← Return to Mayo Take the Wheel

Discussion

Mayo Take the Wheel

Pacemaker & ICDs | Last Active: 6 days ago | Replies (7)

Comment receiving replies
@missy245

@ted3
I am new to this board, having just gotten a PM on January 10th of this year. I was experiencing bradycardia with SOB and feeling dizzy. I also had a history of PVCs which was diagnosed in 2019. My pre PM diagnosis was
Mobitz type II and 2:1 second degree atrioventricular block.
The reason I decided to respond is that I also have a Medtronic Azure PM, and and it seems, a similar diagnosis .
I just had a monitor check at the device clinic two weeks ago. They estimated a battery life of 14.3 years.
The ventricular lead is pacing at approximately 99.2% and the atrial pacing at approx. 9.1%

About 3 days after they put in the PM , I had a really bad feeling arrhythmia and so I sent in a strip from my medtronic ap. to the device clinic and it showed repetitive nonre-entrant ventricular atrial synchrony (RNRVAS). So then, to prevent the RNRVAS, the PM was reprogrammed to pace only when my pulse got down to 50.
I really don't have all the details otherwise as to how it is programmed.
I have had several other device checks and each time their estimate is a little different as the life of the battery. When I went in to have it re-programmed 5 days after putting the PM in, the pacing was estimated
at 5.1% atrial and the ventricular pacing was 59%.
Shortly after that visit, I developed atrial tachycardia and so was started back on Metoprolol which I think accounts for the big increase in Ventricular pacing two weeks ago.

It took me about 3 months after having the PM put in, before I started to feel really good. I think having several different arrythmia pop up to sort out, may have slowed down how well I felt. I also have R.A. and that always complicates things for me too.

Jump to this post


Replies to "@ted3 I am new to this board, having just gotten a PM on January 10th of..."

Definitely similar with the diagnosis of AV 2:1 block and PM. Because my sinus node behaves normally, I expected my pacing to be similar to yours (not much on the atrial side and closer to 100% on the ventricular side). So the fact that for now I'm pacing about 50% on both ends, is a good thing I think. What I take away from your situation is that patient conditions change and the PM has to be changed in response. I hope that you're feeling good which is the ultimate goal. I'm not too concerned about battery life as I think it will vary as it is measured over time. I feel so fortunate and grateful to benefit from amazing science, technology and medicine. All the best