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1 day ago · His-pacemaker technique in Heart & Blood Health

@hopeful33250 ,
hello teresa,
I got the pacemaker january 2018. when I left the hospital they told me,that I had many atrium fdibrillations. but this is not uncommon, I should not worry about it. my medications were bisoprolol 7.5 mg/d + a blood thinner Eliquis .November 2018 I had a pacemaker check. the cardiologist told me, that I had 94% Fibrillations in the atrium, that means that the pacemaker electrode in the atrium was useless.
I depended more or less on the electrode for the right chamber. a couple of weeks later I noticed loss of energy, in the beginning I had to leave my bicycle in the garage, 2 weeks later I didn't even manage the walk to the bus. my weight went high, but I did not see any odemas in the legs. but apparently I got oedema in the lung, so difficulties with breathing (dyspnoe). I discussed the situation with my family doctor. she gave me a diureticum and she took care of an appointment with the cardiologist. (in Germany the patient has to wait a long time) . Februar 2019 I saw the cardiologist, the echocardiography confirmed my bad condition.: all (!!) the heartvalves were insufficient, even my mitralvalve ( I had a minimal invasive mitralvalve reconstruction 3 years ago) was highly insufficient, which was a great shock for me. . of course I did recherche in pubmed. and I knew, that in such a case they deactivate the electrode in the atrium. but that didn't work, because, like he said, the problem is located in the tissue of the right chamber. so he suggested digitoxin – 0.07 ng/ml.

to answer your question, I started the digitoxin only in februar this year. 10 days later I was fully recovered. 6 weeks later they measured the blood concentration of digitoxin (very important!!).. this was too high, so I started the lower dose (0.05 ng/ml).

you asked about side effects, I have none, but it is very important to choose the right dosage, depending on the weight of the patient.
Yoanne

2 days ago · His-pacemaker technique in Heart & Blood Health

corjianne @corjianne ,
I would like to comment the discussion ( I'am a bit late, but all the posts of mayo clinic connect did not come in the mail entry, but in the bulk mail , I do not know why). I do not know ,if you have even heard of digitoxin.it is a very old substance. nowadays it had a come back, there is a two year trial in a university clinic /Germany. the aim is to investigate, if digitoxin can reduce the numbers of patients with congestive heart failure , when they need a treatment in the emergency department..
let me explain my history: Since jan.2018 i have a two chambers pacemaker because of a block in the electric transport between the right chambers..I had no problems, but since last december I noticed gain weight, I lost my energy, I had problems with breathing. To cut a long story short, I felt miserable. the cardiologist confirmed the bad situation, serious congestive heart failure, most probably, induced by A-fibrillations/pacemaker electrode. the right ventrikel 's reaction was an serious arrhythmia. in spite of a betablocker (and bloodthinner). the cardiologist decided to give me digitoxin in addition to the other substances.
After 10 days I had a full recovery !! , also confirmed by the echocardiography., no heart failure anymore. I got the bicycle out of the garage, I was very relieved. I still take a low dosis. I would be very interested to hear, the opinion of american cardiologists. I'm a dutch woman living in germany.

Mon, Jan 21 8:56am · Pacemaker and medications; CardioMEMS HF device in Heart Rhythm Conditions

@ starfirey2k ,
hello, a year ago I had the same experience. after the implantation of the PM, paroxysmal A-Fib's were seen., I did not feel them. after 10 months (november 2018) the atrium fibrillations were permanent. the call it a persistent A-Fib's. the cardiologist tried to be funny by saying, that I didn't need a two chamber pacemaker. I would be better off with an one chamber PM. .unfortunately the situation deteriorated, as I am suffering now from a pacemaker mediated ventriculair arhythmia (extrasystoles and tachycardia.).I hope I will get an appointment soon.
II would like to read, if there is another person with the same trouble.
yoanne

Thu, Jan 3 12:50pm · Transesophageal echocardiography in Heart & Blood Health

@davidrmartin111 ,
if the cardiologist used the term "vegetation", he most problably saw changes to the surface of one your valves..
yoanne

Nov 28, 2018 · Pacemaker and medications; CardioMEMS HF device in Heart Rhythm Conditions

@healthheart490
hello, yesterday I posted a similar question (pacemaker recipients). like I wrote, I take bisoprolol (metoprolol belongs to the same group of beta blockers),
additionally to the pacemaker and Eliquis. Immediatedly after the implanation I had A-Fib's. Now 11 months later , have persistent A'Fibs, they are without symptoms. I never got propafenone..
I wonder, if a pacemaker + beta blocker is useful, therefore I posted my question. I'm glad that you also think about this combination.
yoanne

Nov 27, 2018 · Pacemaker recipients. in Heart Rhythm Conditions

@kanaazpereira ,
hello! I would like to know, if other PM recipients (dual chamber PM) take beta blockers. I tried to find hints in the medical journals, so far without any result. I got a PM nearly one year ago. It was twice adapted by the cardiologist, without a positive effect. I get tired after maybe 100 meters (bicycle). .this should not happen.I think my medication with the beta blocker (bisoprolol) might be the cause.
before I will make an appointment, ,it is important for me to know if other people also take this medicine. + a pacemaker.
.bisoprolol reduces the heart rate, in contrast the pacemaker activates, . maybe the beta blocker prevents a quick adaptation, when I start cycling.
yoanne.

Nov 15, 2018 · Heart Rhythm Conditions – Welcome to the group in Heart Rhythm Conditions

@marlynkay
Hi Wally, your medical history is worth reading it several times ! . I want to be sure, if I understood everything properly. I'm a pacemaker recipien myself, but a different one. they implanted a two chamber-pacemaker (two electrodes, one in the right atrium and one in the right chamber/ventricel). I read that you got a ICD 2001, which was replaced by a CRT-ICD 2015 (to resynchronize the two chambers of your heart). my question is, how did they replace them? do you know that?
yoanne

Nov 15, 2018 · Bradycardia in Heart Rhythm Conditions

@exboater
hi, just one question: a total heart block, 3 level, means that the atrium and the ventrikel don't work together anymore I had this last january. . they implanted a pacemaker, you did not mention a pacemaker in your post.I presume that you might have level 2 or 1.. possible?
yoanne