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Pacemaker insertion elderly patients

Common Questions and Answers about Pacemaker insertion elderly patients

pacemaker

3287038 tn?1398422427 Most cardiologists reserve the use of newer agents, such as dabigatran and rivaroxaban (both ‘factor Xa/thrombin inhibitors’) to lower risk patients with normal ejection fraction and no valve problems. In elderly patients with higher bleeding risk there is also a concern that the effect of these newer drugs cannot be rapidly reversed in the event of major bleeding. By comparison we can reverse the effects of warfarin quickly with plasma products and vitamin K.
Avatar m tn The pain associated with an implanted pacemaker may be musculoskeletal or nerve related. Most likely related to the minor surgery required for insertion of the pacemaker. This type of pain related to the incision should heal within weeks. If you have persistent chest pain at the site of the pacemaker, it might be reasonable to see your doctor so that possible causes can be evaluated.
Avatar f tn The American Heart Association Guidelines list a range of indications for permanent pacemaker insertion, including a period of asystole lasting more than 3.0 seconds. Does your 2.8 second pause warrant pacemaker insertion? Once again, this should only be considered in patients without an underlying reversible cause such as hypokalemia or pauses occurring in the presence of SVT. A repeat Holter following correction of your hypokalemia will be important. I hope this information helps.
Avatar n tn If people have side effects to the medications, sometimes the best option is to place a pacemaker and do a simple procedure (AV node ablation) that makes you pacemaker dependent. That why the pacemaker is in full control of the heart rate and the medication doses can be decreased. I have noticed that older women are often the ones that have the most medications side effects with atrial fibrillation and are more frequently the patients that end up with a pacemaker.
Avatar n tn will there be personality changes after pacemaker insertion?My son is 24 and fears becoming"hyper",he now is fairly "laid back".Is this unfounded?
Avatar n tn I have no experience at either golf or using a pacemaker, but as no one has responded I'll offer I associate the electronics/clock implant with being in the upper chest area and I will guess your concern is well founded. I doubt it would be advised to move the location far from the heart, the locations noted...but I do not know.
Avatar n tn my mother had a stroke 10 years ago and had a pacemaker put in as a result of low blood pressure.she recently had her pacemaker check-up(annually) and they put her on morphine(4 days) even though she is in no pain.
Avatar m tn I was having severe headaches after an ablation and found out I was having junctional rhythms and had to have a pacemaker. I had them even after the pacemaker but the doctor reprogrammed my pacemaker and that helped. Maybe some adjustments just need to be made.They told me it would take a few times before they got it right.
Avatar n tn In my experience, when a Pacemaker is inserted by a Cardiologist, a representative by the Pacemaker manufacturer follows up the insertion and programs the pacemaker in the hospital. It's not unusual that it has to be tweaked from time to time. If your husband still isn't feeling right, I'd request that you contact your Cardiologist and ask for a manufacturer's rep to be present to review the history of your heart beats since it was inserted.
Avatar n tn Normally, she should not have such pain after the insertion of the pacemaker. Maybe its position is causing some muscle spasm that is affecting her arm. The best option is to take her back to the doctor who inserted the pacemaker and explain the situation to him. If she has some fever, it may mean that the pacemaker place is infected and needs an urgent intervention.
306245 tn?1244384967 Thank heaven he finally listened to you! Now at least you will have access to another cardiologist, albeit in another state! I have worked in pedi heart surgery but it has been a long time ago. My guess would be that he would only be in a couple of days, unless they have plans for a more thorough evaluation, which might be likely. Kids bounce back quickly, typically. We would have some that had simple open heart surgery and would be happily playing in their crib in 2 days, asking for soda!
Avatar m tn We are trying to figure out if we should go direclty to the insertion of a pacemaker vs. an ablasion procedure. Since ablasion procedure may need to be repeated and flecainide (drug after ablasion) is questionable, should we just go directly to the pacemaker?
Avatar n tn I was a cna years ago... I remember reading about how elderly patients should not be lay on their left side for too long because it hinders blood flow. I want to find the written material on this before I share it aloud to a class. I feel it will be in a cna book for elderly care- thank you.
Avatar n tn Young people as well as elderly get pacemakers. Sounds like she was confused as to having a pacemaker. She should be feeling better with the pacemaker now. With her heart rate so low, she must have felt very weak. She will most likely be feeling better now, so do not feel guilty.
Avatar n tn Ablation of atrial tachycardia is successful in approximately 75% of patients (see Scheinman PACE 2004). The rate of major complications (including pacemaker insertion and stroke) is less than 1%. Although this risk is low you do need to consider what such a complication would mean for you and how that compares with a more conservative (low risk) alternative such as taking meds. I would recommend discussing these options with your EP.
Avatar f tn My father is almost 88 years old and sleeps an average of 14 hours a night if I wake him up. If I don't he will sleep all night and all day. Once I didn't wake him and he went to bed at 6:30 pm and slept all night, the entire next day and the next night, I woke him that morning at 8:00am. I never heard of a person sleeping like this, he will get up and go to the bath room but go right back to bed.
Avatar f tn I got a pacemaker June 20th on the left side. There has been swelling in my left shoulder and arm from almost the time I got the pacemaker. The left side of my neck is contantly stiff. A venogram showed no clots. The shoulder and are feel very tight and the left arm is obviously larger than the right arm to the naked eye. My cardiologist said this is unusual but didn't think I have anything to worry about. Did my surgeon put the pacemaker in incorrectly? Is it crimping my vein?
Avatar m tn To give some perspective: For HCOM patients who are poor surgical candidates or those who choose not to undergo open-heart surgery, alcohol ablation is another option. Septal ablation is performed in the catheterization laboratory. Alcohol is instilled into the first septal perforator or the perforator that supplies the proximal septum, resulting in a controlled myocardial infarction.
Avatar f tn I am on my 3rd pacemaker after an ablation and pacemaker insertion 12 years ago. Since my new one on the 5th of May was ok with the exception of lacking energy to walk far. Prior to my last insertion i was walking 4k's a day. Since then no way. i went back to my Doctor 4 weeks ago and told him. He said he would make it more sensitive. Then I experienced headaches amd feelings of nausea on many occasions. i went back the following week to be told my BP had gone sky high. 160/102.
Avatar n tn Although results are comparable among older and younger patients, old age is generally considered a significant risk factor for early mortality and morbidity, partly because of the high incidence of coexisting disorders in elderly patients. However, in many elderly patients, survival and quality of life can be improved with valve replacement or repair. The overall perioperative mortality rate for aortic valve replacement in elderly patients is 10.
Avatar n tn My father, 89, recently had a pacemaker inserted due to bradycardia. His PMD and internal medicine specialist started him on Coumadin afterwards. Since my step-mother had been hospitalized a week before with GI bleeding due to long term (20 years) effects of Coumadin, my father is reluctant to keep on with the medication now he's at home.
Avatar n tn My mother had a pacemaker fitted 6 months ago. She says it has moved under her arm and is causing discomfort. She mentioned it to her consultant who didn't even look at it. At 81 she is a little confused and isn't sure what to do. Can you give any advice?