Pacing SVT

I received a call the other day from a technician looking at my remote monitoring results telling me that my heart rate went to around 200 and I was paced out of an arrhythmia/SVT. No shock received. 

I was just wondering if a  SVT that is paced out of by a pacemaker is less severe and not as serious as an SVT that one has to receive a shock from your ICD? 

Is it uncommon to have your pacemaker pace you our of these SVT? More common than being shocked?







ICD pacing out of SVT

by AgentX86 - 2020-04-22 12:56:50

Your ICD shouldn't trigger on an SVT.  SVTs aren't generally life threatening so there isn't a need for the Jesus jolt.  Your ICD is there to terminate VT or Vfib.  If it's programmed to pace you out of SVTs and it does, great but it should never trigger the ICD function unless you're in VT or Vtach (or perhaps SCA).



by islandgirl - 2020-04-24 22:49:17

AgentX86 is correct.  Shock would occur with ventricular arrhythmias.  I have also had atrial tachycardias, the most recent about a week ago for 4 hours with the atrial rate averaging 176. My ventricular rate averaged 111.  I get a strong bouncing/jumping/pounding when the atrium and ventricle is beating out of synch.  My EP explains it's like a whip with the atrium is beating faster than the ventricles and the ventricles try to catch up. The ICD report gives lots of information, so ask the EP's office for a copy to be emailed or texted to you.  My EP texts me a few pages of the report to show me issues.  Ask if you are at risk of a shock with atrial tachycardia.  Educate yourself.  My EP increased the dose of one of my antiarrhythmics and it seems to have helped.  

You know you're wired when...

You fondly named your implanted buddy.

Member Quotes

Your anxiety is normal. It takes some of us a little time to adjust to the new friend. As much as they love you, family and friends without a device just cannot understand the adjustment we go through. That is why this site is so valuable.