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Doctor insights on: Wandering Atrial Pacemaker Treatment

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Dr. Walter Husar
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 you tell me about treatment of staph infection caused by a pacemaker wife?

Can you tell me about treatment of staph infection caused by a pacemaker wife?

Can you please: Resubmit and clarify. I don't follow what you are saying. Thanks.

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A patient with an artificial mitral valve and pacemaker leaving the hospital after 82 days, should they received life time treatment t of ampicillin?

A patient with an artificial mitral valve and pacemaker leaving the hospital after 82 days, should they received life time treatment t of ampicillin?

No: Long term prophylactic Ampicillin is not needed, but needs to get prophylaxis before specific procedures such as dental work or cystoscopey.

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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.

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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.

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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.

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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.

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Had a pacemaker upgrade and atrial lead revision a couple of days ago pain in shoulder now and weird fluttering sensation don't know if this is normal?

Had a pacemaker upgrade and atrial lead revision a couple of days ago pain in shoulder now and weird fluttering sensation don't know if this is normal?

Device check: Would call doctor who did you procedure, you may need a device check to make sure lead, device, incision and heart rhythm are ok

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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.

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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

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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

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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.

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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.

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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.

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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

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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

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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.

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