RIGHT VENTRICLE PACING
So much has been written (and has also been commented on in this forum) about the potential problems associated with RV pacing which could lead to heart failure symptoms in some patients due to “dyssynchrony” between the two ventricles.
My hubby 81 has a single lead PM to his right ventricle for bradycardia/syncope and pausing. He also has AF and other arrhythmias. His percentage of RV pacing is increasing rapidly after only a year (from 40 to 70%). He has also had an increase in his AF episodes and his symptoms, particularly breathlessness, have become more apparent. His heart rate is well controlled though and in fact he has never had really high heart rates.
We are due to have a follow up with his cardiologist (who is also an EP) in early February. Because of my husband’s other health issues: ischemic heart disease (3 stents), cerebrovascular disease (4 strokes), diabetes and a host of other problems, I don’t want to put him through unnecessary procedures (like an extra lead implant) which may be in his future we were told. However, I am concerned that there has been a worsening of my husband's symptoms since pacemaker implant and his arrhythmias have certainly increased too. I do wonder whether pacing with a single lead has adversely affected him in some way and whether I should be pushing for a PM upgrade ? (Consultant suggested that some patients can develop adverse symptoms from RV pacing only).
Michael leaves all his health problems to me and doesn’t want to know what is really going on, which makes it difficult to know how to manage his symptoms at times. His doctor is a good place to start I know, but any advice from my well respected members here, would be greatly appreciated. Thank you