Doctor insights on:
Pace Makers Monitors
Needed to rephrase my original question. What does a paced beat mean on a 24 hour holter monitor when one doesn't have a pacemaker?
Most likely PVC: This is most likely a premature beat from the ventricle, or pvc, which produces a wider comples on the ecg. It will resemble a paced beat. ...Read more
A pacemaker is a device which sends electrical signals to the heart triggering heartbeats when needed. There are many ways to implant and configure a pacemaker; it may beat the top chambers (atria), lower chambers (ventricles) or both. Some systems stimulate both the left and right ventricles together. Pacemakers generally treat abnormally slow heart rhythms and certain ...Read more
85y male, 24hr holter after syncope episode detects persistent multiple skipped beats per min but no av block. Place a pacemaker or continued monitor?
Monitor: There does not appear to be an indication for a pacemaker at this time. ...Read more
Did holter monitor. How could I still have Ventricular & Supraventricular isolated, couplet, bigeminal & run while on pacemaker for complete block?
Nonlethal.: After ablation & pacemaker insertion (which is the usual treatment for a complete heart block), the atria & ventricle are isolated but they can still be irritable. The pacemaker is there to "overdrive pace" any dangerous rhythm. Couplets & bigeminy aren't, by themselves, dangerous. Runs may terminate on its own or due to overdrive pacing- check report & TTYD/Cardiologist. Alternative: HltTap Prime ...Read more
Had a cardiac ablation two weeks ago and now my heart ratee is going from 50 to as high as 130 Could that mean a pacemaker Getting an even monitor?
Great question!: Since you've already had an ablation, you already have an expert at your disposal to help answer this question - the same doctor who did your procedure. He or she needs to know your symptoms in order to obtain any additional testing, which may well be an event monitor. Call today! ...Read more
Can someone explain telemetry monitoring? What is a telemetry floor? My mother was a cardiac patient with a pacemaker and type 2 diabetic with an abnormal EKG and elevated cardiac enzymes. She was found unresponsive and cold and had suffered a m.I. She a
Newest pacemakers: Can last 8-10 years but depends on usage. ...Read more
None: Usually none. You need to watch out for battery depletion after few years! ...Read more
What r the long term side effects to being 100% paced with a dual lead pacemaker? I have one &am paced100%@bottom, 70%@top, I am almost 30yrs old.
Low: There is an ongoing small risk of infection. There is also a small operative risk associated with changing the pacemaker and the wires that attach to your heart. Sometimes the old wires need to be removed and this carries a risk as well. There is very low risk of device malfunction. Very rarely patients can develop weaker heart muscle from chronic pacing. All combined the risks remain low. ...Read more
What r the long term side effects to being 100% paced with a dual lead pacemaker? I have one &am paced100%at top, 70%at bottom, im almost 30yrs old.
Long life: The long term side effects of av sequential ("dual lead") pacing is that you should lead a long and healthy life, assuming you don't have any other illness! The pacemaker battery will need to be changed periodically which, at your age, will add to up many changes over the course of the next 50 or so years. (maybe they'll invent better batteries? I'm sure they're working on it.). ...Read more
What do you suggest if my mom has a pacemaker why would she still need to take 80 mg of beta pace 3 times a day?
Atrial fibrillation?: I assume she has atrial fibrillation? Betapace (sotalol) helps prevent recurrent episodes of AF. A side effect is that it makes the heart beat too slowly or even pause in susceptible people and when that occurs, a pacemaker is necessary to counteract that side effect. The pacemaker by itself won't stop the AF. ...Read more
I an very deconditioned. I have a biventricular pacemaker. Would it be better to walk at a slow pace for a longtime or short time fast paced?
Slow: Conditioning should start at a slow pace for a period that will not cause exhaustion or fatigue. This may take a while before increasing the time duration. In patients with significant cardiac impairment duration of exercise rather than intensity is better in improving functional status ...Read more
I had a pacemaker replacement 9months ago. Most days I feel extremely tired often bedding a sleep during the day. I am paced at 60?
Recheck: Feeling tired could be due to lab abnormality or intolerance of the current heart rate. Either way, I would check with your cardiologist, he might make some changes that will make you feel better ...Read more
What does it means when ECG stated : atrial-ventricular dual-paced rhythm? Is it abnormal? I'm wearing dual chamber pacemaker.
Interpreting hard: It is hard to interpret an ECG once a pacemaker is implanted. Your electrophysiologist (EP - or cardiologist who implanted the device) wd b a better source of information. In general, A-V dual-paced rhythms on ECG mean that both wires on the pacemaker r working or firing. Thereafter, interpreting the pattern of 'squiggles' on the ECG requires knowledge of ur pre-implant ECG & ur specific condition ...Read more
With a pacemaker implant and an AV Node ablation, why would you want to pace the atria but not the ventricles?
Heart device.: A cardiac pacemaker is a device that is implanted in the chest to permanently regulate heartbeat rhythms. The pacemaker monitors the heartbeat to make sure it is not beating too slowly, and when necessary transmits electric pulses to the heart to increase the heartbeat pace. Pacemakers are periodically replaced every several years when the battery runs out. ...Read more
Artificial pacemaker: Artificial (implantable) pacemakers are mostly regulated by a sensor that recognizes motion. It's similar to the sensor that changes your phone/ipads display from portrait to landscape, based on the direction of the device. There are other sensors, such as ones that measure the density of blood in the heart and chest motion (simulating breathing). Get your routine pacemaker maintenance checks. ...Read more
Pacemaker: A pacemaker is an electronic device which uses a lead as an antenna to sense the heart's electrical activity. It uses the same lead (s) to deliver a small electrical impulse to the heart to make it contract if the heart isn't going as fast as the device was programmed to maintain. Pacemakers both sense heart activity and pace it to produce activity. They maintain heart rate. Other things too.... ...Read more
Depends: Pacemaker syndrome is a constellation of symptoms cause by dysynchronous pacing of the heart by a single lead in the right ventricle. This usually occurs when atrial activity is present. Pacing the ventricle independent of the atrium causes a "conflict" between the 2 chambers leading to inefficient cardiac performance. Treatment consists of putting another lead in the atrium to synchronize contracti ...Read more
Electrical issues: The heart has mechanical and electrical functions. A pacemaker is needed when the patient's heart rate or rhythm is abnormal. The most typical conditions are bradycardia (slow heart rate), tachycardia (fast heart rate) and heart block (a condition where the heart stops beating for several seconds). ...Read more
Small risk-big bene: If a pacemaker is indicated, age is completely irrelevant. The vast majority of people who need and get pacemakers are elderly. It doesn't matter if you're >100. The procedure is minor and done under local anesthetic with minimal risk. If you're symptomatic from a rhythm disturbance corrected by a pacemaker, you will feel much better with it and there's not reason not to proceed. ...Read more
A long time: A pacemaker helps ensure you will have as close to a normal heart rhythm as possible. The pacemaker box (known as a generator) and the wires that connect the generator to the heart do require replacement periodically. There is some risk involved with these procedures, but it is not high. Also some patients who are paced can develop a weakened heart muscle. You doctor can watch for this. ...Read more
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