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Doctor insights on: Wandering Atrial Pacemaker

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Can pacemaker fix all cases of atrial fibrillations?

Can pacemaker fix all cases of atrial fibrillations?

No: Atrial fibrillation is an irregular heartbeat of the upper chambers of the heart. Its greatest danger is the formation of bloodclots within the heart which can trravel up to the brain and cause a stroke. Patients with af are generally treated with anticoagulants or blood thinners like aspirin, warfarin (coumadin) or dabigatran (pradaxa) to prevent strokes and medication to control the heart rate. ...Read more

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Dr. Andrew Seibert
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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Would a pacemaker repair atrial fibrillation?

Would a pacemaker repair atrial fibrillation?

Not directly.: Pacemakers might be implanted as part of a care plan for af - but this only prevents slow pulses that might come as a result of medications for the af or after av-node ablation. Pacemakers themselves can not prevent or control af. ...Read more

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I had a pacemaker put in last year and had a ablation done also. Now they want to do a atrial ventricular node. How would this help me?

I had a pacemaker put in  last year and had a ablation done also. Now they want to do a atrial ventricular node. How would this help me?

AV node ablation: AV node ablation prevents the fast heart rhythm in the upper chambers (such as SVT or atrial fibrillation), from affecting the lower chambers. If the fast rate of the lower chambers can not be controlled, it could damage your heart. The concern is that the AV node ablation, leaves you dependent on the pacemaker for life. Continue discussing with heart rhythm specialist, to answer all questions. ...Read more

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Do you need a pacemaker if you have atrial tachycardia?

Do you need a pacemaker if you have atrial tachycardia?

Pacemaker: One solution for hard to treat atrial tachycardia may involve the use of a pacemaker; however, this is usually reserved for older people who can not tolerate other treatments, or they are ineffective. Medications can be tried. Catheter ablation is often a successful cure. Request a cardiac electrophysiology referral, to discuss options. ...Read more

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Please inform me, is the dual chamber pacemaker is contraindication with atrial fibrilation? What the best pacemaker for AF people? Better ICD or PPM?

Please inform me, is the dual chamber pacemaker is contraindication with atrial fibrilation? What the best pacemaker for AF people? Better ICD or PPM?

Depends on AF??: Ask your doctor what kind of atrial fibrillation you have. If dealing with paroxysmal atrial fib. and your doctor recommended pacemaker then dual chamber pacemaker is better suitable for you. If dealing with persistent or chronic AF and you have indication for pacemaker then single chamber pacemaker. Also discuss the current medication regimen with your doctor as some medication can affect rhythm ...Read more

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What does it means when ECG stated : atrial-ventricular dual-paced rhythm? Is it abnormal? I'm wearing dual chamber pacemaker.

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

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Is the dual chamber pacemaker contraindicated with Persistent or Chronic Afib or atrial flutter? Why? Could u explain more to me?

Not needed: a dual chamber paces the top and bottom chambers - if the top chambers (atria) are always out of rhythm, then they really can't be paced - if it is intermittent afib or flutter then there may be value in the dual pacing - depends upon your exact situation. ...Read more

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I have a pacemaker for bradycardia but over the past two months my pacemaker has been reading a high rate of atrial tachycardia should I be worried?

Monitor: To know what your pacemaker is recording, you must be seeing your doctor to have the device interrogated. You should ask your doctor the meaning of the rhythms that the device is recording and whether anything else is needed. ...Read more

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What makes a pacemaker necessary for atrial fibrillation?My husband is in and out of it every few days, weak, intolerant of beta blockers and has bp.

It depends: Pacemakers might be implanted as part of a care plan for af - but this only prevents slow pulses that might come as a result of slow pulse with af, medications for the af or after av-node ablation. Pacemakers themselves can not prevent or control af. A pacemaker may help your husband tolerate bblockers at higher dose (prevent the slow pulse) and therefore more effectively treat his af. ...Read more

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I had a pacemaker put in last year. I had a ablation done also. Now they are talking about going in and atrial ventricular node. How would it help me?

Total control: To obtain total control of your heart beat,ablation of the AV node is necessary to interrupt all beats from the atrium above and let the pacemaker in the ventricle control your heart beats. I assume the initial ablation apparently failed to correct the A Fib and you continue to have fast uncontrolled heart rate,thus the decision to ablate the AV node ...Read more

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Why would I be completely be dependent on my pacemaker if I have the AV node ablation Such as SVT are atrial fibrillation?

Electricity : The heart is a house with 2 chambers upstairs (atria) and 2 chambers downstairs (ventrical). The electricity to the downstairs chambers comes from the upstairs chamber. The connecting point between the tow floors is called AV node. If you cut this AV node, the lower chambers will not have electricity to work, so u need to provide the lower chamb with anther source of electricity, that is pacemaker ...Read more

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Can I have Atrial Flutter (AF) while wearing a pacemaker for complete heart block? Do I need ablation or it managable by using medication?

Can I have Atrial Flutter (AF) while wearing a pacemaker for complete heart block? Do I need ablation or it managable by using medication?

Complex question: Your best off using HealthTap Prime to ask this question, since it's complex & answer is nuanced. The only problem, as I see it, is that with ongoing AF, you can develop clots (thombus) that can dislodge & cause a stroke. Your heart RATE should be controlled by the pacemaker, so the only adverse effect of AF would be a stroke. This can be mitigated by anticoagulants (blood thinners). Use HT Prime. ...Read more

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Please explain how a pacemaker does/does not control atrial fib. Also, other than heart cath, how can plaque be detected? Thanks these questions are in regards to my father's health. He has a pacemaker to control low heart rate, but pacemaker output has

Please explain how a pacemaker does/does not control atrial fib. Also, other than heart cath, how can plaque be detected? Thanks these questions are in regards to my father's health.  He has a pacemaker to control low heart rate, but pacemaker output has

Yes, : Yes, there are other options for treating atrial fibrillation as well as other diagnostic tests that can be performed to detect clots int the heart. Atrial fibrillation is an arrythmia where the person is a high risk for developing clots within the heart because the heart is unable to effectively pump blood to the body, leading to pooling of blood in the heart. Atrial fibrillation can be treated with medication or ablation, which work to get the heart's primary pacemaker to resume function. Another procedure that can be done is cardioversion. In a cardioversion, an electric shock is delivered to the heart to 'shock' the heart back to the person's normal rhythm. This procedure can be done for a person with a pacemaker, however the doctor must take measures to ensure no damage to the device. There are imaging tests, such as an echocardiogram, that can help a physician to determine the presence of clots in your heart. Echocardiography uses sound waves to create pictures of your heart. This test can detect areas of the heart where blood is not flowing properly, indicating a possible clot or blockage. Also, this test is useful for identifying parts of the heart that are not contracting well. ...Read more

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Could i be having congestive heart failure i had a pacemaker put in last year because of atrial fib i take diltiazem which was just increased to 360 mg from 240 mg for the last few days and nights I am short of breath i wake up short of breath seems t

Could i be having congestive heart failure i had a pacemaker put in last year because of atrial fib   i take diltiazem which was just increased to 360 mg from 240 mg  for the last few days and nights I am short of breath  i wake up short of breath seems t

If : If you are experiencing shortness of breath and difficulty breathing when laying down, these are signs of congestive heart failure, and more specifically left heart failure. In left heart failure, fluid builds up in the lungs causing shortness of breath and difficulty breathing when laying down. Fatigue is also a sign that your heart may be working too hard. See a doctor sooner than your appointment. Go to the emergency room to be assessed if you can not get in right away to see your cardiologist. ...Read more

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Beside taking arrhythmia medicines, what are other option for atrial fibrillation? Does a pace maker or defibrillator cure a fib?

Ablation: Catheter ablation (pulmonary vein isolation) can be curative. Although not curative, an av node ablation in combination with a pacemaker or defibrillator can usually eliminate the symptoms of atrial fibrillation. If you have obstructive sleep apnea using CPAP can greatly improve atrial fibrillation. ...Read more

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Wandering (Definition)

1.Walk or move in a leisurely, casual, or aimless way. 2.Move slowly away from a fixed point or place: "please ...Read more