Most Recent Messages in Checkups & Settings

Latest checkup

Just had my 15 minutes with the pacing consultant.

Echo of October 2023 all normal with 69% EF.

Going to try halving Bisoprolol to 5mg daily to get some exercise capacity back.

Just as well I asked about battery life as one year left, which will be nine years and one month.

I hope this isn't shaping up for another battery failure as happened last time.

Old device with only manual downloads and no active home monitoring. Not optimistic.

Read More...

58 day Biotronik Report from ANDREw75

BIOTRONIK REPORT FROM 12-11-2023 TO 2-7-2024 (WITH FLECAINIDE)

58 DAYS. Key points noted.

 I feel much better with no symptoms from the medication. I can take deep breaths and have no dizzy spells on exertion. I have no trouble exercising and feel vital again. The only drawback is with High Intensity Cardio since my CLS settings are set for 130 bpm max. My EP is reluctant to raise this, and I made a joke to him about not being able to “run for a bus” anymore. He i...

Read More...

Echo test

I am due to see my cardiologist , March  28 for my yearly checkup.  Had an Echo last May should i ask her for one for this year.  Nothing had changed from the previous year.  This past year have not been contacted at all about any A-fib or other high epsiodes.

Should i ask for anything else.?

Pretty sure she will again suggest a prescription drug, am prepared to say the side effects scare me, espically the one about "could cause problems with my...

Read More...

Ejection fraction not on quarterly report

I see other posters to this forum talking about ejection fraction all the time.  But I don't see any mention of it in the latest report from my PM monitor, and I don't believe the cardiologists' office has ever mentioned it when I've been in there for a PM check.  Is there a hidden code for EF on a St. Jude monitor report, that I just don't recognize what it is?

Read More...

Unexpected Medical Emergency

My simple update and pacer scan for any issues turned into a full-blown Emergency Room (ER) all-day real-world crisis.  I don’t have a heartbeat and my heart pacer beats my heart for me at 60 BPM at the lowest setting.  The tech wired me up and was running a full diagnostic test of my pacer.  I warned her not to go below 40 bpm as I didn’t have a heartbeat.  Well, the tech went below 40 BPM and my heart stopped and I slumped over just like 3 years ago during ca...

Read More...

Am I topping out?

Pm was placecd on 1/10/2023. Today is the first day i have really pushed it ..

I played a racquet sport (pickleball) for 2 hours or so.

I would get winded at times (never did pre-op) and noticed my heart rate was maxing at around 100.... looking  at my garmin i was max 120. 

Can the pacemaker limit my max?  Is there an adjustment?

Seems like as I move and create blood/oxygen demand im not getting enough?

The device is a Medtronic Cobalt <...

Read More...

Am I just bone idle?

How is Chronotropic Incompetence diagnosed or do they turn Rate Response  on in the absence of a confirmed diagnosis to try to improve exercise capacity?

I had another device check yesterday and was told that I had flat histograms for the third time, with my heart rate stuck at 70 bpm (which is also my base rate).  I found that hard to believe because I walk a lot and really push going uphill.  Surely I get my heart rate above 70 bpm?  I also do some vigorous exercis...

Read More...

Pacemaker Installed Today

So today is day one of my new pacemaker life. 

Read More...

PVCs

Boston Scientiffic Accolade L331. Settings: DDDR, RYTHMIQ - Off, Lower Rate Limit 40, Max Tracking Rate 135ppm, Paced AV Delay - 80-350ms, PVARP - 250-300ms. VRP - 250-250ms, Minute ventilation and Acceleometer both on.

I'm a 76yo life long amature cyclist, DX'ed with AFib at 65 and Sinus Node Dysunction in May-June '23. S/P PPM Placement in July '23 and successfull cardiac ablation in August '23. My Boston Scientific Tech is a cyclist and knows what I want...

Read More...

Help with Rhythm Freeze

I have an appointment with my EP this week and in preparation for it I was looking at a Rhythm Freeze (ECG / EGM) from one of my downloads. It looks different to others on file.

I’m being paced at 60 bpm, and the rhythm freeze shows pretty regular QRS complexes, (approx 4 large squares between every 1 downward pacing spike - counting below the line).  However, there are also what look like mini, but incomplete, QRS complexes between each of the QRS complexes. Occasionally the...

Read More...

Boston Scientific L331

Hi , I had a Boston Scientific L331 implanted 4 weeks ago , I am an Ex elite cyclist who now coaches and competes in Biathlon . 

Looking for advice on settings , I notice that when I am cross country skiing that my heart rate lags 20-30 seconds behind the effort., I have to slow down a little the for my HR to catch up with the effort. 

any advise ????

Thanks  Chris

Read More...

Follow up Pacemaker care. Remote Monitoring - does it work for you?

Here in the UK, some hospitals still only provide home monitors to patients with a serious heart condition or dangerous arrhythmia that requires close surveillance.  If a pacemaker patient is stable, they might only receive a routine in person annual check instead.

Fortunately, most of us today have some form of home monitoring which when working well can certainly help to save time, money and give our doctors early warning of a deteriorating heart condition or of a pacemaker malfu...

Read More...

Checkup and Settings

I just had my pacemaker checked remotely. The title said "abnormal." Then I downloaded the 2 tests. I'm 84 years old, and I have total heart block. Two months ago I had a heart attack with 90% blockage in one artery. The others were clear. My problem:

1. i contacted the physician but I doubt I'll hearing from anyone in their office in the near future.

2. I cannot read the test and I can't tell what is abnormal.

3. My question: Is it normal to be "a...

Read More...

Can the doctor adjust my pacemaker for this?

With regular activities and work, etc, I feel great with more energy etc. My pulse range was 40-60 and now it is 60-80. 

My issue is that if I quickly pick up my pace walking in a hurry, or climb steps, or lift something with my other side arm like a suitcase and carry it that I get winded to the point that others notice and comment. 

Sometimes it seems if I get anxiety that it impacts my breathing too a little. 

After being winded, it goes back to normal if I...

Read More...

Heartbeat in armpit

I just had a new PM put in after 10 years as my battery life ran out. I have a Medtroic Azure XT and I bascally pace 90+ % of the time in the atrium but at my first check up I was pacing 25% of the time in my ventricle so they made a slight change to my settings. I am pacing a little fast but I feel my heartbeat in my armpit , not always , but enough to be annoying and with no rhyme or reason. Originally I thought it was happeneing mostly when I woke up but now it seems to be more random any...

Read More...

Biotronik Episode Code 13

Does anyone know what kind of "episode" is Biotronik Episode Code 13? I can't find an online resource that lists the codes.

Read More...

Boston Scientific Accolade Exercise Settings

I  enquired ( by e-mail)  from my hospital pacemaker physiologists  whether I could get  some relief from breathlessness on exercise initiation, which remains a problem for stairs, lifting, and the start of length swimming etc. Her kind response is the following:

"I am more than happy to look at your rate response again .I am aware of the Boston literature; however my personal experience is that the main benefit is in patients whose only form of exerci...

Read More...

Pacemaker

Had ECG today just reading my discharge paperwork ,says his ECG showed complete heart block with pacing spikes noted on V4 V6  ,does heart block have anything to do with the ablation I had ? 

Read More...

ICD CHECK UP

After being unwell for a while with irregular heart rhythms, high heart rate and BP (see my previous post), I had a three month check up yesterday and I thought I'd share it with you.

My first question was had I had any AF or arrhythmia since last time as I can feel an irregular pulse when when my HR rises to 90 to 102. I was told I had not been in AF and not had arrhythmia.

I asked about Rate Response. I was told the setting was what I needed but when I explained how my heart...

Read More...

I had a helpful pacemaker check today . . .

They were training so there were two technicians present.  I told them about a few near fainting spells I have been having recently as well as some breathlessness and they confirmed non sustained VT episodes had been recorded.

We discussed the possibility of a second lead to the left ventricle, since I only have a single lead to the Right Ventricle at the moment which is now dilated, as are my two upper chambers.  They have requested another echocardiogram and are referri...

Read More...

You know you're wired when...

You can feel your fingers and toes again.

Member Quotes

Without this little machine, we would not be here.