abnormal heart rhythm

Hi ,Sorry I have probably mislead you.I have an abnormal Rhythm all the time,I can feel my heart palpitating in my chest and the Pacemaker is not doing anything to correct this.Interested to know if anyone else has papitations after the A V Node was ablated and relying on a permanent pacemaker.


5 Comments

Rhythm

by Dunamar - 2018-05-09 10:44:20

I am not in Sinus Rhythm at all may I add, it is quite worrying,I wish I hadn't had the AV Node Ablated now. Maureen

Rhythm

by Jane S - 2018-05-09 18:49:08

I has an AV node ablation for persistant PM tacchycardia, and yes I still got spells of faster HR 90-100 bpm not dead fast but enough to feel yuk

I'm on a low dose of bisoprolol (tried flecanide but it didn't agree with me) and a few more setting changes and I have now gone about 4 months with next no palpatations.

Whether it has taken this length of time for my heart to adjust to the horrible time its gone through 5years for diagnosis, 3years since PM implant and 18 months since ablation, I'm not sure.  

Try and get to see your doctor/EP and be firm that you are not feeling great, meds/setting etc can all be altered to help get a balance and hopefully stability.

Good luck

Jane

Palpitations

by Gotrhythm - 2018-05-11 14:35:58

I think you're expecting the pacemaker to do something it can't do. At the time of my implant, the surgeon made it clear that the pacemaker would do nothing at all to help palpitations.

That didn't make any sense to me until I joined PC and learned that pacemakers are set to wait a certain amount of time after a beat. If the next beat doesn't come in time, the pacemaker supplies a beat. Then it begins timing again. But if a beat comes before the time is up, the pacemaker does nothing. It just restarts the timer. If the next beat doesn't come in time . . . and so on.

So you see, the pacemaker can only help with beats that aren't fast enough. It can't do anything about beats that are too fast, or that happen too soon.

Hope this helps.

Palpitations

by Gotrhythm - 2018-05-11 14:36:01

I think you're expecting the pacemaker to do something it can't do. At the time of my implant, the surgeon made it clear that the pacemaker would do nothing at all to help palpitations.

That didn't make any sense to me until I joined PC and learned that pacemakers are set to wait a certain amount of time after a beat. If the next beat doesn't come in time, the pacemaker supplies a beat. Then it begins timing again. But if a beat comes before the time is up, the pacemaker does nothing. It just restarts the timer. If the next beat doesn't come in time . . . and so on.

So you see, the pacemaker can only help with beats that aren't fast enough. It can't do anything about beats that are too fast, or that happen too soon.

Hope this helps.

Palpatations after AV node ablation?

by AgentX86 - 2018-05-12 11:06:26

What is the mechanism for palpatations after an AV node ablation?  The atria may be beating to their own drummer (or "quivering" in A-flutter, in my case) but the pacemaker is doing its job with the ventricles (where the "pulse" originates). I'm asking because, while the palpitations are nothing like what they were before my AV ablation, I occaisionally feel something.

 

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