92% paced in atrium

Hello! My EP informed me that my atrium is now pacing 92%.  I understand this to mean that my upper chamber is only beating 8% on its own at the 70bpm pm setting.  Is there anyone else experiencing a similar issue / decline?


4 Comments

What it means

by PacedNRunning - 2023-11-03 17:12:41

Its not that your own heart cant beat on its own at 70bpm, its that the PM keeps you from going below 70bpm.  So 8% of the time, your own heart is above 70bpm.  Your heart could probably beat just fine under 70, because most are set at 60bpm. Not sure why it's at 70. There are alot of reasons for them to set it higher than the normal 60 or lower than the normal 60. When I had mine implanted, at 60, I paced 90% of the time, so they lowered it to 45 and my pacing went down to 45%.  It's about symptom relief and sometimes just to out pace the heart because it does whacky things when it's under a certain rate.  So with them having it set to 70bpm, they are only allowing your own heart to work above 70bpm. They honestly can pace you as much or as little as possible.  It's directed by symptoms and the relief of symptoms.  

92% paced in atrium

by Heartfelt - 2023-11-03 17:27:06

Thank you PacedNRunning. I've had my pm since 2016.  I am a very active person and because I felt sluggish after the implant, my  EP set the pm to pace at 70 from 6am to 10pm, and then at 60 during the night. I also have a rate response function.  I am guessing this 70 setting is acceptable in the community. 

92% paced in atrium

by Heartfelt - 2023-11-03 17:29:36

I should add that Bradycardia necessitated the pm implant in 2016. My resting pulse the morning of the surgery was 27bpm. 

92% paced in atrium

by Heartfelt - 2023-11-03 20:33:07

Thank you Penguin.

I'll follow up with my EP. 

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