setting pacemaker

I just found out that the person doing interragation cannot  make changes to  pacemaker. My question is who is qualified to make changes besides ep?






by Tracey_E - 2022-09-06 14:38:28

The person interrogating can actually make the changes, they just can't make the decision. It's a prescription so has to come from the doctor. Some nurse or techs are trained to do it, some offices bring in the manufacturers reps to do it. But they all have to go by what the doctor orders, they can't make the decisions on their own. 


by Julros - 2022-09-06 18:55:52

It all depends on how the clinic delegates tasks, but yeah, settings are doctor's orders. That being said, my former EP declared that my upper rate could not be set higher than 140, but the pacer rep set it to 155 and I've done great with that. My current EP is comfortable with my settings. 


by tachy - 2022-09-06 19:41:58

Thank's for your replies. ITo clarify my question I mean  even with Docs ok he cant      do the changes. HE justs records readings.

Pacemaker technicians

by Gemita - 2022-09-06 20:01:43

Tachy, here in the U.K. my EP's pacemaker technicians are highly qualified and valuable members of the cardiology team.  They often know more about my pacemaker than my EP and have often been willing and more than able to make changes to my settings without my EP's guidance or approval.  It very much depends on your clinic and on the level of expertise of your pacemaker technician.  However, making settings changes could affect our heart condition and should really be cleared by our cardiologist/EP.

Even so, I have recently had Rate Response settings changes made by my technician alone.  Haven't seen cardiologist/EP for several years although have been referred back to see him by the technician


by Julros - 2022-09-06 22:34:19

Maybe my EP is more involved than others, but she prefers to be present for inperson interrogations. 


by AgentX86 - 2022-09-06 22:51:48

There is always an EP in the building when I have my interrogations.  They've given the device tech some broad outlines but the rest is really up to me.  The purpose of most  settings quality of life.  No one knows how I feel or what I want to change more than me. She drives the car.  I tell her where I want to go. The EP then reviews the settings (some time later) and collects her consultation fee.

IMO, this is why it's important to understand as much as possible about your PM, so that you know what's possible. As others have said, the PM tech knows much more about your PM than the EP and the factory rep can handle more difficult situations.  Your EP can't possibly know what the factory reps know.  They're really good.

my tech can

by dwelch - 2022-09-06 23:48:46

My techs go by guidelines set by the doctor, take this reading and set that adjustment based on that if it is above/below something.  The few times it has happened I have seen the change on the report and asked the doc about it after and she knows about it, it is under her control but the tech actually made the change.  the report shows any changes made and the doc, gets a copy of the report so in theory there is no foul play. 

You of course should be asking for a copy of the printout/results as well.


by Swangirl - 2022-09-07 00:25:05

For many months I complained about my settings and my cardiologist wasn't interested.  I got a second cardiologist who was too busy to look into it.  Finally the third cardiologist gave me the go ahead to work with the device rep who informed him of the changes.  Finally the thing is working.  It took me 18 months total.  I don't think most cardiologists understand the programming or the settings.  I hope from now on I can work directly with the rep.  


by Lavender - 2022-09-07 16:03:17

Why is this person doing the interrogation if,

"even with Docs ok he cant      do the changes. HE justs records readings."?

My techs do the interrogation and suggest changes. The cardiologist approves then the changes are made. The pacemaker reps and techs are qualified and trained to make changes. 

Who is making your changes then?


by tachy - 2022-09-09 06:45:43


 The ep reviews the interrogation. The only time   I had a change the rep from medtronic made the change. MY QUESTION WAS WHO ELSE BESIDES EP AND REP CAN MAKE CHANGES.

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