Heart Disease Expert Forum
PVC's and Pacemakers
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This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

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PVC's and Pacemakers


  I am a 37 yr old female with a long cardiac history.  I was origianlly
  diagnosed with  Atrial Flutter, 2-1 conduction in the AV node and Sinus Tac.
  In June 1991 after eps studies I had an ablation of the AV node which was only
  partially successful in creating partial heart block.  I had a DDD pacemaker
  implanted and was still left with extreme tachycardia.  Resting heart rate of
  120-130.  I then travelled to Vancouver where the tried to ablate my sinus
  node with good success.  My resting heart rate is now about 75.  I have had
  a great problem with PVC's since having these ablations.  I am presently waiting
  to have my pacemaker and leads changed (early next week), both leads have cracks
  in them and battery is almost dead.  
  My question is, if I proceed with another ablation, and become completely
  pacemaker dependant, will this stop the PVC's?  I still have alot of arrythmias,
  and palpatations, which are real nucence.  I have been told that if I have
  another ablation, this would stop all of my problems.  Also, can the old leads
  be removed if I have further problems with bruising?  I am not comfortable
  having 4 leads in my ches.
  thank You for your help.
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Dear Jackie,
As for the old leads, yes they should be given a thorough attempt at removal by an experienced electrophysiologist.
Being pacemaker dependent will not necessarily void out your PVCs, but there certainly is a possibility that the controlled environment by the pacemaker will minimize if not eliminate them.  A pacemaker will also allow you to be on beta blocker type medications which some physicians prescribe to those patients who are extremely irritated by their PVCs and have eliminated all the potential causes of PVCs (like caffeine intake, stress, alcohol, etc.)
I hope this information is useful. Information provided in the heart forum is for
general purposes only.  Only your physician can provided specific diagnoses and therapies.
Feel free to write back with further questions. Good luck!
If you would like to make an appointment at the Cleveland Clinic Heart Center, please
call 1-800-CCF-CARE or inquire online by using the Heart Center website at
www.ccf.org/heartcenter. The Heart Center website contains a directory of the
cardiology staff that can be used to select the physician best suited to address your
cardiac problem.




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