Post pacemaker insertion care

Common Questions and Answers about Post pacemaker insertion care

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I developed acute pericarditis and fluid around my heart after I had a pacemaker put in my belly three days post op...my question is how common is it to develop this after having a pacemaker put in?
AV Node ablation and Pacemaker insertion (Medtronic INSYNC III BiV--no cardiomyopathy, but it was offered to me by my surgeon and I said YES! to prevent possibility of ventricular paced induced cardiomyopathy). PACEMAKER SETTINGS: Low of 75 and high of 140. Pacing 80% in atria, 100% in ventricles. MEDS: Tarka 2/240mg TID, ASA 325mg Niaspan, Synthroid, Cytomel, Zyrtec, Singulair. I was on Coumadin but stopped it one month ago, per my EP.
Dear Dr. I am a 35 Y.O female who underwent a pacemaker insertion 6 months ago, after 8 weeks of arrythmia and awful pain it was discovered that the ventricular lead had actually perforated my heart and was sitting in the pericardium, hence it was removed (with no dire consequences) except pnuemothorax and paralised arm for 12 hours! I am fully recovered now but still have lots and lots of PVC's and funny thumpings going on, most days this happens for several hours.
I remember when the mapping electrodes were inserted in the vein in my right groin area and when they reached my heart. I remember the fast heart rate, and some of the pacing procedure. Post procedure problems were mostly due to the puncture wounds in my for the catheters, and a huge bruise that went half way down to my knee. Not really a big deal since bruises will heal. About 18 hours after the RFA, I had a few hours of what-the-hell-was-that? heartbeats.
I am a 52 year old male in good condition, recently diagnosed with bradycardia after 12 years of intermitant syncope spells that would come in bunches of 6-8 in a day, then nothing for 2 or 3 years. A spell was finally caught on an EKG, an 8 second long pause, followed by a resumption of normal sinus rhythm. A pacemaker was immediately recommended.
OK, I am gettin ready to have ablation surgery for SVT. What should I expect post-op? I am seriously freaking out about this. I have never had SVT until 9 months ago when I took Sudafed. My doctor says that I was born with SVT and that the Sudafed just triggered it. Does anyone have any words of wisdom?
Hi! Though mood disturbances are maximum after brain surgeries, they are also seen after pacemaker insertion. However, usually the quality of life and mood is better after pacemaker surgery, instances of depression and poor mood have also been documented. So, if there has been a drastic change in mood post surgery, please inform her doctor regarding this. The mood change may not be due to pacemaker but due to any oxygen deficit to the brain due to any cause.
Some things that can be done if there are signal issues like blocks are the insertion of a pacemaker. If your friend is falling into sustained ventricular tachycardia an ICD can be placed to help jolt them out of the rhythm. That said, if the pvcs are isolated and your friend's heart is functioning relatively normal they may not need to do anything about the pvcs. Isolated pvcs in a generally healthy heart are not considered a danger.
I hope this post finds her well and all ok. I just saw this post i must be going mad as i was on yesterday. I am sorry you feel so poorly with your lymes treatment i hope it is because the little bacteria suckers are leaving your body lol. most antibiotics can make you feel really ill anyway espcially strong ones they use for lymes. I am praying everything will be ok for you and your family. Big huge hugs to your daughter.
After 3 months post pacemaker insertion --I am really beginning to feel myself again. I have been put on Pindolol and that seems to take care of the over-riding rate beyond the pacemker settings. I have begun my regular activity schedule including aerobics, hiking etc. I started having chest tightness and SOB--After a stress test to rule out CAD--my MD said I continue to have a small effusion/pericarditis. Question one-- what is the difference between these two?
At that time he had a cardiac cath with showed moderate blockage of the LAD and ultimately underwent a single bypass, MAZE procedure and pacemaker insertion. Post op course was normal, with good recovery. July 2010, 3 months post bypass, developed severe chest pain was still in A-fib with an EF of 35%. He underwent a transesophageal echo for possible cardioversion and was found to have a clot in his left atrium, which is still present.
I am a 51 year old female whose AV Mobitz Level 2 congenital heartblock deterriorated into complete heart block which required the insertion of a pacemaker. The x-ray and echo tests at the time of the procedure revealed my mitral valve was reguritating blood into the left ventricle at a rate of 2. The left ventricle also suffers from mild cardiomyopathy. Am I a candidate for valve replacement? If my heartblock is considered ischemic will my reguritation be better treated through medicine?
If medications are not effective, surgery is an option. The surgery involves insertion of electrodes into a specific part of the brain (most commonly a part of the brain called the thalamus, the VIM part, but other areas can be used as well). The electrodes are connected to a device in the chest similar to a pacemaker, and they electrodes are programmed to deliver a specific stimulus into the brain to modulate the activity of the nerve cells.
Next post – Part 3 - my post-ablation experiences. Probably won’t have this ready until Monday or Tuesday. Thanks for your patience! And have a great weekend!
Diabetes alone can be associated with damage to the autonomic nervous system. So can autoimmune processes (is your hypothyroidism autoimmune?), bodily "traumas" such as surgeries (e.g. insertion of pacemaker, colon surgery) and pregnancies, vitamin deficiencies (e.g. B12), toxicities, damage to the spinal cord ... really, the list goes on and on and on. Autonomic dysfunction has a VERY long list of etiologies. You may very well have more than one.
I am attempting to get her insurance to approve an a-fib abletion at UPMC Pgh, do to the fact she could not make a long drive for tx options elsewhere. The next step is an av node ablation with pacemaker insertion due to the fact she will be rate controlled,(slow). I appreciate comments and advice. Her two other options are Cleveland Clinic,(she probably could tolerate that drive, and Johns Hopkins, she couldn't make that drive. Any suggestions?
They thought, at the time, they had inserted the PICC line too far in and irritated the heart. Told me it would never happen again as long as they were careful with the PICC insertion. Incidentally, I had the other joint replaced 5 weeks later without incident. The second episode happened 10 days ago while I was sitting at my computer (relaxed and sedentary). Both episodes lasted several hours and only converted after administration of adenosine. Doc says it can be brought on by stress.
probably due to the healing process post catheter insertion. Besides the clot, there may be a slight hematoma (clot in the muscle), which could cause additional discomfort. All this should clear up by the time you are reading this email...if not, follow-up with your cardio.
Bodoni, Thanks for the post. Nuclear stress test tend to overestimate the degree of ventricular dysfucntion. The echo will be important to tell you if you have ventricular dysfucntion and whether there is any structural abnormality that led to it (Valvular stenosis, etc.) It is also important to investigate other causes such as thyroid dysfucntion, coronary disease and high blood pressure.
I had a lot of sedative during the procedure because I was initially scared and then the catheter insertion and the burning was painful. At the end of the procedure I had a drug that blocks the sinus node momentarily so that they could check if the extra pathway was inactivated.
There are risks with this procedure that they can burn of your normal electrical pathway and then you'll need a pacemaker. Some people also develop Pericarditis post-op, but that is not as bad as it sounds as the treatment for that is Asprin and it normally goes away after about 24hrs. I can remember waking up with this perfect, soft heart beat and never had SVT attacks again. Definitely worth it! Wishing you a very good outcome and speedy recovery.
Hello, sorry for a late reply. I didn't see the replies until now. Success rate often depends on where the tachycardia origin. To explain the pulmonary veins, the pulmonary veins (which bring oxygenated blood back to the heart) actually contains a bit of atrial tissue (heart muscle) for an unknown reason.
He said my heart was fine, but I was having arrhythmias due to a short circuit in the natural pacemaker of the heart, And put me on a aspirin a day and toprol-xl 12.
In the rare person unable to tolerate medical treatment catheter ablation (burning) of the sinus node with insertion of a pacemaker or surgical removal of the sinus node have been used in the past. Newer techniques are being developed using catheter ablation to modify and not destroy the sinus node thus avoiding the need for a pacemaker. This procedure is still in it's infancy and should only be undertaken at a major medical center after consultation with an electrophysiologist.
I don't think Bromley was being condescending at all. He never is. Perhaps you're reading it the wrong way. I think he's suggesting that you need to evaluate your situation and get your ducks properly aligned in order to make a good decision. Now to the subject. You didn't state how old you are. Do you know how it was determined that you have Wolff Parkinson White Syndrome? How often do your episodes occur? By that I'm not referring to skips, but an actual racing heartbeat.
Hey Pete i read your post also...we are the same age and i have the same diagnosis among other things but.....i am a huge advocate of ablations and had mine done over 3 years ago now and have never been happier. The majority of everything was handled thru the procedure. The main thing is that you need to ask the doc if you are in the 70% or above range for success and if they say yes i would go for it personally.
Sorry for the typos! I'm typing as well as working. The inability to edit the post afterwards is maddening!! "You didn't say how long you've had it......
I did talk to others that have had surgery and they didn't have the same reaction , so it may be just me. I had essentially 2 nurses taking care of me in my room, one for general house keeping and care and the other a cardiac nurse. Both were professional and caring to the max. I also, being a single guy, developed a crush on my nurse in the OR, but I'll save that story for my buddys. I have 10 incisions on my body, under my arms across my chest and 2 drain holes below my ribs.
You can do this! Take good care and please post after your ablation and let me know how you feel.
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