Ejection fraction

Since I had my pacemaker implant and av node ablation earlier this year, my ejection fraction has dropped from 51% to 41%.  Has anyone else had this happen?


4 Comments

LVEF

by AgentX86 - 2019-07-20 15:11:14

That's not unusual if they didn't implant a CRT or His pacemaker. They implanted a CRT-P  in me during the AV node ablation, to make sure that didn't happen.

Ejection fraction

by Theresa52 - 2019-07-20 17:45:00

Thank you both for your comments - I will mention the His bundle pacing at my next appointment,.

Another thought

by Keithwhelpley - 2019-07-27 10:23:17

Theresa, in my own research, I’ve come across article after article that refers to Apical pacing versus  non-Apical pacing. It has todo with where the Right ventricle lead is placed. Odly enough this placement can have detrimental impact on the left ventricle function. 

Apical is the traditional placement (low in the ventricle near the “Apex”). But over time, it’s been documented that in some patients, Apical placement has triggered things like compromised EF and mitral regurgitation. It also has triggered heart failure. This is likely not your case, but something to know. 

There are new placement models, but you may have to ask for them because doctors don’t really talk to you about those options. 

I always assumed doctors knew about pacemakers, but I’m finding they know about them generally and mostly only about putting them in. Ignorance for we recipients is the pacemakers’ self fulfilling prophecy. Keep reading this forum and google any question you have about your condition. You will find many articles from noteanle sources to arm yourself with. Let your doctor tell you why it’s not your situation. It’s all we have to be our own advocate. 

Ejection fraction

by Theresa52 - 2019-07-27 15:21:31

Thanks Keith - gosh there is so much I do not know about this whole business!!  Basically my EP told me to have a pace and ablate procedure and all my troubles would end - not so!!!

I do remember when the cardio was inserting the wires for the pm, that he was having a lot of difficulty due to scarring from 5 previous attempts at ablation for AF.  In the end, he was saying 'we might have to try the other side',   Then shortly after he said ' that's good enough' and presumably got the wire in place.  

Then I had the AV node ablation and 6 weeks later my base rate was lowered to 80 from 70. I then had a horrible VT episode, very nearly passed out.  Spent the next 5 days in hospital, which is where they did the ECHO and found out about the EFraction.   I have been taking different drugs to control the VT and things seemed to have settled, but only today, late this afternoon, I had another VT episode, not as bad as the previous one, but an hour of 150 at least!

 

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