Is it possible to go from feeling pacing to not feeling pacing? I ask because I have intermittent heart block and my settings were set to allow my own heart to work as much as it can. 7'months Ago I started feeling thumping and chest pain off and on all day. Which caused me to have an achy chest. Pacing? It would come and go. Some weeks nothing and some weeks all the time. My EP thinks my ventricle lead is in a bad spot and needs to be moved. At first my doctor made my settings looser to limit pacing. His thought was, if it paces less, you will feel less pacing and better overall. It made it worse. So we changed it back. By December, it was coming on more frequently. In January, I had had enough and asked to have my settings tighter. Felt great for 6 days. Didn't feel pacing much at all. The thumping went away. Great. Didn't realize how crappy I felt. Then it came back. So we adjusted settings 2 more times. Now I can't feel pacing at all. My pacing increased from 40-78%. I feel like a new person. I use to always feel pacing and now I don't. Even with activities I know I should feel pacing, I don't. My doctor won't give me a straight answer if it's a lead issue still or we are just covering it up by pacing me more. He had advised against making any more AV delay adjustments to "fix" this issue and was only offering surgery. He's been flexible with me in the past with coming in for adjustments went I wanted. So I kept going in. I have intermittent 2;1 rate related block. So higher rates I go into block. But I seem to be blocking at rates lower than 70.
Is it possible to cover up a lead issue by pacing more? If it's a bad no settings changed will work He's told me since the beginning I shouldn't feel pacing which I have since implant but this is different. I just want to know but he's convinced it's a lead issue. I'm thinking my settings were too loose. If you understand Av delays. I was at 80-280ms for a long time when this started. Now I'm at 100-200ms and I feel great.
Hope someone can help. It's been bothering me since my pacing has gone up so much.