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Pacemaker & ICDs: Introduce Yourself & Meet Others

Pacemaker & ICDs | Last Active: 5 days ago | Replies (76)
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@jackiet

Hi mfenn….

Can you explain the difference you feel when they upped the upper pace rate? My problem is that I have this SOB and chest pressure when I walk for a distance at too fast a rate. I unfortunately don’t know whether the rate was below or above the 145 before they changed it.

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Replies to "Hi mfenn…. Can you explain the difference you feel when they upped the upper pace rate?..."
deniseheart | @deniseheart | Mar 21 6:56am

what is SOB?

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mfenn | @mfenn | Mar 22 9:19am

My pacemaker is not the same as yours so there may be some variation in how things are measured. The first time I walked briskly after my pacemaker, I exceeded the pace rate quite a bit. The symptoms of bradycardia came back: exhaustion (I don't remember if I had chest pressure or not). When they upped the pace rate, that exhaustion wasn't there. I am quite active and have had the level changed more than once. I am not a doctor but if you are getting bradycardia symptoms when exercising I would suggest you contact your electrophysiologist and make an appointment (see below).

I haven't seen the surgeon or a cardiologist since my procedure. I am registered at a heart device clinic at the hospital at which I had the implant. The clinic can also monitor my pacemaker through an app I have on my watch. If I have had any concerns I call the clinic and talk to the doctor/physiologist who answers my questions. If necessary, we make an appointment, they do a check and we decide if we need to make any changes.

This has been my experience. I hope it helps.

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jc76 | @jc76 | Apr 16 5:39pm

@jackiet
Just a question. Do you have the exercise mode turned on on our device?

It is a mode that recognizes motion or some other factor to raise your device pulsing.

I had mine turned off as did not like the feeling.

I have my pacemaker pulsing me at 70 bpm. Why? I take Entresto and Carvedilol which without my pacemaker my heart would be beating in the 30s. That very low rate I was having a lot of PVCs and irregular heart rhythm.

We tried 50 and PVCs were still high, then 60 and some improvement then 70 and found the best rate to reduce PVCs. I am a very active exerciser even do Sprint Triathlons, and my HR rarely gets above 110.

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