Four years ago I had a Boston Scientific pacemaker implanted. When two months later I told the person monitoring it from her office that I still suffered from some of the symptoms I had before the pm went in she insisted that everything checked out fine. I asked to talk to the doctor, stating I was very concerned about why I was still having shortness of breath and an inability to walk very far without feeling a tightness in the chest, symptoms that had accompanied my low pulse rate before the pm.
She said she would go ask the doctor. When she came back she said that he said it was ok to tweak something. I don't know whether she ever did anything. I even doubt that she even talked to the doctor. The symptoms persisted. So I went for a series of heart and lung checks, trying to find out why I was still not feeling right. During that period I was diagnosed with mild asthma and treated for it, but the pulmonologist said he doesn't think the SOB and chest tightening is a lung issue. I also had a number of heart checkups--stress test, nuclear stress test, echocardiogram, angiogram, etc. Everything comes back normal.
Fact is I was never able to speak with the electrophysiologist who implanted the pm. Seems that he runs an assembly line and never has a follow-up appointment to talk with the patient. This was all done during COVID times so maybe that was a factor. I'll never know.
Finally a NP who was monitoring my blood pressure got me an appointment with a different electrophysiologist. Lo and behold...... He tells me that when they put in the pm they set it for one of four settings. I don't remember all the names he gave them. But the first setting they call "sedentary," the second I don't remember the name of, the third they call "athletic," and the fourth "Olympic level" or something like that.
I had been placed on the number two setting. I had also been set to have my heart rate set at 60; i.e., my bpm would never fall below 60, which it hasn't.
According to this new ep doctor, these settings can be changed and he is now in the process of working with me to change them to see if we can get me to function better.
So that's my story.
@jackets98
Complete opposite experience at Mayo Jacksonville. I am on my 3rd pacemaker and see my EP every 6 months.
At Mayo Jacksonville they have a pace clinic. I have my ICD/pacemaker check done remotely every 3 months and Pace clinic calls if need to see me. Then I go in once a year where they check the wires and functions and fine tuning. I have many many fine tunings as it takes time to find what the best setting are for you.
A lot of time and in my case you develope leed impairment and they have to up the electrical strength to get the right amount of electrical signal strength, etc.
It sounds like your pacemaker is set to exercise mode. That mode adjust your rate based on your activity. I had issues with this and mine was turned off.
My EP who has put in all my three pacemakers is growing old with me. I am his longest patient at Mayo Jacksonville. Mayo Jacksonville has a full Pacemaker Clinic with specialist and many EPs. I know I am lucky to have Mayo Jacksonville as my health care.
All functions of the pacemaker and setting can be changed on what is best for the patient. I am not sure what manufacturer made yours but you can also contact them for more information on your model, functions, etc.