Check-up - 7 weeks after implantation my PM

Hi there,

I am going to go fo another check-up on Monday. I am quite curious... I would like to know how much I am pacing.

I know that my atriums are still running quite fast - when I was on my last check-up, I had on my ECG - HR of atrums more then 200/min.

... but because of my third degree AV block (RF ablation), my ventricles are pacing by my pacemaker now, so my real pulse is slower.

I would like to know if it is possible to feel when the atriums are beating really fast - I mean about the 200 per minute, because I think that I can feel it because my chest is moving and I feel something what I didn´t feel before, you know - I cannot reckon up the atrial beating (the can reckon it up just on the ECG) - I feel just the pulse of my ventricles. Do you think that it is possible to feel the fast beat just of the atrials???

I wish all of you just the best, have a wonderful time!!!

Misa


1 Comments

maybe

by Tracey_E - 2008-09-14 08:09:13

The ventricular rate is what you feel as your pulse. A pm won't let your hr get up to 200, the upper limit isn't that high. How the pm handles it depends on how it's programmed. Sometimes it will put you in a block, so if atria is doing 200, pm will make the ventricle do 100, or whatever percentage they've set it to. Or it can be programmed that the pm goes to its upper limit and stays there, this is usually set at 120-140.

If you're fibrillating when you're that high, you will probably feel it. If you're working out to get it that high, you will definitely feel it, I get dizzy and very tired. If it just goes that high sometimes when you're at rest, my guess would be you wouldn't feel it but I've never been in that situation so maybe I really don't know.

And if you have a 3rd degree av block from an ablation, you are most likely pacing ventricular nearly 100%. Atria, well, that number could be anything. I have a complete block also (born that way) and pace 99.1% ventricle, 4% atrial.

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