New Pacemaker

I need to get new pacemaker in a few  months. I have sss and a fib.  Is there any one pacemaker better for these problems? My current pacemaker is 8 yrs. old, and I wonder if there is anything new I could suggest to my Dr.


10 Comments

That's your EP's job

by AgentX86 - 2019-11-27 12:00:39

Trust your EP or fire him. However he has to know about special activities that you're involved with. Anything like cycling or swimming and other things that require extreme exertion but don't cause commensurate upper body motion will require a different pacemaker than for runners or tennis players. Tell him what your interests are so he can choose the best pacemaker for you.

Need the right manufacturer/model for cycling

by crustyg - 2019-11-27 20:39:14

If you do a lot of road cycling you will need a PM that can respond to Minute Ventilation, as the accelerometer that the other rate-response systems use doesn't work well for a road cylist - upper body doesn't move much and there isn't much up-and-down movement for a road-cyclist.  MTB is different.

I understand that there are two PM vendors with suitable products on the market - I have one and it works very well for me (SSS+AFlut, 2 ablations).

I beg to differ from my learned contributors: for athletic types, choice of PM and settings is a shared responsibility.  They want one that's easy to implant with well designed leads, and where the entire system is MRI-compatible (once adjusted), you have to live with the model and any limitations for 7-14 years.

Differ?

by AgentX86 - 2019-11-27 21:20:31

I don't see where we differ, though it is your doctor's job to select the device that's best for you.  He has the training.  If you don't trust him, you have not business letting him cut you open.

All new PMs are MRI compatible.  All hospitals, radiologists, and MRI techs aren't geniuses, however.  :-/ 

Oh, and there isn't one hospital bureaucrat with even a room temperature IQ and two have half the IQ of one.

New pacemaker

by tachy - 2019-11-28 13:28:29

I asked the question because I have learned over the tears thatt doctors dont always do best for their patients. It is a shared decision. Thank you crustyg.

Don't allways do best...

by AgentX86 - 2019-11-28 17:21:21

If you can't trust your EP implicitly, FIRE HIM.  Serioisly!  None of us have the knowledge to select a pacemaker to fit our needs.  We can communicate our needs and lifestyle, though. If that isn't enough for your EP to make the right choice, you have no business trusting your life to him.

New Pacemaker

by tachy - 2019-11-28 17:45:47

I dont trust my life to anyone.  If you dont get involved in decision  your ignorant. I realyze he has final decision, but I like to have input. I have to live with decision, not the doctor.

"I Don't trust my life to anyone"

by AgentX86 - 2019-11-28 18:37:19

Then you're going to die.  I didn't do my own CABG surgery.  I certainly trusted the surgeon with my life.  If I didn't I'd find someone I did.  It really is that simple.

TACHY

by IAN MC - 2019-11-29 12:59:44

You are 100 % right in believing that choice of pacemaker should be a joint decision.

I have an excellent EP and I am totally confident in his surgical / implant skills BUT he admitted that he fitted me with the wrong make of pacemaker and I have been stuck with it for the past 9 yrs.

He was totally honest with me and said that he had hardly any experience of choosing and implanting PMs in very fit people. I suspect that this applies to the vast majority of EPs . ( I was an obsessive marathon runner / cyclist/ tennis player  ) .

Whenever I visit his pacemaker clinic it is evident that the majority of pacemaker recipients are pretty unfit people.

I wish I could turn the clock back but when you're admitted as an emergency there is little opportunity to learn and meaningfully discuss differences in pacemakers.  As Crusty discussed there are VERY important differences between different makes , make sure that you know as much as possible and make your preferences known... it is YOUR body !

Best of luck

Ian

New Pacemaker

by tachy - 2019-11-29 14:34:47

Thank's for your support. I am also very fit for my age,and I know how important it is     to get right pacemaker. Me and my EP will decide     together on correct pacer.

 Thank's for getting my question.

Tachy

by AgentX86 - 2019-11-29 20:34:32

That's why you tell your EP everything about your lifestyle.  You couldn't have picked the model.  There are hundreds of them.  However, you can discuss your lifestyle and needs. Given enough information your EP should have chosen the right PM.  If not, he should seek assistance from the PM makers or get out of the business - he's incompetent.

If by saying it's a "joint descision" you mean "trust but verify", no problem.  It is that simple, though.

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