Upper heart rate

My exercise induced 2:1 block has been fixed! I am so happy wanted to post this, because i have struggles so much with it with sports. My upper rate used to be at 175 but now it is a 210! I feel amazing!


Oh to be young again!

by crustyg - 2019-11-20 07:46:07

Glad to hear that you've got this fixed.  Exercise with an inappropriately low HR is horrible, as you know well.

Enjoy yourself and push hard in your sports. I'm pleased for you - and I know others will be too.

Best wishes.

Wonderful news

by Gemita - 2019-11-20 08:58:12

It was so good to read of your success and to know that with persistence we may get our pacemakers fine tuned to meet our personal  needs.  We must never stop searching for improvements and you are a fine example to follow.

i hope you continue to make good progress and that you can look forward to enjoying a long, fulfilling and active life ahead.


by Tracey_E - 2019-11-20 09:14:57

Love hearing success stories!! 

Great success story!

by ar_vin - 2019-11-20 13:42:59

Good on you for persisting and pushing the EP team to make the adjustments you need for your lifestyle! This is an excellent example of what's possible if you keep at it.

Please do share your settings here so others may benefit.

Thanks in advance for that!

This is exactly what makes this forum so amazing!




by Pacer2019 - 2019-11-20 22:06:08

I am very new to this and very active a s a xomoetive raquestball player.

my doctor said 3 weeks ago he set me at 60/150 I think .


How does this work ?  Does the PM limit your heart rate so it can't go to max ? 
I always figured my max as 220 - my age which is 220-57 Which is 163.


i did notice one day last week I was walking and went into a short jog .... bit worried about the pounding and stopped .

when I checked my data from my watch I was around 175 bpm which is unusually high for me. 

can you explain the concept of setting it at 210? 
I think I saw you were born in 1999 so around 20 ? Did notice if male or female so certainly your max rate is much higher than mine I assume.


thanks !


by AgentX86 - 2019-11-20 22:47:36

This formula has no bearing in fact (i.e. old wives tale).  You also cannot use the data from your watch, particularly if you're joggging.  You really have to count it manually to come up with a good number.  A Kardia Mobile should do a good job too but anything that uses a blood-ox sensor is easy to fool.

The lower limit is where your PM starts pacing. If your heart goes below this, the pacer kicks in.  Basically, if the pacer doesn't see a natural heartbeat a second after the last one, it inserts a beat.  The maximum is the highest it'll go with the ventricles tracking the atrium.  If the atrium goes faster than this, AV synchrony is lost.  The AV node does this naturally to protect it against any sort of atrial tachycardia.  The pacer is doing the same.  Your doctor is conerned about this, so set yours to 150. This is negotiable, depending on your condition and needs. 

Mine is set to 80/130 daytime and 50/130 night time.  My EP isn't likely to negotiate the upper limit 1bpm from there because of my permanent flutter, not that I really need it.  I'd like to ramp faster but my device tech didn't want to go there, either.  She did move the rate response latency down to 15-seconds a couple of weeks ago.  I didn't notice a lot of difference.


by Pacer2019 - 2019-11-20 23:23:48

Yes I am very new to this and trying to learn -   I doubt I’m working with rough numbers - I generally track my heart rate with a watch then compare it to my pace - gives me an idea if my heart ❤️ slows down or recovers when I do - helps me know what state I am performing in - aerobic or anaerobic - of course I also know if I’m performing and I can’t speak I am near max . 

Im only 3 weeks in and at least trying to learn enough to ask intelligent questions of the medical folks .... currently I’m kind of relationship building with them I guess. 

I am early in this and know it’s not wise to start tweaking stuff ..... I need to physically heal more then get out there and try stuff 

What I would really like to do is document when I am performing an activity then match that up with what my device does or doesn’t do - I think I can send them a transmission 

I know exactly when I was jogging last week for example - I envision them being able to look at the data they gather through my device and possibly draw some conclusions ..... don’t know if that’s even possible but makes sense to me . 

Thanks for the input - I welcome any I can get.

Higher rate

by RwB15 - 2019-11-21 19:07:00

Hey Pacer2019 I would talk to my EP about upping the rate, because this rate your feeling is possibly 2:1 exercised in induced heart beat. This means your atrium wants to go fast but the pacemaker won't let the ventricles keep up, this can make you feel awful like I did! From what I know and was told from my Doctor this is not life threating but it can really feel awful. If this keeps happening I'd go to my EP and mention getting the ventricle rate increased higher. My top rate has been set to 210 but really my heart goes it about 195-200. It has made all of the difference in the world! I'm so happy and wish you best of luck! I'm going to play football again and I'm so excited, Wish you the best!

You know you're wired when...

Jerry & The Pacemakers is your favorite band.

Member Quotes

I have a well tuned pacer. I hardly know I have it. I am 76 year old, hike and camp alone in the desert. I have more energy than I have had in a long time. The only problem is my wife wants to have a knob installed so she can turn the pacer down.