Most Recent Messages in Checkups & Settings

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Questions to ask at first PM clinic

Hi!  I have my first PM clinic in 1 1/2 weeks.  Just got my PM 3 days ago.  I want to come prepared with questions.  Please let me know things I should ask.  I can come up with a few things but I'm sure I'm forgetting something. This is all so new my head is spinning...

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Today's Results... So Far :)

Had my 1 month TAVR check up (closer to 2 months) They did labs, echo, ECG, and NP visit.

Labs - only thing remarkable was my BNP. Pre-TAVR (06/2023) is was 1,003. Today it was 65. I'm hoping that indicates improved heart function.

Echo - no results yet and the tech wouldn't budge about telling me anything... even after telling her how great she looked :)

ECG - no changes as usual - abbynormal :)

NP - Told her how great things have been and the improvements, et...

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New notations on pacer check report

Latest report incicated the following new items:

    BiV Percent Pacing less than limit

    PMT detections

What concerns should I have about these showing up 7 years after implant?

(65yr old, CHF (EF 55%), LBB, St. Jude Quadra Assura 3-lead CRT)

 

Thanks,

Scott

 

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why some are able to get results from pacemaker transmissions

In reading the post from Disney Fan (sorry you had that problem and thanks for putting in your problem and so we can answer).                                               

After reading the posts from Good Dog and AgentX86 telling us they can get their reports from their hospital either by logging in or from an email.   So much easier tha...

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Frequency of in-office Pacemaker Interrogation

I have had a Pacemaker since 2006 (now on my second one, implanted in 2016.)  Initially, I was seen by the nurse for an in-person annual pacemaker interrogation with scheduled remote transmissions in between for many years.  Then around five years ago, they stopped seeing me in the office entirely.  I do intermittent remote pacemaker transmissions and never see a nurse, technician, or doctor.  How common is this for the rest of you?  Are you typically seen for an offi...

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Where can I find the technical details of my pacemaker?

I've recently received a dual chamber pacemaker for an AV block (Assurity MRI PM2272) and would love to understand all of its capabilities better ahead of my follow up appointment with the EP.

I work in technology and would be very happy to read through the "real" documentation if I could find it, e.g. something like the instruction manual for the programmer.

This forum is a great source of information and I've learnt a lot already about how these things are set...

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First follow up visit

A week from today I go in for my first follow-up appointment after having my 3-lead ICD implanted in May. I am 43 with non-ischemic cardiomyopathy and a left bundle branch blockage, who therwise is in pretty good shape. My resting HR before was in the 90s and post implant I am in the 60s. It seems 60 is the lowest they set it for. The device is mostly working to synchronize the left side with the right, which has allowed for increased activity. I am on the treadmill for an hour most days...

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pacemaker settings

an a pacemaker set so your heart rate don't go over 80 or 90bpm?  My metronic pacemaker  heart rate has been going over 100.  It just started after the Doctor set the mvpr rate 2/2 and I wanted to know if there is an upper sensor rate on my pacemaker.  It seems I cana't get a call back from the Doctor's office about this.

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Pacing Percentages

Hello,

I just joined this group I have a dual chamber pacemaker from 2020 due to Mobitz 2-3 AV block.

In my dr report in my medical record he states: "93% RV pacing. Not going to make changes on settings today.  I will need to check her LV function when I see her again in a year given RV pacing burden"

Has anyone had RV pacing burden and pacing at 93%?

In reviewing various pieces of info I see that RV pacing can cause atrophy in the heart.  Please u...

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AT/AF Burden

Can someone explain in simple terms what AT/AF Burden really means as mine seems to be rising?  Last July my AT/AF rate was 2.0% and this year it 3.5%.  I will admit I have been under a lot of stress since May and have slept poorly two of the triggers.

Assessment:
Threshold and Lead Impedance within normal limits.
Battery Longevity: good
Patient has home monitoring: Yes
Presenting rhythm: presenting rhythm: paced
Rate: 60
Mode: DDDR
Blood Thi...

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Heh, here's something new in today's device upload...

I mostly have one or two short NSVT episodes, but this is something new and hopefully not real bad or serious. Anyone here have experience with this? I'm sure Gemita will know :)

"There was 1 AT/AF episode since the last programmer session on 6/2/2023
lasting 1 minute, 24 seconds @ max ventricular rate of 78 bpm. EGM is
consistent with AT."

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MTR (upper limit) Observation

My dreaded MTR! Hoping to have it increased AGAIN at my next appt...

I have been hitting my MTR more frequently now that I have recovered from my AVR. Exercise is getting easier and better. I'm stronger and really beginning to push myself. For me, an MTR of 140 isn't working out, lol..

Anyway, my observation: since my AVR, my MTR episodes have changed. Previously, hitting my MTR would stop me in my tracks! For example, I have been doing mostly cycling which is consistant w...

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Cardiologist

Hello

I am curious.  I am in Nova Scotia.  I was given the pacemaker in Ontario and told I would have a cardiologist appointment in 6 weeks, given the name of a cardiologist who agreed to see me and the number of the pacemaker clinic to make an appointment with them as well.  No cardiologist appointment so far.  Cardiologist's assistant sent me to pm clinic and then said cardiologist (not the one I was referred to see) would see me at the pm clinic. &nb...

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How to get access to your own pacemaker data, is this possible?

Hi everyone,

I've recently been fitted with a pacemaker (dual chamber, Assurity MRI PM2272). I've been told that I'll have my first check up in 6 weeks and from then one, one every year with the NHS here in the UK.

The private hospital where I've had the procedure also mentioned that there's an option of remote monitoring with a bedside reader at home - where they then check the data every 3 months - but this at an extra cost.

What I'd really lik...

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Fatigue

I recently had my pacemaker paced a bit faster I think. I am now so tired I find everyday tasks exhausting and have to keep sitting down. My lower chamber is o.k. so I was informed but my upper chamber was not quite so good . I have to go back in two months and be paced again, meanwhile taking blood thinners. At night my heart rate was 176bpm and apparently should be about 6O. It does not happen every night just occasionaly. Some wag suggested I should stop having threesoms which did mak...

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Biotronik Edora 8 DR-T - three weeks in - questions.

I had my Biotronik Edora 8 DR-T wound check last week - everything is looking good.  My next appoinment is 3 months away.  I guess to allow me to get use to the PM and then perhaps let them collect some performance data from the PM (?).  As I mentioned in a previous post this PM has been a real game changer for me!  My cancer treatment meds pushed me into the bradycardia range and CI was running and ruining my life!  So, now I am becoming more critical of the settings...

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NIPS Options

Has anyone come across NIPS testing options on their device?  It's a feature on my device and I've had a brief read around it because I didn't know what it was. It seems to be a test for ventricular arrhythmia - is that right?.

I'd like to know whether or not my (non sustained) VT comes from SVTs which do not provoke a mode switch and wondered if NIPS testing is the way to go.

I have seen that there are other analysis tools on my device which can determin...

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Pacing when exercising with intermittent heart block

I have Type 2 heart block that tips over to complete heart block particularly when sleeping or resting. I think when exercising mostly my natural heart rate takes over but have struggled the last couple of months when hill walking. Heart rate gradually increases but suddenly legs turn to lead & am very short of breath. Taking pulse (at wrist) I can feel gaps in the rythm followed by a hard beat which I guess is a paced beat but this seems to suddenly drop bpm rate down from around 130-140...

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quarterly remote transmission results June 20,2023

Thought I should do an update with the latest results.  Recieved the email notice that this transmission was successfully done on June 20,2023.  I called the Pacemaker clinic at 9 am to ask for a copy of the log events and summary pages.  Left the message and was told someone would get back to me in 48 hours.  Therefore was quite surprised to receive the call around 1pm  saying i could pick up the copy that i wanted.  Said would be up this morning.  While i...

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After 2 months of my operation- Doing well!

So, It's been two months after my operation. Today I also went to the hospital for a " pacemaker check up". They did an ECG and after that they checked my pacemaker. It is working fine. They said that the battery is going to last around 10 years. The pacemaker technician said that I am like 22 percent dependent on pacemaker. So basically my electrical system is working majority of the time without the help of pacemaker! Don't know how much important that information is but i...

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You know you're wired when...

You get your device tuned-up for hot dates.

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