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Thread: pacemaker

  1. #1
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    pacemaker

    have had since 2009 how do u know when to replace batteries ?

  2. #2
    I just got a pacemaker in July. The surgeon told me pacemaker batteries usually last an average of 7-8 years. The life of a pacemaker depends a good deal on the amount of time a pacemaker needs to pace the heart. That said, it is doubtful that the batteries will be replaced. Instead, the entire pacemaker will be replaced. Likely the leads to the heart will remain, and a new pacemaker will be attached to the leads.

    You should be on a schedule to see your cardiologist at least once a year. At the appointment, your pacemaker should be monitored to check how it is working.

    I have a home monitor that I can place over the pacemaker site and then transmit data by phone. Once every four months, I will be sending data by phone and once a year, I will see the cardiologist and a technician will perform the monitoring in the office.

    REMOTE MONITORING
    Remote monitoring is a way for your implanted heart device to communicate with your doctor or clinic using a small monitor, potentially reducing the number of times you have to travel to your clinic for an implanted heart device check.

    Studies show that remote monitoring:

    • Helps doctors detect abnormal heart rhythms & issues with heart devices faster 1,2
    • Reduces hospitalizations and ER visits 3,4
    • Increases Quality of Life 4
    • Provides patients with a sense of security and peace of mind 5-7

    Remote monitoring is prescribed by your doctor. It provides easy access to information that allows your doctor to:

    • Manage your heart condition
    • Monitor your implanted heart device
    • Obtain information from your implanted heart device on an as-needed basis


    From the Medtronic website: http://www.medtronic.com/us-en/patie...ronic_com_FY17



    Below is the monitor I have. There are several other monitors available. I have a Medtronic pacemaker.
    Attached Images Attached Images  

  3. #3
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    I did that for a while then they just stopped its been dang I don.t rember but its been years since ui have seen a heart dr

  4. #4
    Quote Originally Posted by vjls View Post
    I did that for a while then they just stopped its been dang I don.t rember but its been years since ui have seen a heart dr
    Guess you should reconnect with a cardiologist.

    And, just curious...where is "middle georgia?"
    Last edited by gjnl; 09-27-2017 at 10:44 PM.

  5. #5
    Agree with above by gjnl
    Cardiologist yearly
    Pacemaker battery changes every 7-8 years depending on your pacemaker - you are probably due

    Are you having any symptoms of chest palpitations? what is your diagnosis? atrial fibrillation?

    pbr
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

  6. #6
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    Quote Originally Posted by gjnl View Post
    Guess you should reconnect with a cardiologist.

    And, just curious...where is "middle georgia?"
    was lamar county below griffin now in Crawfordville fl that 1 hr below Tallahassee loven it

  7. #7
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    Quote Originally Posted by SCI-Nurse View Post
    Agree with above by gjnl
    Cardiologist yearly
    Pacemaker battery changes every 7-8 years depending on your pacemaker - you are probably due

    Are you having any symptoms of chest palpitations? what is your diagnosis? atrial fibrillation?

    pbr
    no nothing super healthy just curious as my friend who is ab we were talkin and she had hers done she ask me about mine truthfully I had for gt about it I don/t understand your diagnosis had to look up that atrial fibrillation

    they put in in 2009 against my family wishes my heart rate and bp is low really low has been my whole life I was in hospital for something I was in icu but.... and next thing I know I wake up I got pacemaker

    but I am healthy just curious

  8. #8
    Why did your family have an issue with a pacemaker that raises your heart rate to a normal level?

    A pacemaker isn't going to help with low blood pressure. The only thing that helps with that are certain drugs and to a lesser degree some non drug practices like drinking a lot of water before you get up in an upright position, wearing an abdominal binder, and wearing compression stockings.

  9. #9
    Quote Originally Posted by gjnl View Post
    Why did your family have an issue with a pacemaker that raises your heart rate to a normal level?

    A pacemaker isn't going to help with low blood pressure. The only thing that helps with that are certain drugs and to a lesser degree some non drug practices like drinking a lot of water before you get up in an upright position, wearing an abdominal binder, and wearing compression stockings.
    I had a pacemaker since my injury due to an AV block. My BP was around 60/100 for years with only one pass out in 97. In July I fainted twice then a total blackout, it felt like death.
    I was taken to hospital and the pacemaker was found to be dead, which I already knew.

    My cardilogist kept me there for 3 days of tests. The diagnosis was low BP.
    I am now on Fludrocrtisone for laying down and Lisinopril for sitting up. BP is now 70/130
    and the pacemaker is not needed anymore.

    I had my pacemaker changed in 90 and 2000 and the last time it was checked was around June 2015, then I stopped caring about my health. Short story, mom and dad past away last year and my wife this May. I'm now in a nursing home and hope to get home soon and start another new life. Vjls, if you put a small radio over your pacemaker you should hear it ticking if itt's still working.
    Wish I didn't know now what I didn't know then.
    Bob Seger

  10. #10
    National Heart Lung and Blood Institute: https://www.nhlbi.nih.gov/health/hea.../pace/whoneeds

    Who Needs a Pacemaker?

    Doctors recommend pacemakers for many reasons. The most common reasons are bradycardia and heart block.

    Bradycardia is a heartbeat that is slower than normal. Heart block is a disorder that occurs if an electrical signal is slowed or disrupted as it moves through the heart.
    Heart block can happen as a result of aging, damage to the heart from a heart attack, or other conditions that disrupt the heart's electrical activity. Some nerve and muscle disorders also can cause heart block, including muscular dystrophy.
    Your doctor also may recommend a pacemaker if:

    • Aging or heart disease damages your sinus node's ability to set the correct pace for your heartbeat. Such damage can cause slower than normal heartbeats or long pauses between heartbeats. The damage also can cause your heart to switch between slow and fast rhythms. This condition is called sick sinus syndrome.
    • You've had a medical procedure to treat an arrhythmia called atrial fibrillation. A pacemaker can help regulate your heartbeat after the procedure.
    • You need to take certain heart medicines, such as beta blockers. These medicines can slow your heartbeat too much.
    • You faint or have other symptoms of a slow heartbeat. For example, this may happen if the main artery in your neck that supplies your brain with blood is sensitive to pressure. Just quickly turning your neck can cause your heart to beat slower than normal. As a result, your brain might not get enough blood flow, causing you to feel faint or collapse.
    • You have heart muscle problems that cause electrical signals to travel too slowly through your heart muscle. Your pacemaker may provide cardiac resynchronization therapy (CRT) for this problem. CRT devices coordinate electrical signaling between the heart's lower chambers.
    • You have long QT syndrome, which puts you at risk for dangerous arrhythmias.

    Doctors also may recommend pacemakers for people who have certain types of congenital heart disease or for people who have had heart transplants. Children, teens, and adults can use pacemakers.
    Before recommending a pacemaker, your doctor will consider any arrhythmia symptoms you have, such as dizziness, unexplained fainting, or shortness of breath. He or she also will consider whether you have a history of heart disease, what medicines you're currently taking, and the results of heart tests.

    "Tvot," I think you may need to speak with your cardiologist again for these reasons:
    1. Lisinopril
    This drug belongs to a class of drugs called angiotensin-converting enzyme (ACE) inhibitors. It is used used to treat high blood pressure and heart failure. It’s also used to improve your chance of survival after a heart attack. This drug relaxes the blood vessels in your body. This reduces stress on your heart and lowers your blood pressure. When you sit up you usually have lower blood pressure than when you are lying down. Those of us with higher spinal cord injuries can suffer from postural hypotension, which means our blood pressures drop when we sit up. Many of us take drugs to raise our blood pressure when we are sitting. These drugs are Midodrine, Fludricort, and Northera.

    My guess is your blood pressure is low when you are sitting up and you need to take something to raise your blood pressure in that position. Were you in a sitting position when you fainted? If you are taking this medication when you are sitting up, your blood pressure should drop, not increase. This medication will only make your low blood pressure worse when you are sitting up.

    2. Fludrocortisone, Fludrocort, Florinef Acetate
    Fludrocortisone belongs to a class of medications called corticosteroids. It works by reducing salt loss, increasing potassium loss, and increasing blood pressure.

    Blood pressure is higher when we are in a supine position (lying down) than when we are sitting up. If you are taking this medication when you are lying down, your blood pressure could increase to dangerously high levels, possibly even triggering an Autonomic Dysreflexia (AD) event, which can be deadly. In quadriplegics, AD occurs when the bladder is overfull, stimulation to the anus during a bowel program, constipation, in grown toe nails and other problems that may cause pain, but isn't interpreted correctly by the nervous system. In your case this medication may be raising your blood pressure too much when you are in bed.

    3. (AV Block) Atrioventricular block
    This block is partial or complete interruption of impulse transmission from the atria to the ventricles. If you have first-degree heart block, you may not need treatment. If you have second-degree heart block, you may need a pacemaker. A pacemaker is a small device that's placed under the skin of your chest or abdomen. This device uses electrical pulses to prompt the heart to beat at a normal rate.

    It is possible that at the time the AV Block was diagnosed it was a first degree, but the cardiologist decided to treat you anyway with a pacemaker, likely because of your spinal cord injury. Your current cardiologist may have determined that you AV Block doesn't need treatment and that is why he removed the pacemaker in July. If I were you I would want to know what the current situation is with a formerly diagnosed AV Block and why I don't need a pacemaker now to treat it.

    4. Your Current Blood Pressure
    A blood pressure of 70/130 is not normal in anyone. Blood pressure is measured using two numbers. The first number, called systolic blood pressure, measures the pressure in your blood vessels when your heart beats. The second number, called diastolic blood pressure, measures the pressure in your blood vessels when your heart rests between beats.If the measurement reads 120 systolic and 80 diastolic, you would say “120 over 80” or write “120/80 mmHg.” A normal blood pressure is systolic: less than 120 mmHg and diastolic: less than 80mmHg. A blood pressure at risk for hypertension is systolic: 120–139 mmHg and diastolic: 80–89 mmHg. High blood pressure or hypertension is systolic: 140 mmHg or higher and diastolic: 90 mmHg or higher.

    I have low blood pressure when I am sitting up and that reading with medication is usually about 90/65, although it can drop lower, without medication. I take Midodrine just before getting up in the morning, take it a couple times during the day, and do not take it before bed time, when I will be in a supine position. Midodrine is used to treat low blood pressure (hypotension). It works by stimulating nerve endings in blood vessels, causing the blood vessels to tighten. As a result, blood pressure is increased.




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