@@RobsHampshirePubWalks Great question. An implanted pacemaker is not capable of being recharged. The battery tends to last between 8 - 12 years or so, depending on how much pacing is needed over that time. When the pacemaker reaches the end of its battery life, the entire pacemaker is replaced. The leads that are in place, if they are functioning well, can unplug from the old Pacemaker and plug into the new one, and they do not need to be replaced.

@@bikelover3308 i hope the procedure goes well for you! 🤞

@dr.joshuacooper-arrhythmia9917 thank you Dr. 🥺

@dr.joshuacooper-arrhythmia9917 now i take 3 type of medicine one it's concor 5 mg one it's Cordarone 200mg and rhe last one is aspenter 75 mg i have a really big problem when i need to take this medicine's ? what's is your opinion?

When a medication approach is taken to manage an intermittent fast heartbeat problem, sometimes the medications make the heart go too slow when the heart is in its normal rhythm (sinus rhythm). That situation can sometimes be tricky, with the heart still going too fast (despite being on some medicines) when the abnormal rhythm happens, but the heart going too slow when back in normal rhythm. Two of the ways to manage this situation include either 1. put in a pacemaker to prevent the heart from going too slow in normal rhythm on higher dose medicines, allowing more medication to be used to treat the fast heartbeat problem, or 2. alternatively to switch from a medication strategy to a catheter ablation strategy to manage the fast heartbeat problem rather than keep adding more medication. You should ask your arrhythmia Dr whether there is an ablation option to treat the fast heartbeat problem instead of more medication. And you can always seek another opinion from another arrhythmia specialist. Best of luck to you!

@ thank you so much for responding. I will look for a electrophysiologist to see if they can help me look into other options besides a pacemaker. An ablation might be a better option too.

Your description sounds very much like PVCs, but an electrical recording of the heart during symptoms could prove it. That could be in the form of a heart monitor that your doctor prescribes, or a smart watch that records the EKG (like Apple watch) or an app on your phone with recording device (like Kardia mobile). Getting a recording of the heart's electrical pattern right when you feel symptoms would be extremely helpful for your doc to give you an answer. (and then you can discuss options for treatment, if appropriate)

Then I have to deal with the world saying this is all mental/crazy. I hate it.

Mine never self regulated, only with medicine until no medicines worked as a teenager

Also was not able to have children because the baby's heartbeat set mine off, even after surgeries this was intolerable and started having seizures again but I am not sure that I ever really stopped having them with this condition. Note to anyone with this condition: get your medical records I did not know to do this and it is part of the difficulty dealing with doctors today. Similarly neighbors, public settings with all the cigarette smokers. Being in the proximity of Illegal drugs like meth are almost unbearable even with surgery. The symptomatology is not corrected with surgery meaning all the things that would set your heart off still make you sick you just don't have to go to the ER.

@@DCFunBud Because induction heating uses an alternating current, the strength of which fades dramatically with distance, a person with a pacemaker is indeed able to use an induction stove, but they should not lean forward and have their chest be close to the induction surface while it is on. Recommended distance is ~24 inches to be safe, according to pacemaker vendors.

Beta blocker medications (including propranolol and metoprolol) are usually not very good at suppressing PVCs. I agree that switching from one to another has a low chance of success (and may take away the benefit of propranolol, which might be helping in another regard). Catheter ablation of PVCs can be curative. Other medications can work better than b-blockers, particularly flecainide. I would recommend seeing an EP doc to discuss options in your case.

@@6thdayblue59 thank you so much for the note! I'm so happy to hear that this video was helpful for you and your partner. Best of luck!

Hopefully you are able to connect with a pediatric EP doc to discuss treatment options, including catheter ablation either now or in the future! Best of luck to you!

Would be an unusual pattern to see a shorter PR interval after a longer PR interval in a 2nd degree AV block situation. Can certainly see different beats conducting down slow vs fast components of the AV node, giving different conducted PR intervals. And can see AV block with subsequent junctional escape beat giving appearance of long PR with conduction. But I can't come up with a good explanation for the pattern you describe without seeing the tracing. During sleep, high vagal tone is common, and can see patterns consistent with AV node slowing and/or block in the context of high vagal tone.

@@DanielleRadicanin Everybody has premature atrial beats, some more than others. And just like pvcs, they can wax and wane on different days and in different months. Premature atrial beats are often the trigger for SVT, so they almost always go together. If you had SVT in the past, it was likely the case that you had premature atrial beats that triggered each episode. So this is not necessarily such a different arrhythmia from what you have had in the past, as you likely had both. I don't know if you had a catheter ablation or if you are taking medication to suppress SVT. But it is very common to have persistent premature atrial beats even after successful suppression or elimination of SVT. If the premature atrial beats and atrial bigeminy are causing symptoms and bothersome to you, certainly you should talk to your electrophysiologist about next steps in management.

@@dr.joshuacooper-arrhythmia9917 Thank you for taking the time to clarify that the ectopic beats may have preceded the SVTs. I have to wonder how much a small hiatal hernia may be impacting or exacerbating what now is an ongoing pattern of bigeminy? There is also a long history of Hashimoto's. When the autoantibodies are elevated, the cardiac irregularities are also present. I have not had an ablation given the SVTs were less bothersome than this recent 24/7 bigeminy pattern. There are also ST wave abnormalities.

Ectopic heart beats can happen in the top part of the heart (called premature atrial complexes, or PAC's) or in the bottom part of the heart (called premature ventricular complexes, or PVC's). "Ectopic" just means coming from a different place than normal (normal beats start in the sinus node - the natural pacemaker spot that is located in the top right part of the heart). PVCs tend to cause symptoms more than PACs.