Most Recent Messages in Checkups & Settings

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Still getting used to a pacemaker

Implant date 8/4/23, dual chamber (left bundle pacing) for AV block (hx of 1st degree block, RBBB, LAFB, Mobitz I (a lot) and symptomatic 2:1 AV Block with exertion, PVCs, PACs and atrial tachycardia. Although i dont seem to get the 2:1 block with exertion anymore, i began to pace almost right away with walking exercise, i can feel it and its weird, at device check they said it was normal that the pacemaker is doing its job, but it lasts about 30 minutes after my walk. Settings AAIR/DDDR, 60-...

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what the cardio's office gets paid from medicare

I happened to be on my Medicare site just now looking up what injection the ortho Doctor used on my thumb that lasted a week.  Noticed a new payment , looked it was a charge  for when i was in for my yearly pacemaker check.  Where all is downloaded an then ready to recieve the nightly remote transmissions.  If i had not know would never have realized.  It was called "programming of my dual lead pacemaker". done by the EP, whom i never saw only the pacem...

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downsides to long delay pacing

Hello 

Are there any physiological problems (other than the palpatation feeling) of such a long delay before the ventricles are paced? 

My pacing interval is 1.5 seconds (VVI40). So when I am in AV block a whole 1.5 seconds occurs and then my ventricle is paced. When I am sat down working or falling asleep this feels like a palpation or thud.

I am fine with managing this feeling moving forward as I know it is the long pacing interval but intuitively it does not see...

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Thanks

Thanks for the replies , I am going to contact my clinic. To confirm if any of my  settings where changed. 

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Pacemaker

I got check up 4 days ago been feeling like missed beats and not like before checkup and a bit anxious now

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An Update

Hello, I hope all are well,

I just wanted to come on here and provide an update for my situation. I have just had my anual check up, where I had an ECG, ECHO and consultation as usual. Everything came back absolutely fine, my echo looked really good and my heart looks and was functioning completely well and as it should in a normal heart, and my consultant seemed very pleased. 

This however, leaves the question of the cause of my symptoms still a mystery, but points it very c...

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Pacemaker check update

I just had my 6 week pacemaker check.

Battery life predicted: 2.3 years. Pacing in my left ventricle 30% of the time.  And the device is struggling with autocapture so is using a higher voltage than it needs.

Autocapture turned off and capture level set manually. Interval between the atria beating and the ventricle being paced extended to allow more time for a natural beat. 'Better for your heart if you're pacing less as well as for the battery.' Battery life now...

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Back with a question (of course)

I'm baa-aaack! I have been feeling great and happy with life lately, and decided that I should just get on with life. I'm still doing well--eating better than ever and exercising more etc, etc. My cardiologist continues to reassure me that all is looking wonderful. I just happened to go onto my health network patient site for something or other and saw that the most recent report sent by my monitor was posted for me to view, so I thought I'd just take a look. It's mostly medic...

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Looking for advice on settings

I'm now a little over a month post-implant (dual lead Boston Scientific L331) and have to say it's not going very well. My EP has been great, very responsive, etc., but to this point he's basically programmed 4 different modes with whatever their default settings are "guided by how I feel". And I'm a cyclist so I'll include that in how I feel below. 

The modes thus far (for those who are familiar with BS PM's) and the results have been:

DDD(R...

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Any thoughts on the right settings

Below I've pasted what I've been told. My own research suggests altering the pacemeker to prevent sensing the retrograde P wave. Any suggestions/

"

Yes, we received your transmission which confirmed that you are still experiencing some of these PMTs, although these are being caused by ectopics (premature atrial beats), rather than VIP which has been explained before). I have spoken to the manufacturer of your device and confirmed some setting recommendations, which we...

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yearly in office pacemaker check

Hard to beleive another year with my pacemaker.  Again the reader would not stay on without me holding it.  Guess am to thin.  Yes, AgentX86 it does hang around my neck.                                                                                         ...

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daily testing of pacemaker

I have had a pacemaker since December of 2019. 3 times a day my pacemaker is tested.  Each test lasts maybe 5 seconds followed by a few what feels like skipped beats .  Is anyone else experiening this or familiar with this process.  This happens every 8 hours.

   

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Questions to find out what I don't know I don't know

Hello everyone, 

I have posted about my symptoms and complications since my implant on July 18.

This Friday, Aug 18 I will finally be seeing my surgeon again. Again, after hip and knee surgery--I had pages of questions for my surgeon. 

I literally don't know what I don't know. The nurse practioner I saw last week insinuated that in her opinion--I don't even need a pacemaker. 

I'm struggling to come up with questions even though I am still...

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Home monitor

Hi everyone, 

6 months ago I went into 3rd degree heart block the day after my hip replacement op. My pacemaker was fitted 4 days later which also caused a pneumothorax! 

it was all quite a shock and whilst I've recovered pretty well I'm yet to receive the home monitor I'd been assured by the Cardiologist. 
 

I've had one check up at the PC, and was told there's a world shortage. 
 

I wonder does anyone k...

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What to expect from a pacing clinic appointment?

I often see posts from new members asking what to expect from a pacing clinic appointment and what questions to ask?  I thought it would be helpful to do a post on this important part of our care, since many of us clearly want to understand how our pacemakers work.

May I ask what your experience has been when attending routine pacing clinic appointments if these are still happening where you live, since some of us may not attend clinic regularly anymore with home monitoring.  ...

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Device clinic on Monday

Hi all

7 months into having  pacemaker fitted due to getting full heart block after aortic valve surgery back in January. My right ventricle is now driven by the pacemaker which follows my sinus node. I seem to have recovered well and have been fully back at work for 3 months and doing everythig I used to do before surgery, just without becoming a little breathless like I used to. A few weeks ago I had a sustained period of resting heart rate just over 50 (min set by pacemaker...

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Biotronik Edora adjustments

Hi there…I had Biotronik Edora 8 DR-T implanted mid-June (chronotropic incompetence) and was not supposed to see the cardiologist until mid-September to do some adjustments to the PM.  Unfortunately, one of my internal stitches decided to try and exit my body the hard way – so I had to return for wound clean up etc.  During the meeting I found out a couple of things about my PM and asked them to make some adjustments.  First the discovery – my PM is dual...

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Pacemaker Adjustment time

Well I go in for my 1st checkup this Thursday. I have a Ton of Anger to let go on my Doctor. They had the initial settings all wrong! I had to go to the Emergency department a week ago. They had my Movement sensor set to maximum. I couldn't scratch my ASS without getting a 95 Heartrate. Also my return Heartrate was set to 10 minutes which meant that if I walked up my stairs and my Heartrate went up to 100 and I then sat down it took 10 minutes before my Rate would start to return to 60. P...

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Biotronik CLS algorithm causing problem

Hello, another newbie here!

Biotronik 8 DR-T implanted four weeks ago to treat total heart block. Just had first, four week, check up.

Prior to this, I had been exercising by walking down and up our village hill. Heart rate monitor recorded bpm. Noticed that on the second half of the uphill climb, my heart rate would suddenly jump to 120 bpm and stay there for the rest of the walk. It would not increase, even though I pushed myself harder. Seemed clunky, rather than smoothly progr...

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Dual Champber Checkup

Today I had my biannual pacer checkup.

 

Assessment:

Threshold and Lead Impedence within normal limits.

Battery Longevity: 6.7-7.6 years

Patient has home monitoring: Yes

Presenting rhythm: presenting rhythm: paced

Rate: 60 bpm

Mode: DDDR

Blood Thinner: Pradaxa

AT/AF Burden: 3.6 %

Significant/Recent Episodes: No

Changes Made: NA.

Dependency: yes

 

Doctor is satisfied with my heart and pacer as e...

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