Pacemaker replacement.

I am due to have my pacemaker      replaced in a few month's. Is there any advantage in having same ep do procedure. The original ep is 2 hours away, and new one is 15 minutes.


Strictly my opinion

by Gotrhythm - 2020-01-27 16:56:57

IMHO if you were happy with the original EP, I would say, go back. All MD's are not equal.

It's worthwhile to stay with a good one. And it's not like you have to see an EP once a week.

Completely agree . . .

by Gemita - 2020-01-27 18:35:05

with Gotrhythm.  Your original EP knows your situation best and I presume you were happy with the results of your present pacemaker ?  If not, then try the new one.

Continuity in care is very very important, especially when we find a doctor with whom we can relate.  Good luck

Either probably OK

by vitdoc - 2020-01-27 22:15:06

Replacing a pacemaker is rather straightforward and any decent EP should be able to do that without any issue.  So do what is most convienent and also with the physician you get along with best. 

New or old

by AgentX86 - 2020-01-27 23:32:39

I'll split that baby.  I wouldn't worry about a new or old EP but I'd insist on the top of the line EP wherever I went.  I was referred by my cardiologist and the EP in his office to one of the best around. The EP in the office asked to attend the surgery, "sure, why not".  I haven't been back to her since but her name is on all of my PM interrogations (and charged $$ for that signature).  I go to the EP in the hospital down town once a year, now.  I see my (interventional) cardiologist every three months for other heart issues and general checkups.

Go locally but insist on the best.  It may matter.

New pacemaker.

by tachy - 2020-01-28 12:23:52

I appreciate all comments.I will probably go back to Dr. who put in first one, because Iam going on eight years, without a problem.

The dance

by doublehorn48 - 2020-01-28 20:30:50

There was a football coach ar UT Austin that had a great offensive team but was playing a team with a defense that was geared to stopping his team.  When asked if he was going to run a different offense he said, "I'm going to dance with the girl that brung me."  Texas won the football game.


by dwelch - 2020-01-31 01:40:13

find a doc you trust, trust the doc you found.  do you like the closer one?  trust him/her?  In my case the EP doesnt do the surguries, soneone else in the office does.  But my EP trusts the surgeon and I trust my EP.   

I personally would not switch docs just before  a device change nor just after.  If I were wanting to change for how far the drive is I would do it maybe a year after the replacement, get your first year and those three visits in with the old doc, then between that first and second annual, do some intermediate visits with others.  Understanding that they might want to jack with your settings and now what are you going to do stick with the new one that jacked with settings you have been using for 10 years give or take or stick with the old one that set those settings?   

It is like sneaking around your spouse to shop for another do you really know which is "best"?  And will you screw up both relationships?  

I personally wouldnt switch unless forced by insurance and I cant work around it or if I lose trust in the doc.

The grass is never greener on the other side of the fence...

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Member Quotes

At age 20, I will be getting a pacemaker in few weeks along with an SA node ablation. This opportunity may change a five year prognosis into a normal life span! I look forward to being a little old lady with a wicked cane!