Non ischemic cardiomyopathy. Heart rate 30-52. BP varies, not sky high. Near fainting. Remarkable lightheadedness one occasion. Left ventricle some subendocardia damage, same ventricle has septal dyskinesia, that is, instead of squeezing, it moves in other direction, (hopes this yields to electrical correction).
LBBB, Bradycardia, muscle damage moderate, but ventricles are electrically, mavericks
EF about 35%, 40% some tests. frequent PVC’s.
BI-ventricular Pacemaker May 2019 — not effective, LV pacing below 80% due to PVCs.
Ablation December 2019 did not succeed in quenching the PVCs that were making pacemaker ineffective, as PVCs were sourced in summit of lvot — danger of doing harm.
I'm a little better than before pacemaker as pm does address bradycardia -- was 30-50 bpm, now about 100 bpm. But EF is still about 35%.
I'm watching fluids and sodium.
Amio and Mexiletine (antiarrhythmias) which we used to quench PVCs have been discontinued -- not working.
Isosorbide mn, lisinopril, spironolactone. Lasix Eliquis and Metoprolol added over time. Metoprolol leaves me very tired
My EP is great; and now is considering second ablation -- this time under general anesthesia, and by an out-of-state cardiologist, who would have some other trick up his sleeve if ablation fails -- I understand.