Pulse rate

I had my ten day checkup after pm implantation. My pulse rate was high. Has anyone ever had there pulse rate over 100? My doctor wants me to track it for a month and see if mess need to be diagnosed. I went home few hours later and it was still high.

5 Comments

av block?

by Tracey_E - 2013-08-22 08:08:38

That's not unheard of. The heart may settle down once it gets used to pacing. Do you have av block? If yes, then your atria was probably always going fast but the signal never got through to the ventricles so your pulse stayed low. With the pm, the ventricles beat every time the atria does so it may be too fast.

Watch your caffeine intake and be sure to stay hydrated. I am super sensitive to caffeine. I didn't notice it so much before, but after the pm my hr would shoot sky high if I had coffee. Just a thought!

Av block/pulse rate

by Pcwhit - 2013-08-22 09:08:21

Thank you I was not sure what av block was but I heard my doctor talk about it and that is what was happening to me. I realize my caffeine does make me jittery. I never checked pulse rate before the PM. Will they adjust the PM or will the rate settle or do you think doc will prescribe more meds (hope not)?

Normal HR

by donr - 2013-08-23 09:08:31

If you were to have checked your HR PRIOR to the PM, you would have seen that you operated at 100 BPM frequently. They do NOT set your upper rate for the PM at 120 BPM for nothing!

Your lower rate is a resting rate, in general, so you begin ANY activity at all & your HR will increase above that rate. Like climbing a flight of stairs - folding a bunch of towels - ANYTHING can run your HR up to 100.

Get a copy of the printout of your next PM download. In there is a histogram giving the distribution of HR by % of the time it is at a given rate. You might be surprised at how little you operate at the lowest rate - and how often you operate at higher rates.

Don

Me too

by KAG - 2013-08-23 10:08:19

When I get a PM check I noticed that one of the first things the tech looked at on the data printout was the histogram Don mentioned. They want to see your HR varying over time and with different activities. My HR has been consistantly 120 bpm when I first go into the Dr's office then will settle a bit (white coat syndrome). Also similar to Tracy my resting HR at home was around 85 and now is settling down into the 70's. As soon as I start doing more exertion I get into the 110's, 120's and up to 140's if I push harder. My UTR is set to 160. Though now I don't take my HR unless I feel different.

I think we each have our own "normal" and as long as you feel OK it's fine.

Kathy

av block

by Tracey_E - 2013-08-23 12:08:50

Here is a great animation of what av block is and how the pm fixes it
http://health.sjm.com/arrhythmia-answers/videos-and-animations

If you are going fast, then it's you not the pm so there's nothing to adjust. All the pm does with av block is make sure the ventricles beat when the atria does, so your heart is setting the pace. If the pm is making your rate go up too quickly on exertion, that's something they can adjust. If your heart going faster on its own all the pm will do is watch, it can't prevent the heart from beating on its own.

What they decide to do depends on how you feel. If your resting rate is 100 and it doesn't go down over the next few weeks, you'll probably feel better on medication to bring it down. It may go down on its own. My resting rate was fast the first year, 80's and 90's. It never bothered me so we didn't do anything, it gradually went down to a more normal number on its own. If it's going up on activity, that's what it's supposed to be doing so no treatment needed. I often get up to 100 doing things around the house, I get up around 150 when I work out.

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