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Replies to "Thank you for your reply. A stemi stands for an st elevated myocardial infarction. A heart..."
Heart & Blood Health | Last Active: Aug 24, 2024 | Replies (3)
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Thank you for your reply. A stemi stands for an st elevated myocardial infarction. A heart attack of the left anterior side. Our cardiologist wants to put in a pacemaker to pace up the heart rate, but I’d like to try a change in medication before a pacemaker. It’s only been 3 months and his Ef has already improved to more than what they thought it would. It just seems pretty extreme to put in a pacemaker if it’s a side effect of the medication. Cardiologist said that if we put the pacemaker in , then he can take more Coreg. This sounds crazy to me.
Replies to "Thank you for your reply. A stemi stands for an st elevated myocardial infarction. A heart..."
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@quirkyfeather11
My suggestion is to talk to his cardiologist about your concerns. And if you are still in doubt get a second opinion. A lot of second opinions can be done by supply medical information to institutions like Mayo Clinic and Cleveland Clinic and not having to go there.
I can tell you my heart failure doctor feels Coreg (Carvididol) if the best drug (along with Entresto) for my heart and EF. It has remained stable for decades now. I had some new medications that would require to come of Coreg but heart failure doctor wanted me to stay on Coreg and we worked to change the other medications. My heart failure cardiologist is the Director of Heart Failure and Transplant at Mayo Clinic Jacksonville.
The pacemaker surgery is routine now and almost all do not require overnight stay. Is done as outpatient by most EPs and cardiologists.
My ICD/Pacemaker was put in when I reached 30% EF. That is the medical guideline to get a pacemaker. At that time (2006) I was put on a new medication Entresto and they doubled my Coreg. Yes the Coreg will lower pulse rate. But a very low pulse rate can result in PVCs and irregular heart beat (Cardioloigst information not mine).
I would not fear the pacemaker. I have had 3 surgeries (on my 3rd). I am not sure if your cardiologist was doing a dual device (ICD/Pacemaker) but with that option any time his heart would go into VTAC or stop the ICD would provide a direct shock far more effective than when EMS would arrive and give shock. The amount of time for EMS to get there is major cause of motality. It is why there are now so many Emergeny Shocks Devices now in public areas.
I had same fear and reluctance but it has been a life saver for me. The pacemaker can help a lot with irregular heart beats, PVCs, etc. by giving the heart a good and steady pulse and yes would mean husband could take more Coreg. I take 25 mg twice a day. Have you spoken to his cardiologist on your concerns?
Good luck!