Lead dislodgement

Hello just got a dual chamber pacemaker yesterday.  Question so I was putting on my shirt this morning.  As I was doing it I noticed a pain sensation around my chest.  I then felt my heart beating so I checked my pluse and it went up to 130-140 bpm.  It quickly lowered and I am at 80-90bpm. But could this be a sign I dislodged my leads? 

 

 

3 Comments

I highly doubt it

by AgentX86 - 2019-10-18 18:00:03

Lead failure or removal would mean loss of pacing rather than faster pacing. A pacemaker is a gofaster gizmo. It cannot make your heart go slower. My guess is some sort of vagal nerve issue, Afib,  or perhaps PVCs. More likely, your raising of your arm was coincidental to some sort of tachycardia and it was what caused the pain and other symptoms. You became aware of it when you raised your arm. Since this is something new, I'd call my EP, if for no other reason than to get it int the record. You might think about a remote transmission, too. It's much better if you can catch it but if you can give them the time it occurred, perhaps they can find something useful from the PM's recording.

Thanks

by sk288702 - 2019-10-18 18:04:52

Thanks yeah I called.  It was installed yesterday.  They are going to monitor it this weekend and it may need to be tweaked as my resting heart rate is at 80-90 bpm and they set a baseline of 60bpm and pre procedure is was 40 - 50bpm

Update

by sk288702 - 2019-10-21 14:56:11

Just got back from the EP leads look good. 

Phew....

You know you're wired when...

You fondly named your implanted buddy.

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As for my pacemaker (almost 7 years old) I like to think of it in the terms of the old Timex commercial - takes a licking and keeps on ticking.