Latest changes

• by Stillrunning
• 2013-12-10 07:12:19
• Checkups & Settings
• 1256 views
• 3 comments

Well I went to the reschedule of my office cancelled appointment that I referred to in a previous message. It was amiable but contentious,,, I described my feelings when running. That is first 15+ min Normally Ok but then breathless and difficult to continue without significant slow down, my HR monitor shows a drop in HR to 100-120 but perceived effort is 4 to 5 on a 1 to 5 scale. Show stated that is the same complaint I have had the last 3 visits (duh)
I ask for increase in upper rate from 150 to 170 after much gnashing and her visiting with someone else outside my room, agreed to raise to 160 and stated she had to lower my AV paced rate from 300 to 250ms. I said good why not the 170 upper she said she would have to lower my paced rate to 200 which would cause me to be paced significantly more in the ventricles and that was not desirable. Although I wasn't sure my paced ventricle % would increase because of this I settled for the upper 160 rate with the lowered paced rate of 250. Her thoughts on the sensed delay timing was that my atrial would beat and if my ventricular beat did not occur within the 250 ms then the pacer would intervene. I found out I'm paced 99% in my atrial and 6% in the ventricular. My rate optimization is on set at 4 ADL and 4 exertion response ADLR % 4.0 med/low,,, 30 sec activity acceleration,, high rate % 0.5%
I came home went for a quick 40 min run due to coming snow storm. It felt better during 2nd half but I did notice I was dizzy for app 10 min after run and unbalanced. Due to the snow/ice I have only been able to run on treadmill for 40 min and was only slightly dizzy for a couple min but the effort was less. I have noticed ever since the adjustment 5 days ago I keep having very noticeable hard heart beats several times a day, I can even see them when I raise my shirt and they are on the low side of breast area right at the rib cage junction. It feels like it does when they do the test interrogation,,, hopeful that after some regular running things will settle down,, they did tell me when I started asking some questions that they thought I was getting into too technical details and areas and I needed to be careful reading too much into all the details. She also told me several times that the PM would not slow me down that's just not what a PM does, it just helps ????
Comments please.
She also told me they have adjusted me and checked me more than anybody they have ever had I apologized and said I was just trying to get to where I could run normally without having to concentrate so hard on pace, breathing and pushing effort just to finish, pre PM I just went out and ran most of the time and put my brain on auto pilot,,, I starting to feel like I'm being unreasonable ??