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Doctor insights on: Treatment Of Aberrant Nodal Pacemaker

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I recently had a nodal ablation and permanent pacemaker implant for afib relief. I still feel flutter, would additional drug treatment help?

I recently had a nodal ablation and permanent pacemaker implant for afib relief. I still feel flutter, would additional drug treatment help?

See your doctor: Sometimes it takes more than one ablative procedure to get it under control and often the medications need to be tweeked. Most importantly avoid alcohol as it can trigger a fib. If you are unable to do this seek help. ...Read more

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Dr. Cornelius O'leary jr
2 doctors shared insights

Pacemaker (Definition)

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


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Can I have magnetic field treatments if I have pacemaker?

Pacer: In general we prefer pacemaker patient to not be in intense magnetic fields. The pacers are shielded but magnetic fields can cause disruptions in the circuitry of the devices notwithstanding if the fields are strong enough. ...Read more

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Can someone with a pacemaker, receive radiation therapy near the pacemaker?

Can someone with a pacemaker, receive radiation therapy near the pacemaker?

Atleast 5 cm away: It is not safe to be in direct field of radiation. 5 cm away usually offers acceptable drop of dose to make it safe for most pacemakers. At times we may ask to have the pacemaker moved out of the radiation field. ...Read more

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Life therapy of antibiotics for enterococcal endocarditis 76 male mitral valve and pacemaker?

Life therapy of antibiotics for enterococcal endocarditis 76 male mitral valve and pacemaker?

Endocarditis: The combination of ampicillen and gentamycin can be an effective treatment for enterococcal endocarditis. ...Read more

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What does it mean if a patient with a heart pacemaker received antibiotic therapy for streptococcal bacteremia.?

What does it mean if a patient with a heart pacemaker received antibiotic therapy for streptococcal bacteremia.?

Infection prevention: Results of the present meta-analysis suggest that systemic antibiotic prophylaxis significantly reduces the incidence of potentially serious infective complications after permanent pacemaker implantation. They support the use of prophylactic antibiotics at the time of pacemaker insertion to prevent short-term pocket infection, skin erosion or septicemia. ...Read more

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Had a block before and had a stunt before. Now diagnosed LBBB, what treatment is suggested, have borderline diabetes and on medicine. Is it safe to get a pace maker.

Had a block before and had a stunt before. Now diagnosed LBBB, what treatment is suggested, have borderline diabetes and on medicine. Is it safe to get a pace maker.

Cardiac issues: One can have an electrical and/or vascular block ,if either is severe enough treatment can involve respectively a pacemaker or stent ,both procedures incur a small risk, worthwhile if the risk of not undergoing the procedure exceeds that of the procedure itself.. LBBB only needs treatment if certain criteria are met. ...Read more

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Does a pacemaker/defibrillator cure dilated cardiomyopathy?

Does a pacemaker/defibrillator cure dilated cardiomyopathy?

Not usually.: An icd (defibrillator) may rescue you from cardiac arrest, which is a risk one carries with cardiomyopathy - but it doesn't cure cardiomyopathy. A bi-ventricular pacemaker (or biv-icd) may reverse some of the cardiomyopathy, but not always. ...Read more

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Thymic extra nodal marginal zone lymphoma diagnosis on thymectomy. How likely is it to spread to bone marrow? If so, is it serious? What are the treatments?

Thymic extra nodal marginal zone lymphoma diagnosis on thymectomy. How likely is it to spread to bone marrow?  If so, is it serious? What are the treatments?

It depends: The most important aspect about thymomas is not the histology and in some cases whether it has spread beyond the thymic capsule; but how it behaves clinically. The most important thing is to remove all of the tumor at the first setting even if it spread outside the capsule. External beam radiation is for treatment of local disease, chemo for systemic. ...Read more

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When i get my pacemaker/defibrillator changed. Am i supposed to be awake? The nurse said i won't feel anything but will be able to answer questions.

When i get my pacemaker/defibrillator changed. Am i supposed to be awake? The nurse said i won't feel anything but will be able to answer questions.

Sleepy: You'll be given medications that will make you drowsy and take away nervousness (such as versed and fentanyl) but you will be awake enough to answer questions. The pacemaker site will be numbed with local anesthetic so all you might feel after the numbing is a bit of tugging but it shouldn't hurt. If it does you'll be awake enough to tell the nurses who will give you more medications. ...Read more

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What can't I do after I get the pacemaker?

Back to normal: After a pacemaker, you can do pretty much most things. It also depends if you have any other heart problems and how healthy you are otherwise. ...Read more

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What should I do if I need a pacemaker but I don't have insurance?

Talk with your dr: Perhaps you can discuss it with your doctor and make some financial arrangements -- and get the pacemaker. ...Read more

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Haven't felt well for about a week so had a pacemaker check this evening it showed 40 diff af alerts in 7 days given antibiotics should I be worried?

Haven't felt well for about a week so had a pacemaker check this evening it showed 40 diff af alerts in 7 days given antibiotics should I be worried?

Atrial fibrillation: What kind of antibiotics you are taking? A little-known fact is macrolides (clarithromycin and Erythromycin and azithromycin) can increase the risk for serious irregular heart rhythms and sudden cardiac death. In the nejm study, researchers analyzed data from more than 500, 000 medicaid patients. Patients who took Azithromycin and levoquin were at risk. Consult your physician. ...Read more

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White string coming out of incision? I had a pacemaker put in about 3 weeks ago. They didn't put stitches in, they just glued it shut. Today, i noticed a little piece of what i thought was glue, so i pulled on it trying to get it off. Then i realized it w

White string coming out of incision? I had a pacemaker put in about 3 weeks ago. They didn't put stitches in, they just glued it shut. Today, i noticed a little piece of what i thought was glue, so i pulled on it trying to get it off. Then i realized it w

It's : It's most likely the end of a stitch that was put in under the skin. Keep it clean and get back in to see your doctor as soon as you can. You could also put some neosporin or other triple antibiotic gel on it and cover it with a bandage until you see your doctor. ...Read more

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What possible hazards can be expected for my untreated bradycardia if I don't get pacemaker implantation?

What possible hazards can be expected for my untreated bradycardia if I don't get pacemaker implantation?

Bradycardia: Bradycardia can cause dizziness, fatigue, near-fainting, fainting, shortness of breath, chest pain, and confusion. Some young healthy people have bradycardia but no problems related to it. For other people, the low heart rate can produce the symptoms mentioned and can require treatment, such as a pacemaker. You should discuss with your doctor. ...Read more

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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?

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

Dr. Jesus Yap Dr. Yap
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So if I have the AV node ablation why would I be dependent on my pacemaker for the rest of my life? I don't understand why that happens.

Dr. Jesus Yap Dr. Yap
1 doctor agreed:

Permanent block: Ablation of the AV node results in complete block of all electrical impulses coming from above in the atrium that is permanent. Since there is no impulse to stimulate the lower ventricle from above a spontaneous beat is generated in this chamber but at a much slower rate often in the 30s. Thus the need for a permanent pacemaker since ablation is irreversible ...Read more