Monday I had the rest of my surgery finished, and my pacemaker connected and AV node ablated. I have a new and different pacemaker if you did not see my previous posts. It is called.Azure by Medtronics and only approved in October by the FDA here in the states. According to my doctor prior to this, there was no pacemaker to help my particular situation, and I would’ve continued into heart failure. It is called. HIS pace bundling. Evidently it is more than I thought it was, and thought my doctor was just being nice calling it special lol. I have an app on my phone where it tracks many things as well as send my information to a clinic on a constant basis. That way my doctor and I will be notified anytime there is a situation. I just received a notice that everything is working well with the clinic and my pacemaker. I seem to be very blessed having this.
I won’t lie It has been a long week and a bit of a rough one. The insertion was not that big a deal although yes, it hurt for a couple of days. The rough part was that I am a little disappointed because I had a cardioversion in October and felt amazing almost immediately. That is not happening here although my breathing is pretty good already and no crushing chest pain for the first time in over a year.
so I am not ungrateful. I think I realized getting a pacemaker can be a little overwhelming. My emotions have been going up and down maybe because I realize now that I was more serious than I thought I was. Without this pacemaker, I was told I would’ve continued in heart failure, because nothing seemed to be helping. Afib is a monster. I look back to just prior to getting it less than three years ago and think about how great I was feeling. I am going to try to focus on feeling that way again because according to my doctor, when I am healed, I should be just like everyone else without heart issues. He told me if I should experience the fatigue and everything else of a fib. He can assure me that is not what the problem is. He is that sure that a fib has been quieted. Now everyone needs to remember there is no cure. The AV node has stopped sending signals to my heart that was the purpose of the ablation. I have a typical flutter also and this does not help that feeling. It won’t affect my heart rate, but I will feel it once in a while and might also feel a palpitation or two once in a while. I mentioned this, because I did feel my heart pounding for a few days, but I did not affect my heart rate. I have not felt it since another thing that does happen is my heart rate will go up and down because the pacemaker anticipates where my heart rate should be if I am being active it even tracks my activity. Surprisingly I have been more active than I thought.
Currently my heart rate is set at 80. Because I had tachycardia for so long in the 150s for over eight months and then dropping into the 120s until the pacemaker was implanted, anything lower would be drastic on my heart right now. I am lightheaded and a little wobbly even with the 80. Eventually, my doctor will attempt to put it down between 60 and 70. One amazing thing is there is a good possibility that my heart will get healthier now. I admit I do feel a difference today from Wednesday when I came home. My healing time is 6 to 8 weeks and it could be up to six months for everything to start feeling right but that being said there is nothing wrong with the way that my heart is working now. Finally all of the stress is off of it and it will have a chance to rest. Right now obviously there are limits such as stretching my arm above my shoulder. This is so that the leads have a chance to become better embedded in the heart muscle. The first few days were difficult not using my left arm very much but I quickly got used to doing it. Again because it is a different pacemaker. My doctor told me before the surgery that even a millimeter can throw it off I was able to work around the fact I sleep on my left side. I have a pillow and when he saw how I was laying, he said it was OK. It’s not as limiting as you first think it would be and because this is so new I discovered people were over reacting to it, such as the nurses.
If you get a peacemaker of any type and have the opportunity, speak with the tech from the company. In many ways they are more knowledgeable than even your doctor. I am very impressed with the company. I met the tech immediately after my surgery. He came in with my doctor and they did an x-ray while I was in bed to make sure it was all where it needed to be. later, I had a woman from the company come in to see me and I learned more from her. I also saw her again with my EP the other day. That is when my doctor gave me more information and stated how good all of this has gone. Again, the tech was able to quell my fears about things I have been feeling. It is not scary. If you know, some thing is normal to feel from your pacemaker.
if you have a pacemaker, try to find that company site for patients. Again, you will get answers that perhaps even your doctor cannot give you. You get a different view from the tech.
The newer pacemakers are also made for us to be able to have testing that we could not have had previously including MRIs. We all know those are used for many health issues so this is a relief. I was immediately given an ID card with model numbers of my pacemaker as well as a statement to contact my AP before anything is done such as MRI etc. there is an emergency number.
Another interesting thing is how at one time contact with magnets could actually have killed you. Now the devices are set so if a magnet affects it all it does is wipe what it was said for by your doctor and puts it to 85 for a heart rate. It does not stop, so you are still safe. I find this interesting knowing people with older pacemakers. The battery life is longer also and it shows on my app that right now it is approximately good for 13 years.
I apologize for the novel, but I want people to know, regardless of what type of afib or flutter you have, they are constantly working on helping us. A fib is so complex it may never be cured, so what they are working on, is giving us quality of life as soon as possible instead of having numerous failures of different tactics. I have already been removed from my digoxin. Right now I am still on my Metropolol and most likely will remain on a blood thinner for life which is fine with me. I know some people have issues, but I don’t seem to be having any problems with Xarelto, which I have been on from day one. If you can take blood thinners, they also have the watchman now. Not everyone is compatible with everything, but again we have come along way more than I was aware.
I have also been reminded to not focus on all of this so much because it leads to more anxiety and even to feeling things that are not really there. It really is hard to hand your health over to a device but when I think of where my health was going It was definitely the way to go.
I am telling all of you and boring you to tears probably because I just want you to know there are options. When my cardioversion failed in December, I was really about to give up. I want you to know that if you have a good doctor do not give up, and if your doctor isn’t helping, you try to find another one if you can like I did. We have to remember also that there are healing periods I know in the UK, you have them called blanking, and that was not mentioned to me as much as the fact it is what it is. Even a cut must heal, and if you think about the fact of what they have done to get me to this point, it makes sense. My chest is very achy inside not where the pacemaker is but in general. It has been quite a while since I have had an ablation, but I have a feeling I felt this way before. I am still tired and I really hurt all over but again after surgery I always get this way and often wonder what were they doing with me while I was sleeping lol. I believe the hospital bed and possibly laying for so long in one position is all that is causing the body ache. Instead of getting into a panic, we have to take a deep breath and think things out. If you cannot find an answer, that must be someone you can call on the MEDICAL side. Best of luck to everyone with afib. I am beginning to really feel hopeful, because according to my doctor, there is no reason I should not. From what I can gather when I am healed, there should be no limits to what I can do again. That being said, I probably should not try bungee, jumping and things I could not do previously lol it’s a bit like well. I’d be able to play the piano. If I didn’t know how before, I am not going to be able to sit and immediately play now lol I will be happy to be able to do simple things like stand at the sink and do dishes and to put my laundry in the washer. I have not been able to do those things or even walk across the floor without pain and breathlessness and more. I am doing them already.
COMMON SENSE is some, and we all must need when we have afib.