having palpitation even after setting adjustment

Heart rate
39 minimum, 59 average, 106 maximum , 4 beats in tachycardia(>=100 bpm) <1% total , 53160 beats in bradycardia(<=60 bpm) 63% total , 2.3 second Max R-R.

Ventriculars (V,F,E,I}
439 isolated, 4 couplets, 0 bigeminal cycles, 2 runs totalling 8 beats, 5 beats longest run 102 bpm 06:14:33 15 September , 5 beats fastest run 102 bpm 06:14:33 15 september.

Supraventriculars (S,J,A)
63 isolated, 14 couplets, 0 bigeminal cycles, 2 runs totalling 15 beats , 11 beats longest run 60 bpm 14:41:29 14 sep , 4 beats fastest run 144 bpm 23:25:12 14 sep

Interpretation
24 hrs holter monitoring revealed a basic sinus rhythm with prolonged episide of sinus bradycardia, the max HR is 106 bpm & min HR is 39 bpm, very few ventricular ectopics and supraventricular ectopics were noted, maximum RR pause 2.3 sec, no significant changes was seen.

Now the problem is i received my first Pacemaker Medtronic (DDDR} ,lower rate 60 ppm , upper tracking rate 130 ppm, upper sensor rate 130 ppm , ADL rate 115 ppm , after two weeks i started have palpitation whenever i walk or do any type of work but the palpitation stops when i am in resting position, i was prescribed bisoprolol 5mg one in the morning and 2,5 mg at night.But the palpitation still continues.
After a month my Doc decided to adjust the setting of my PM
from DDDR mode to VVI mode with lower rate of 60 ppm, upper sensor rate 130 ppm, ADL rate 115 ppm , ventricular refractory 230 ms. but now i started to develop palpitation even when my body is at resting position. Can any experienced people out their help me.






2 Comments

Pacemaker doesn't fix everything

by Theknotguy - 2015-11-27 03:11:53

The pacemaker can't fix every heart problem. If your heart fails to beat on time, or can keep a specific speed, the pacemaker can correct that.

Different heart problems will produce different rhythms. PVC's, PAC's, and afib are a few rhythm producing problems. The pacemaker can do nothing for them.

Your "palpitations" may be PVC's, PAC's, afib or something else. Your EP will have to diagnose that. Drugs such as bisprolol can slow the heart's natural rhythm and help prevent things such as afib but they aren't a cure.

I had bradycardia to the point where my heart stopped. My pacemaker makes sure my heart won't stop beating because of bradycardia. I also have afib. The pacemaker isn't able to do anything for my afib. I rely on Metoprolol (in the same drug family as bisprolol) and Cardizem to slow my heart and stop afib. I also have an add on feature in my pacemaker called APP (Atrial Preference Pacing) that works on my afib too. Between the drugs and APP it stops my afib about 90% of the time. Not a cure but something that can reduce afib to where I can lead a normal life.

You will need to work with your EP to find out what your "palpitations" really are. Then determine a medical treatment for them.

I hope they can find a solution for you quickly.

Hiya

by Bionic Beat - 2015-11-27 05:11:32

I also have chronic AFib that cannot be controlled.
My pacemaker keeps the ventricles going but the upper chambers are like a bowl of jelly dancing away.

You do get used to it, it's your new normal and possibly a degree of heart failure like in my case.

I have taken many beta blockers over the years and also take blood thinners (Coumadin) to hopefully prevent stroke.

As it slowly gets worse, I just try to adapt. Can't do what I used to do, that's a fact. I try to enjoy myself as much as possible. In the last few years I have V Tach as well, the most common cause of sudden death, what the heck, at least I have a heart beat.

As I often say, the view is better from this side of the sod!!

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