Palpitations

  Hi All, 2nd post.

                I am 4 months post dual pacemaker for heartblock 1 and 2. I still feel palpitations but reading posts people are saying the heart cannot miss beats with a pacemaker fitted. When I feel them I put my blood pressure monitor on and this also picks up the missed beats. It can occur once or ten times a day and sometimes nothing for two days.  I am currently working hard to lower my blood pressure through diet alone as my doctor does not want me back on Ramipril as there is some suspicion this may have caused my heart block in the first place. Any ideas?

       Phil


5 Comments

extra beats

by Tracey_E - 2017-02-27 08:54:57

Heart block means the atria beats but the ventricle does not, that's when the pacer kicks in so that the heart is always in sync. So in that respect, no, your heart will not miss a beat. That doesn't mean all beats are regular or your heart won't do little half beats between the full beats. Your heart is setting the pace with atrial beats, the pacer is playing follow the leader and completing the broken circuit and it can't prevent extra beats the heart does on its own.  

Palpitations, pvc's (premature ventricular contractions) and pac's (premature atrial contractions) are generally considered harmless. They don't feel too good, but they're harmless and don't often respond to meds. 

Extra beats

by WarrenW - 2017-02-27 14:07:22

Hi Phil,

i to have experienced extra beats and palpitations when these happened I wrote down the time and duration of each event.i provided this to my cardioligist.

the ironic thing was that nothing showed up whatsoever either on the interrogation laptop or a holter monitor.

it was a magnet that the pacemaker technition provided that captured each event and detail.

this might be helpful to you so your cardiologist can get an exact and accurate assessment as to how many and the severity your palpations may be.

warren

 

PVC's

by Lurch - 2017-02-27 18:15:03

I get a lot of PVC's (heart failure patient with ICD).  Like you, I can feel them when they occur.  My Cardiologist calls them benign, I call them irritating (like TracyE says).  I do capture them using the Kardia app on my iPhone (it allows me to take a Lead 1 ECG which it records).  I like knowing what is going on with my body even if it is "benign."

 

Thanks

by PhilUK - 2017-03-01 06:07:07

  Thanks for the replies folks.

        Re the palpitations, mine are felt below my sternum at the bottom of my chest in the centre. Is this the spot other people feel them? 

         I have been struggling to get my blood pressure down over the last four months since the pacemaker was fitted and I was taken off the Ramipril which I had been on for years. My systolic is usually in the one twenties and sometimes below but my diastolic is usually in the nineties . I am very careful about my salt intake, eat lots of fruit and vegetables, quit smoking last year, reduced my alcohol intake and am totally decaf drinking hibiscus tea.  My left arm readings are higher than my right arm and there is discussion with my gp and nurse that the pacemaker MAY be causing my diastolic to be higher than normal. Anyone else heard similar?

        Thanks, Phil

Heart palpitations

by sfp1 - 2017-05-24 08:43:29

Hi Phil,

Tracey always has good info and great responses. 

I also have experienced minor palpitations, but they have lessened over the past ten months. My nurse practicioner was much more concerned about my blood pressure and my weight. She said lowering both would be more beneficial than having concern about the palpitations.

I believe in deep breathing...trying to stay calm, and finding positive ways to address things that bother or stress me out. If you are open to stress management and/or meditation, it could also help to lower your blood pressure a bit.

Good for you for changing your diet and working on things!

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