Pulsating pain

2 mos from implant.   Have had a few adjustments that solved heavy thumps in diaphragm.   Am having pulsating mild pain in middle of chest between breasts.  I thought I was feeling pacing but heart rate is to high to kick in pacer.    I am set to pace at 45 bpm.  Dr. Thinks I am feeling PVCs and put be on a low dose beta blocker .    I m don't think that is it because I have felt PVCs before and this kind of pain didn't start until post PM.  I'm still feeling the pain after 2 day on beta blocker.   Working with EP and PM is operating fine.  Could I be sensitive to the leads in the center of my chest?

3 Comments

Perplexed

by Artist - 2016-08-07 09:56:48

I find it difficult to understand why a 69 year old has a PM set at a low rate of 45 BPM.  It's my understanding that unless you are relatively young and athletic, a pulse rate of below 60 is considered to be bradycardia and is too low.  PMs are commonly set at 60 BPM.  My PM is set at 60 BPM so that I can tolerate the side effecfs of my medicines which function to control heart arrythmias. First, rather than the doctor guessing/theorizing about the cause of your symptoms, I would hope he would use  some diagnostic tools like an EKG and a Holter monitor to take a thorough look at your heart function over an extended period of time.  Since you are now taking a beta blocker,  have you noticed a drop in your heart rate?  In my opinion pain in the middle of your chest requires more attention.  

bradycardia - clarification

by BillH - 2016-08-07 15:01:50

For the record a HR below 60 for any adult is called bradycardia.

The question is at that HR are they symptomatic? Typically dizzy and/or light headed.

It is not uncommon for people, usually realitively fit, to have resting HR of less than 60 w/o symptoms.

And on the other hand some people, of all age, need resting HR of higher than 60.

 

Heart rate setting

by jimterribak - 2016-08-07 17:43:15

I got my PM because I was having pauses that were 2 to 4 seconds and on the verge of passing out.  I am not in serious heartblock but they felt I would get worse and didn't want me to pass out. My original PM setting was 60 but I was having very hard thumps or spasms in my left diaphragm that started when my heart rate was in the low 60's.  It was keeping me up at night and very uncomfortable.   My EP lowered it to 50 and that stopped the problem but I started having the pulsating light pain lasting 30 seconds or so on and off.   I thought I Was feeling pacing but my heart rate was in the 70's or more.    Went to EP 3 days ago and had PM checked.  He thinks I may be feeling PVC's and so that's why he gave me low dosage metoprolol success er 25 and he lowered my setting to 45 so pacing wouldn't be kicking in with a lower heart rate.    I will be taking my third beta blocker this evening.   So I have only been on this med for not quite 3 days.  My average resting heart rate today is 60 and was 62 yesterday.   My Fitbit shows my daily resting heart rate from 72 to 64 over last two weeks.   I'm going to monitor things and continue this med until I see the cardiologist on Aug.  17.    I don't like taking a beta blocker and last night I still had the mild  pain sensations.  I was wondering I Was feeling the leads in the arteries because it is in that area and seems to start when on my right side.   Good news is I have not had long pauses since My PM put in 2 months ago.

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