When are regular ectopics/palpitations considered to be intrusive? February 08, 2020 10:15AM |
Registered: 6 years ago Posts: 166 |
Re: When are regular ectopics/palpitations considered to be intrusive? February 08, 2020 10:42AM |
Registered: 11 years ago Posts: 4,236 |
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DavrosT
PS. as a side-note, I know what pacemakers are used for, but just out of interest, are they of any use to regulating heart-rate in terms of irregular heartbeat? Just something I was chatting about this afternoon.
Re: When are regular ectopics/palpitations considered to be intrusive? February 08, 2020 11:18AM |
Admin Registered: 6 years ago Posts: 5,365 |
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DavrosT
Anyway, have any of you guys ever been told yours are 'intrusive', and what level do they have to get to to be considered instrusive?
Re: When are regular ectopics/palpitations considered to be intrusive? February 08, 2020 12:37PM |
Registered: 4 years ago Posts: 741 |
My Pacemaker has that algorithm and it seems to work well. I occasionally feel it kick in. It isn’t going to work all the time but it definitely helps Afib burden.Quote
Carey
A few years back they tried using pacemakers to override PACs to try and prevent them from initiating afib. The idea was when the pacemaker sensed a PAC it would pace the heart faster to try and become the dominant pacing source and "overrule" the ectopic source, but apparently that didn't work well.
Re: When are regular ectopics/palpitations considered to be intrusive? February 08, 2020 07:17PM |
Admin Registered: 6 years ago Posts: 5,365 |
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Daisy
My Pacemaker has that algorithm and it seems to work well. I occasionally feel it kick in. It isn’t going to work all the time but it definitely helps Afib burden.
Re: When are regular ectopics/palpitations considered to be intrusive? February 09, 2020 07:55AM |
Registered: 6 years ago Posts: 166 |
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GeorgeN
PS. as a side-note, I know what pacemakers are used for, but just out of interest, are they of any use to regulating heart-rate in terms of irregular heartbeat? Just something I was chatting about this afternoon.
Mostly a pacemaker will set a floor on heart rate, like 60 BPM. The pacer times the time since the last beat. If it exceeds a set level of milliseconds, it will send a signal for the heart to beat. Hence these will not take care of "fast" beats, i.e. PAC's or PVC's. There may be some new ones that act differently but don't recall the details.
Re: When are regular ectopics/palpitations considered to be intrusive? February 09, 2020 07:58AM |
Registered: 6 years ago Posts: 166 |
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Carey
Anyway, have any of you guys ever been told yours are 'intrusive', and what level do they have to get to to be considered instrusive?
The standard cardiologists use to decide if PVCs warrant ablation is 20,000 per day, or about 13 per minute (every single minute of the day). To my knowledge, there isn't a comparable standard for PACs because PACs aren't easily found and ablated. I've never heard of an ablation being performed to deal solely with PACs. I went through a period in 2015 where I was experiencing bigeminal PACs. In other words, every other beat was a PAC. This would continue non-stop 24/7 for weeks at a time, meaning there were about 43,000 per day. My EP said attempting to ablate it would likely just make things worse. I finally got them under control with Tikosyn, and then Natale's ablation in 2017 ended them. But he didn't attempt to ablate PACs. He just ablated my sources of afib and flutter and the PACs were eliminated in the process.
A few years back they tried using pacemakers to override PACs to try and prevent them from initiating afib. The idea was when the pacemaker sensed a PAC it would pace the heart faster to try and become the dominant pacing source and "overrule" the ectopic source, but apparently that didn't work well.
Re: When are regular ectopics/palpitations considered to be intrusive? February 09, 2020 07:58AM |
Registered: 6 years ago Posts: 166 |
Quote
Daisy
A few years back they tried using pacemakers to override PACs to try and prevent them from initiating afib. The idea was when the pacemaker sensed a PAC it would pace the heart faster to try and become the dominant pacing source and "overrule" the ectopic source, but apparently that didn't work well.
My Pacemaker has that algorithm and it seems to work well. I occasionally feel it kick in. It isn’t going to work all the time but it definitely helps Afib burden.
Re: When are regular ectopics/palpitations considered to be intrusive? February 09, 2020 10:39AM |
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Re: When are regular ectopics/palpitations considered to be intrusive? February 18, 2020 01:47PM |
Registered: 6 years ago Posts: 122 |
Re: When are regular ectopics/palpitations considered to be intrusive? July 04, 2020 05:50PM |
Registered: 6 years ago Posts: 122 |