What can I expect....

I received my dual chamber Medtronic PM 2/28/2020 after being diagnosed with sinoatrial exit block which my cardiologist explained as being scar tissue in an area effecting my hearts natural pacemaker, this being the only way to correct the issue. Had my 1 week checkup, doc said all looks good, starting pacer clinic next week.  So going forward, what can I expect?  My doc said carry on as normal but would still like to hear member opinions. I understand there is a healing and adjustment period but still scares me.


What's next

by AgentX86 - 2020-03-07 20:00:46

The pacemaker clinic is just a quick check of the pacemaker and a chance to change PM settings if you find you need them to be able to do what you want to do.  Since you have SA dysfunction, I'm guessing that you're chronotropically incompetent (heart rate doesn't respond to exercise/oxygen need).  You'll need rate response to make up for this.  The PM clinic is where they'll get this response set right.  If you're winded doing what you normally do, tell your device tech.  There are a lot of things they can do to make it better.  However, don't assume that the clinics are the only time you can have these settings changed.  If you feel you need something adjusted, call anytime and make an appointment.


what's next...

by Cindyj - 2020-03-07 22:01:18

Thanks so much for replying.  Trying to understand this whole thing, guess I'll have a lot of questions for the clinic tech on Wed.. Hopefully this will alleviate the dizziness and feeling like I'm about to pass out, at least that's what my doc says.  

PM clinic

by AgentX86 - 2020-03-07 23:53:28

Yes, this is the perfect time to ask questions about your PM.  The PM tech is an expert in your particular PM, moreso than your EP.  He/she can explain everything and, hopefully, optimize it for your lifestyle and relieve any discomfort you may be having.

Almost passing out doesn't sound like a PM setting but it may be.

carry on as normal

by Tracey_E - 2020-03-08 12:05:40

I'm glad your doctor encourages you to carry on. If you have symptoms, don't be shy about going back because it can take a few tries to get the settings fine tuned, but once we heal there isn't any reason why we need to dwell on it. We can get on with our lives and with very few exceptions, do what we want to do. Except now we're doing it with a normal heart rate that keeps us feeling good. 

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