Pacemaker vs defibrillator

Common Questions and Answers about Pacemaker vs defibrillator


Avatar_n_tn Everything went well and I do not have a pacemaker. I was told by my EP that if I needed an AV node ablation then I would need a pacemaker, thankfully that did not need to happen.
Avatar_n_tn Why did they decide on pacemaker and not a defibrillator? I am just curious, I am learning about both... I'm not sure VT could go on for 19 minutes, though I'm not sure on that...? To be honest, I'm not sure on most stuff. I can relate, however to your situation - I am 34 and am also a mystery to doctors. For the past 10 years I've gotten a lot of shoulder shrugs from them. I had a stroke, no cause was found for that. Now I have what appears to be VT but they can't find a reason for it.
Avatar_m_tn Went through this recently with my aunt - the decisions made though I must say were a squabble among sons and my aunt died a very painful death due to one (who was not involved in her care at all) wanting to withhold morphine, not turn off the pacemaker/defibrillator when they could tell it was only extending, and she was brain dead - it was rather awful. So I do hope that you can work it out peacefully for your mom's sake.
Avatar_n_tn This cardiologist suggested device to resynchronize heart. Went to his EP. Choices were three lead pacemaker defibrillator and stay on Sotalol or try switching to Amiodarone for very short term. He said that EF may indeed be a slight bit less than MRI showed with the regurge. Hopefully device would improve EF and could also improve the regurge. May still need repeat ablation down the road if arrhythmias continued. He said it would be pulmonary vein ablation.
Avatar_n_tn My dad had a stroke on 7/6/04. We were told it was likely in the brain stem & cerebellum & that it was likely not his first. CAT scans were done BUT he has a defibrillator & pacemaker so MRI not feasible. He was stabilized (also some CHF issues) arose & went to reahab (still acute care) for 3 weeks before returning home in wheel chair. Balance & coordination were still not great. He had another episode August 28 (stroke... seizure???
Avatar_m_tn Patients with coronary artery disease and low ejection fraction due to prior heart attacks (ejection fraction less than 35%) may be considered for protection with a ‘defibrillator’ – which is a kind of pacemaker device that shocks the heart back to normal rhythm. This is only recommended if the ejection fraction remains low despite what we call ‘optimal medical treatment’, which is the medications I described previously taken as recommended for 3-6 months.
Avatar_m_tn pension exam No No - Metal in eyes No - Infusion pump No - May be pregnant No - Neurostimulator or bone growth stimulator No - Brain Aneurysm Clip No - Cardiac pacemaker, implanted defibrillator or internal pacing wires Examination: MRI of the brain with and without gadolinium.
Avatar_f_tn Hi Lisa, They haven't done a tilt table because my BP when laying down vs. standing up is perfectly normal, there are never any changes and because I don't have any pre-syncope.
Avatar_f_tn They found I had polymorphic VT (malignant arrhythmia's) and I had to stay in the hospital and have tons of tests done then a pacemaker/defibrillator implanted. Within a few months time, my counts were back over 10,000 pvc's and 1,000 pac's daily. I had major complications during the procedure and even after 2 years not in any hurry to have another procedure done, even if they gave me a 100% success rate.
Avatar_n_tn I was just woundering your ideals of the maze vs the pacemaker ------------------------------------------------------------------------------------------------------------- Dear Dean I only refer patients to the Maze procedure as a measure of last resort. It does involve heart surgery and carries the attendant risks.
Avatar_f_tn I had an EPS where the EP triggered long runs of P-VT and went into V-Fib 3 times so I had to have a pacemaker/defibrillator implanted. No known cause was found, so I'm still trying to find the cause but haven't yet.
Avatar_n_tn Right, no defibrillator! As for PVCs vs normal beats, isn't that read by looking at the height and shape of the graph? Maybe for his purpose the point would be to see the normal beats on the graph and look for gaps longer than normal between normal beats. Like, if you get bu-bump, bu-bump, bu-bump, bu-bump, bibbitybo, bu-bump, bu-bump -- for him it's the distance of that gap that matters, not the details of whether the gap is filled by biggityep or bibbityoo or whatever.
Avatar_f_tn There are a number of others. ICD is an Internal Cardiac Defibrillator. This is one step past the pacemaker in that it shocks the heart if it stops or falls into a dangerous rhythm. I am glad I could help : ) I know how scary it can all be. And I am glad you are doing better. I grew up with svt so I was use to it but I was not use to the irregular beat and they can take over your day so it does indeed take some adjustment.
967168_tn?1343732745 much more fainting (life long issues) and my brain will be more damaged (mild now)...I fainted about 6 weeks ago and severely sprained my neck...I've had a pacemaker/defibrillator implanted and meds for syncope for 2 years and nothing has helped.
Avatar_m_tn my heart stopped 3 times during surgery and I had to have a pacemaker/defibrillator implanted. Yes, I'm a very RARE case - I have an echo which shows very mild stuff (it's in my journals) ekg's which show unifocal and multifocal pvc's; and echo, stress test that echo says is "normal" and my stress test was slightly "abnormal" - so where is the flaw; what caused my heart to do this? I've gone to 2 other EP"s and 4 cardiologists and none of them have answers.
Avatar_f_tn It showed quite a few PAC's and only 1 PVC vs over 54,000 pvc's and 1 rare pac's I'm set at low range of 50 HR; and higher range is set at 175 for VT and 220 VF. Anything below that it paces; they had to reset it to a closer recovery rate because I'm passing out in 50's HR, which she said is rare.
221122_tn?1323014865 I forgot to mention one thing in my original post (We only have 1500 characters). I have always had normal EKG's which was a comfort. Well, I also have another job (lots of nurses have more than one) and they were testing the new EKG machine...on me. It showed a left fascicular posterior block. Now I KNOW I've seen that show up on an EKG in the ER when I went there for a terrible virus a few months ago, but no one even mentioned it there.
1397648_tn?1288146526 I was truly not attempting to be negative or non-supportive of anyone's 'choice' -- I too believe it is a very very personal thing as to treatment options, meds vs. procedures, etc -- faith in doctors, second opinions, research.......... I am not judging anyone. I was just trying to make the point of 'listening' to your heart/body and react as needed.
Avatar_n_tn Keep an eye on what upsets you or look up on line about food combining and check PH foods vs acidic foods. Do some walking or light excercising and do not eat atleast 4-5 hours before bed. If your hungry have only a light protein snack. This even now is still a work in progress for me but I feel a lot better. I am trying to figure out whether getting this has caused what I suspect to be a succeptible area or pocket somewhere that may or may not heal with time?
Avatar_n_tn My SVT ablation was successful but during the procedure they found another 2areas, another SVT and a VT which is very close to my natural pacemaker. The SVT ablation I had done was quite near my natural pacemaker too but they managed to do it successfully just by catheter ablation alone. My VT is even closer to the natural pacemaker and I am going to have that done in a couple of weeks.