve battery life until replacement.  Firs...

Read More...

Maximum Heart Rate Settings

I'm 100 % dependent on my pacemaker. The upper limit maximum is set at 170 beats per minute. Is it harmful to the heart if a higher rate is needed during exercise? 

Read More...

Did I really need a pacemaker?

Greetings, newbie here. Feel much gratitude to be part of this group. Learning a lot, thanks to y'all for your kindness and sharing experiences. 

Boston Scientific l331 PM implant on 2/12/24, all went perfect. Started feeling better the very next day. Started working out within a few days. Avid cyclist, gym workouts, walking, and just activities around the home (on 5 acres with woods). Felt better than before implant.

Before implant I just was always feeling I was missing...

Read More...

Optimised AV Delay

Hi, I'm almost six weeks post implantation, had my post surgery follow-up at five weeks and I'm back for a pacing check in three months. I'm currently v-pacing a high percentage of the time and I'd like to know know if I should be requesting any specific tests at my pacing check.

In my five week follow up I mentioned my programmed av delay (250) might be one reason for excessive pacing, so my cardiologist (with guidance from the Medtronic rep) extended it out to 350 pace...

Read More...

Pacemaker Check Feedback

Hi All

Thought I would feedback a couple of pieces of information from my device check last week in case it was of interest.

I have posted previously about my sensitivity to the acceleration and deceleration of the heart which normally occurs as part of the pacing checks.  After I explained that I had felt unwell during and after these tests last time, the EP told me that it was not necessary to conduct these tests until I was close to battery replacement or there had been a...

Read More...

You know you're wired when...

You can hear your heartbeat in your cell phone.

Member Quotes

A pacemaker suddenly quitting is no more likely to happen than you are to be struck by lightening.