CRT LOWER E/F PART 2

Well here's a chance to learn something...  at least for me...  Cardio responded to my complaints of extreme fatigue by comparing a new ekg with one before the new crt pm was implanted last feb.INTERESTING RESULTS!!!!

the qrs sows up at 15.5 miliseconds higher than the previous ekg in feb where it was 218miliseconds.. said it was "leakingmanagement " issue and not ideal. He wants to change to bi-ventricular from multi point pacing on this st. judes crt pm....he also o put me on enteusto medication 2x day.then he is off to another appt without any chance fo me to ask questions.

Iam just glad there may be a solution with settings and not the rx heart failure iwas worried about... wish we could have done this along with an echo after the inmplantin Feb 2017.. lesson here is, follw up is important and dont take no when you want a follw up appt. 

one other note is St Judes wanted me in a study for multi point pacing and i agreed not thinking it would affect the bi- ventricular settings.    intresting to note my old Medtronic NEVER lowered my ef in the 8 years i had it..   N0 limitations with this 2 lead ADAPTA PACEMAKER..  I NEVER knew which pm they were implanting as it was impossible to see docter before procedure.  they missed the timing by waiting too late past expiration date of my Adapta  to be changedout...despite the alerts from pm tech saying only a few days left..  looks like they wanted to use this particular crt. without any debate...  idon't think it was handled the right way.....

ANYWAY,  i go in thursday to have the MULTI POINT PACING SWITCHED TO STREIGHT BI-VENTRICULAR PACING ANd AM HOPING FOR IMPROVEMENT IN MY ENERGY AND BALANCE

ANY THINKING WOULD BE APPRECIATED, IT IS COMFORTING TO HAVE SUCH KNOWLEDGEABL AND TALENTED MEMBERS AVAILABLE..

MANY THANKS AND GOD BLESS           -Philman

 

 

 

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2 Comments

CRT vs Mutipoint pacing

by AgentX86 - 2018-10-15 22:24:42

Phil, thank you.  I'd not heard of multipoint pacing.  Interesting read <http://www.rhythmcongress.com/presentations-2015/Jeudi-28-Mai/17h30_Mechulan.pdf>.  It seems you're not alone (other articles).  The technique sounds like it should work but it's not so clear that it does in reality.  Perhaps there is something to learn about who would be better off with MPP and clasical CRT. I'll have to do more reading.

If what you say is true, I think it's time to find new EPs.  Using you as their guinea pig isn't cool.

Entresto...

by BOBTHOM - 2018-10-16 13:40:09

Two things on Entresto,  first it's used to treat heart failure so not sure how putting you on that is not a diagnosis of heart failure.   Second, there have been 2 recalls of that med.  It's been offered to me but I've refused so far.

Good luck and please keep us posted!

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