Do I need a pacemaker?

Nurses General Nursing

Published

To make a long story short... seven years ago I began to have frequent episodes of tachycardia, just out of the blue and unrelieved by rest or meds (beta-blockers, ativan-because I was originally told it was an "anxiety" issue- etc.). It was found that I had automatic atrial tachycardia and I underwent radiofrequency catheter ablation x2. I have had no more episodes of tachycardia since then but I do have fairly regular palpitations which don't really bother me now that I am used to them.

Well, after my second ablation the doc told me that there was a chance I might need a pacemaker in the future as my resting heart rate would hover around 55. Now, seven years later, my resting heart rate is around 45 BPM. My blood pressure is fine (usually 120s/60s) and I am not symptomatic. I also run 3-4 miles 3 times per week.

My question is this: what is the lowest resting heart rate you have known someone to have and that did not need a pacemaker? Is there anyone here who has had a similar experience?

Thanks!

Just reiterating what others have said and adding a touch.

Your Cardiologist probably has you on a regular checkup schedule and my thought would be once a year. Make sure you keep to this. Sounds as if you are doing a good job of keeping yourself healthy and being aware of your body and condition. Make sure you continue to monitor your HR and BP. No matter how many doctors, nurses, or psychic healers ;-} one sees, the patients that know what is going on with their body always fare better.

It sounds to me like you have a good handle on the situation and are doing all of the right things. Keep it up and good luck.

Donald

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Donald Cox, RN, BSN, CEN, RCIS

mailto:[email protected]

IM me on AIM or Yahoo! - doncoxrn

http://www.cox-family.org/Donald/

Currently on assignment in New Jersey

But still calling North Carolina home.

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I feel like my wild oats have turned to shredded wheat.

I am a CCU nurse for 6 years. If you exercise like you have said, than your resting HR is beyond beautiful..... it shows a strong left ventricular output , good ejection fraction which allows your heart to rest at a low beat per minute. Cardiac output is HR x stroke volume. If your heart is strong (good ejection fraction) than your heart rate will naturally slow, to give your diastolic filling more time, which perfuses your coronary arteries an extra long time.

This is the goal of every cardiologist who prescribes beta blockers. you've done it with exercise....!!!!!!

Have doubts, and you should with such questionalbe advise.... demand an echo. This will tell you your ejection fraction and filling pressures. from here, any cardiologist..... who would be giving you that pacemaker could make an educated decision on.

AKA, see HR's in the 30's with MI's that resolve on their own, without pacemakers, this include 80 year olds that do justfine.... as long as they are asymptomatic

get a cardiology opinion.... and keep up the exercise... let us know

Specializes in ER,Neurology, Endocrinology, Pulmonology.

I'm not a pro, but i agree - for a young person in shape 40s resting is fine. Many people have PVCs and live with it just fine.

Also, when u had tachycardia, how far did your heart rate go up?

There is a big difference between having episodes of 120s and having episodes of 160s.

If you have heard disease in your family, find out what it is. Keep the check-ups like the others advised.

good luck!!

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