Pacemaker options

Common Questions and Answers about Pacemaker options

pacemaker

He's been in ICU for 4 days now, off of O2 now and they are keeping him stable with meds. What are his options? pacemaker? I know hes not a canidate for a heart transplant. I feel that the medical team his done a poor job explaining everything to the family and I don't know what kind of questions to ask. Any help or tips would be appreciated.
j have a pacemaker which i want removed how do i go about this since i have had the pacemaker i have has depression very badlt regards cgristina
I too have a slow heartrate and cannot be put on meds for my SVT which leaves me with no options but to possibly have a pacemaker. Can't say I am happy about it though. How big is the area where they placed the pacemaker. It it terribly noticeable? Also, can you travel with it and not worry? Thanks a lot.
Careful monitoring will help avoid complications. If it requires a pacemaker and AV nodal ablation, you will be dependent on the pacemaker. This approach does help improve symptoms in carefully selected patients. Dr. Estes is very well respected. I hope this helps. Good luck.
Lastly, when I went in to have my sinus node ablated I subsequently required a pacemaker. That is when the afib started. Is this the norm when someone requires a pacemaker after ablation? Do most people develop more irregular rhythms? I'm not making alot of sense out of this? Thankyou so much for your time.
Does anyone have advice on my options? In this state of NC, there are limited cardiologists. Most doctors have grouped together into one care unit. It's not a simple matter of finding another cardiologist, as in my home state of Colorado, where most doctors are still independent. I relocated almost two years ago and have regretted moving ever since.
I’m a 79 year old active male in generally good health. Had a pacemaker implanted a little over four years ago to deal with a slow heart rate (low 40s), a-fib and a-tach. Most recent nuclear stress test showed slightly enlarged heart, good heart function, 55% ejection fraction. During the past year, pacemaker tracings disclosed six very brief episodes of non-sustaining v-tach, longest 5.6 seconds. What are my options?
My mother has had a pacemaker for 1 year. She has had to have the leads reset twice, once about 3 to 4 weeks after pacemaker was put in, the next about 5 months later. Now a year later, the doctors are saying the mesh the pacemaker is in is starting to come out through the incission. If they can't repair it she will have to have it moved to another location, right side or under the left breast. Doctor is very concerned because she is 100 percent reliant on pacemaker.
Is the infection frank, with redness, swelling, and pus? Or is it a "colonization" type infection with redness and slow erosion only? Frank infections are usually introduced. Colonization type infections are usually auto infections from bacteria living on or just below your skin. I also had 2 pacemakers removed, and am awaiting a 3rd in a week or 2. The plan is to use a coated pacemaker, and to implant it more deeply. They will use the operating room rather than a cath lab.
//www.mayoclinic.com/health/biventricular-pacemaker/HB00084. Hope this help.
Earlier this year, because I started occasionally to feel mildly lightheaded and had two dizzy spells for a few seconds, my doctor recommended a pacemaker. Immediately after implantation I felt better, as though my brain was now getting significantly more oxygen, but the pacemaker radically disrupted my sleep pattern. I would fall asleep quickly but wake up abruptly just an hour to two later with adrenaline flowing, unable to get back to sleep.
I'm a 36 year old with a single chamber atrial pacemaker that was put in 10 years ago after having several sinus node ablations that left me with a very slow heart rate. I have been doing very well with the pacemaker until I started having bad headaches, jaw pain and fatigue over the past few months. I had a pacemaker check in August which showed three episodes of tachycardia with heart rates in the 240's. I have had an event monitor which showed sinus tachycardia and junctional rhythm.
My hobby had a bi v pacemaker put in 4 years .workedcfine so far. Unfortunately he caught some bug , turned out to staff auri or something. Inf d team strongly suggested removal of the device so it was done. Now heis without on. He is 72 y old. His choices. Amio Duran or life vest. A miowould help with the hr. but we r concerned about the other issues. It will be at least 6 months before they put. A new device.
Received dual chamber pacemaker 4 wks ago, leads are in RV apex and RA apendage. Holter showed rate dropping to 22 bpm at night, EKG showed A-flutter at 300bpm before implant. Drs say I may have blocks at or below AV node. Am otherwise very active & healthy except I take avapro & HCTZ for high bp and lipitor. Parents & Gparents lived well into 80s, 90s and one over 100. Heart in excellent cond. mechanically. Comfirmed by echo, cardiolite & angiogram.
He also insisted that I immediately be transported to the hospital for a pacemaker, that day - before the evening. Once or twice a month, I do feel a bit lightheaded but usually after just standing up quickly, No other symptoms than that. here is what the Dr. noted on my chart "1st deg Blk w/episodes of 2nd deg and 5 Multifocal VE beats & SV beats. Included in the SV Beats were 8 couplets. There were 64 episodes of Bradycardia & 1,763 pauses. Longest pause @ 6.3 secs.
Should she forget trying medicines and go for a pacemaker instead? Stress test and echo were normal. Also is it possible for sleep apnea to cause or increase the incidence of A-Fib? Thanks.
Based on your story, I'm assuming your problem is with atrial fibrillation and will answer the question based on this. Generally speaking, there are many treatment options available. I would first start by telling you to see an arrhythmia specialist called an electrophysiologist given your multiple issues with atrial fibrillation. There are multiple medications that can be tried.
I am concerned about going on sotalol and was considering an AV sequential pacemaker. Is this an appropriate approach?
My Dad, 87 y/o, 14 years post-bypass, with an implanated pacemaker to address atrial fib ... has developed CHF with a 35% LVEF. Tricuspid regurgitation (moderate to severe) confirmed by echo. Mitral regurgitation mild to moderate. He is on two diuretic meds (including a potassium-sparing one Spironolactone) and Tenormin. He is still relatively active and in decent shape.
It is possible to easily program them (like tiny computers) to keep your heart rate relatively slow with inactivity (for example 60-70 beats per minute) yet increase the paced heart rate gradually to appropriate higher levels as the sensor in the pacemaker detects increased activity. The pacemaker is usually implanted prior to the AV node ablation procedure. The implant is done under local anaesthetic, just under the skin below the collarbone. Had anyone here ever heard of this or had it done?
He also perscribed Amidarone, which has all these toxic side effects after long term use. He said if the shock treatment to my heart doesn't work he would recomend a pacemaker, which would mean severing the heart nerve so the pacemaker would control the heart. The other alternative was an operation to scare the inside of the heart so the electrical impulses are not so frequent. Not excited about either therapy.
Would ablation, pacemaker or another drug be a better option for a 77 year old man? I have been told that PVCs are originating in the left ventricle. Would ignoring them lead to more serious problems like ventricular tachcardia? My heart function is good with ejection fraction 60% to 65%, and normol exercise tolerance. My heart rate is 55 beat, however, at night it slows to mid forties.
New here, been having racing heart, low beats, (30) high beats (148) have been wearing a halter monitor now going on 42 days, met with the arrhythmia doc today and he is suggesting that I have electric nerve study with ablation next weds. There has also been talk about a pacemaker being done, but not sure. Currently on Lisinopril and attenol for high blood pressure. Just diagnosed t2 diabetic in feb. 2010, have worked very hard to get this under control all happy with results a1c in at 5.
I may soon have to have a pacemaker implanted. I have a 1 cm cavernous angioma deep in the right hemisphere of the cerebellum. I've been told there's a 4%-6% annual chance of the angioma bleeding on its own. Is it required that blood thinners be given when a pacemaker is in place? How does one evaluate the risk of clot formation without blood thinners versus the risk of bleeding in the brain when on blood thinners? A neurosurgeon told me that blood thinners were definitely out.
She said she has no pain, but she won't even be able to come to our sons wedding because she said she is just too weak to travel, even by plane. I'm not sure what kind of pacemaker she had, but I would like someone to point me in the right direction to find out if their are other alternatives for her. Her current cardiologist said she would not put another pacemaker in her after the last episode she went through. But I feel like there is someone out there who knows other options she could try.
I'm 57 with a history of A-fib/flutter, 4 ablation attempts, heartblock after last attempt. Initially got Medtronic pacemaker that was changed 6 months later to a Biotronik pacemaker with CLS sensing, three wire BiV unit to help with running/racewalking. The running was very slow with the Medtronic device & I could barely run an 11:00 minute per mile pace. With Biotronik unit, I can't run at all in CLS mode.
Among the options (ablation of right atrium, ablation of both atria) he said a pacemaker could be inserted. He said they would disconnect the communication between the atria and ventricles and insert a pacemaker so that even if the atria still go into AF, the ventricles would beat OK. He said I would have to be on Coumadin and heart meds forever after the other two procedures, but only be on Coumadin after the pacemaker insertion. Does that sound right?
After going through the mill of many other failed options, it would seem that lots of us end up with a pacemaker for varied reasons, from slow heart rate to atrial arrhythmias or other associated conditions. I have battled paroxysmal AFib for three years, with two ablations, cardioversion, drugs etc and feel I lost out in the end.
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