annual in office pacemaker check

This morning  the gal said everything looks good including the wires.  

 I asked  what is the theshold  for Afib  alert notifcations  she said it was over 2 hours.  Had not had any of those longer ones since March 2022.  Did bring a sheet with the supplements had been taking for Osteoroprosis which i found out i could not take. Wondering if they would recheck from Dec 2021-July 2022 to see if that is when the longer Afib runs were.?

Did ask if i was aware of a couple of  short ones on Sunday morning, told her yes.  Was having a reaction to a food that contains Tryptophan.  Also one from the other day after eating a Chocolate Macroon.  Is was so good.  Now done with chocolate.

Will be back in a year for in office check, will keep the nightly and every 3 months transmission going.

new to pace



AFib Alerts

by Marybird - 2022-08-22 23:50:10

You probably know this, but your remote monitor reports will still show A-Fib events of lengths much shorter than 2 hours, (not sure what the minimum time would be). The greater than 2 hr is the time chosen by your clinic for which they wish to be notified. 

As I understand it, your pacemaker clinic personnel would be able to go back and look at your previous monitor records, perhaps from the beginning. So they could tell you exactly when all your A-Fib incidents, from your marathon, long, to short A-Fib runs occurred. 

I think it's great that you're able to correlate your A-Fib activity to a specific trigger, and know you can mitigate the A-Fib by cutting down or eliminating that trigger. I have short runs of what they tell me is A-Fib, but they're so random, triggered sometimes by stress, or an adrenaline rush, or sometimes just because,,I can't tell what causes them or when they will come about. Thankfully, they're short most of the time. 

Good for you😃

by Lavender - 2022-08-23 09:42:34

Love how knowledgeable you are about foods etc that affect your body! I'm on that path and found it so beneficial to get back to a clear start. I cut out everything and started from scratch with only all natural fresh foods. I added things bit by bit and ate no preservatives or additives. I ended up being a person who eats mostly plant based with fish and eggs as well. Learning my triggers helped me live better. I love chocolate but if I eat it, it causes me insomnia and stomach acid. I don't eat tomatoes, coffee, alcohol either. 

I am surprised you only have a once a year in office check. Mine is every six months in office. The opposite six months, my pacemaker is interrogated by my monitor. So, every three months, it's checked one way or another. 


by new to pace.... - 2022-08-23 10:48:11

Thanks  Marybird and Lavender.  The shorter runs do show up but they are not as concerned about those.  Since am monitored nightly  and every 3 months. Once a year in office is to also check wires.

Lavender you are on your way to healthy.  You have done it the long way, there is a shorter way by taking a food sensivity blood test.  It tells you what and how long you should abstain from eating and how to put back in your diet.  Aware of my food issues and doing something about them way before pacemaker(2019) for the past nearly 20 years.

Mostly eat the night shade plants(arithris) when i travel since they at the moment do not cause Afib runs. (wish this site  had spell check)

new to pace


by Lavender - 2022-08-23 14:29:47

I did have the blood work to test food sensitivity and it came up with no foods that were culprits. I had two years of stomach issues with all tests saying normal so they diagnosed me with functional dyspepsia. That led me to trying on my own from scratch to see what didn't bother the stomach. I even boiled bones and made bone broth! I'm fine now with the stomach and on no meds for it because I know what I can and cannot eat. 

I also recently started having aura migraines since December after decades without having them. I paid attention and realized it was foods containing tyramine that were the trigger-along with stress. So I am managing that as well by diet as well as meditation and mindfulness. Life is better "naturally" for me. 

Pacemaker check and update

by Gemita - 2022-08-25 05:57:23

new to pace, am rather late picking up on your post but I found during regular monitoring that the single most important threshold likely to trigger a response from any source is when the speed threshold is exceeded.  A very high heart rate picked up during regular monitoring always prompted an immediate response from my clinic to enquire how I was, particularly if the episode was prolonged as well.  Clearly even short 10 min episodes of say 170-200 bpm would be of concern.  

Mode switch for example which we have already discussed elsewhere, is only triggered to prevent AF tracking when two combined criteria have been met (usually heart rate over 165-170 bpm and for a ? specific duration).  Both these parameters will be set by your EP and need to be met to trigger the mode switch and a possible call from your clinic if the arrhythmia speed and duration is of concern or significant.

It looks from your description as though your clinic is not overly concerned about your AF episodes even the longer ones, so I presume the heart rate is well controlled.  I am aware you are not anticoagulated, but it certainly sounds as though you are aware of your triggers and try to eliminate them whenever possible.  Sounds like an excellent plan in the absence of medication.

You know you're wired when...

You fondly named your implanted buddy.

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