PMT na MRI

Translation

by piglet22 - 2024-07-31 06:11:57

I got an edora 8 DR-T in October 2023 after several faints. I was given the pacemaker because bradycardia was diagnosed. From October to the beginning of June, I didn't faint anymore. On May 31, my pacemaker was turned off for an hour due to an MRI scan, after the scan the pacemaker was activated again. On Monday, June 3, I fainted again. The pacemaker analysis showed that half an hour before the fainting I had atrial tachycardia for 56 seconds (I never had tachycardia on the analyses before). Could the fainting and tachycardia just before the fainting be related to the manipulation of the pacemaker or by the MRI ? Does anyone have experience with this ?

Thank you Piglet - I have now removed my Google translation

by Gemita - 2024-07-31 06:14:45

Elly I will make a separate comment.  Hopefully the translation is an accurate one of your concerns?

I would seek further advice

by Gemita - 2024-07-31 06:51:17

Sometimes when tachycardia occurs at very fast heart rates, it can cause instability and even syncope, especially if the rhythm disturbance is an “irregular” one.  I have experienced this with my pacemaker, although it doesn’t happen very often any more. 

The other problem is that whilst the pacemaker can prevent our heart rate from falling below the lower rate setting, it cannot help with a blood pressure fall, and blood pressure falls can be a cause of syncope too.

If you are not happy with the explanation you have already been given by your doctors, I would go back to them for further advice and answers.  Did they offer to see you in clinic for some additional pacemaker checks to see whether all your settings are still okay following your MRI scan?  

The other thought is that you could make an appointment to see your general doctor for some checks on your general health to make sure that the health condition which required your MRI scan is not the cause for your syncope?  Your general doctor may wish to do some further checks.

It is always possible that something may occur during an MRI scan, like movement of leads/device, but this would be rare if the procedure is carried out according to “safety” guidelines for having an MRI scan.   For example they checked my pacemaker/leads position with an X-ray before/after my MRI scan, presumably to look for movement.

Please try to remain calm and safe

MRI

by piglet22 - 2024-07-31 07:03:02

Others who have had MRI are in a better position to comment, but as I understand it, your pacemaker is not turned off, but put into a "safe" mode temporarily to maintain a basic heart rate.

When the MRI is complete, normal operation is restored.

It is unlikey that the MRI scan would lead to other complications, but as Gemita suggests, get it checked out. You can get tachycardia events with a pacemaker, they can come and go.

Anderen die een MRI hebben gehad, kunnen beter commentaar geven, maar zoals ik het begrijp, wordt uw pacemaker niet uitgeschakeld, maar tijdelijk in een “veilige” modus gezet om een basishartslag te handhaven.

Als de MRI klaar is, wordt de normale werking hersteld.

Het is onwaarschijnlijk dat de MRI-scan tot andere complicaties zou leiden, maar zoals Gemita suggereert, laat het nakijken. Met een pacemaker kun je tachycardieën krijgen, die kunnen komen en gaan.

Vertaald met DeepL.com (gratis versie)

🌺

by Lavender - 2024-07-31 10:22:18

Moge God je zegenen en je bewaren op je reis om te ontdekken wat je het beste kan helpen. Hartelijke groeten. 

Elly

by Elly - 2024-07-31 15:43:46

De cardioloog had mijn pacemaker helemaal uitgezet en niet in een veilige modus geplaatst omdat als ik in een ziekenhuis ben steeds erg zenuwachtig ben en ik dan een hogere hartslag heb. Op 3 juni kreeg ik de flauwte terwijl ik met de auto reed met als gevolg een ernstig ongeval waar ik gelukkig alleen bij betrokken was. Mijn auto is Total loss. Ik ben naar de spoeddienst geweest, daar kreeg ik verschillende onderzoeken, een CT scan van het hoofd en een EEG. Deze onderzoeken wezen niets uit ook de MRI van vrijdag niet maar toch kreeg ik keppra toegediend omdat ik voor de flauwte een vreemde geur waarneem. Dit had ik ook voor de plaatsing van de pacemaker in oktober. Ik heb het heel erg moeilijk met de diagnose epilepsie want bij een bloeddrukval ervaar je soms ook een vreemde geur. Ik denk doordat ik een ongeval heb gehad dat ze de oorzaak niet bij de pacemaker en MRI willen leggen. Moet nu wel 2 maal per dag 500 mg keppra nemen !! 

Translation

by Lavender - 2024-07-31 16:36:56

In English:

The cardiologist had turned off my pacemaker completely and not put it in a safe mode because when I am in a hospital I am always very nervous and my heart rate is higher. On June 3, I fainted while driving my car, resulting in a serious accident in which I was fortunately alone. My car is a total loss. I went to the emergency room, where I received various tests, a CT scan of the head and an EEG. These tests showed nothing, nor did the MRI on Friday, but I was still given Keppra because I noticed a strange smell before the faintness. I also had this before the pacemaker placement in October. I am having a very difficult time with the diagnosis of epilepsy because when your blood pressure drops you sometimes experience a strange smell. I think because I had an accident they don't want to blame the pacemaker and MRI. Now I have to take 500 mg Keppra twice a day!!I 

Epilepsy

by piglet22 - 2024-07-31 19:33:57

That's a different matter altogether.

You might get advice from someone with both epilepsy and heart problems, but it makes it all the more important that you seek urgent advice from the professionals.

Elly

by Elly - 2024-08-01 01:53:11

Natuurlijk heb ik professionele hulp gekregen. Er zijn op neurologisch vlak alle mogelijke onderzoeken gedaan maar geen enkel onderzoek duide op epilepsie en toch de diagnose krijgen ! Daar heb ik het moeilijk mee. 

Elly

by Gemita - 2024-08-01 04:34:39

Translation of your comments for Pacemaker Club Members;

Of course I got professional help. All possible neurological examinations have been done, but none of the examinations indicated epilepsy and yet the diagnosis was still made! I have a hard time with that.

Elly, I can see your confidence in your current medical team has broken down.  My advice would be to seek a second or even third new opinion as soon as possible.

The Pacemaker Club is a support group only.  We have all tried to give you support and advice based on our own very personal experience which is all any of us can do.   Beyond that, we cannot do more and you will need to seek further professional support for your own well being.  I hope you will soon get some answers and relief from your symptoms and that you will remain safe.  

Strange smell

by piglet22 - 2024-08-01 06:53:26

https://pubmed.ncbi.nlm.nih.gov/30908686/

Elly

by Elly - 2024-08-01 09:18:37

Dank je wel voor jullie reacties. Ik hoopte inderdaad dat er mensen onder jullie waren die iets gelijkaardigs meemaakten. Ik heb momenteel nergens last van, dit was voor de MRI ook zo. Heb vandaag 26 km gewandeld en vorige week in de Italiaanse Dolomieten flinke bergwandelingen gemaakt. Ik heb een gezond eetpatroon en beweeg voldoende! Cardioloog heeft op 7 juni de CLS functie geactiveerd. Deze functie zou een bloeddrukval versterken en herstellen. Daarom denk ik dat de tachycardie voor de syncope een bloeddrukval was en dat er van epilepsie geen sprake is. 

TRANSLATION

by piglet22 - 2024-08-01 11:05:48

Thank you very much for your responses. I was indeed hoping that there were many of you who were experiencing something similar. I don't suffer from anything at the moment, this was also the case before the MRI. I hiked 26 km today and did some great mountain hiking in the Italian Dolomites last week. I have a healthy diet and exercise enough! Cardiologist activated the CLS function on June 7. This function would amplify and restore a blood pressure drop. Therefore, I think the tachycardia before the syncope was a blood pressure drop and there is no epilepsy. 

Translated with DeepL.com (free version)