One more time - meaning of ADL and UR and what is wrong with my PM settings?
I have a Medtronic Azure PM and am trying to configure it so that I can get back to all my physical activities again. It's been a difficult journey and my case is particularly complicated.
I bike, run and play tennis and the PM wasn't smart enough - so we have turned off the automatic rate optimization and it's been helpful to some extent.
The problem I am struggling with (and trying to solve) is that I cannot run without stopping...the best I have done is a quarter mile without stopping at a pace of 13 min/mile pace. Before I got this medical problem, I used to run 7 miles at a 10:XX min/mile pace about 3 times/week. I am pasting my settings with an explanation of the numbers...they might be a little unusual because of my unique situation...I have a complete ventricular AV block and the docs were only able to get one lead (only to the bottom chamber of my heart...so I know there is disynchrony) Does anything seem out of the ordinary to the folks that know this stuff?
Rate Profile Optimization = OFF (because the PM was getting confused with all my activities)
Lower Rate = 70
ADL Rate = 130 (It's a little higher because this way I can bike...at an ADL rate which is normally lower, the output of the heart isn't enough for me to be able to bike...and as you probably know, the PM doesn't detect upper body motion and so does not put the PM in exercise mode...so this a hack.)
ADL Response = N/A (according to the tech they cannot change it because the rate optimization is off)
Upper Sensor Rate = 175
Exertion Response = N/A (according to the tech they cannot change it because the rate optimization is off)
Activity Threshold = Med-Low (I have tried other setting such as Med-High but I feel winded)
Activity Acceleration = 15s
Activity Deceleration = Exercise
ADL Setpoint = 25 (I am wondering what this setting means...can someone explain exactly what this means? The techs haven't been helpful. Can this be changed even if the rate opt is turned off?)
UR Setpoint = Auto (but noted that it was 201...but I am wondering what this setting means as well...can someone explain exactly what this means? Some people seem to have a really low number. Can this be changed even if the rate opt is turned off?)
The long-term solution is to get the second wire in to the top chamber so that I can naturally pace myself but in my case it's a complicated procedure.
Thank you in advance...