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Is There Still A Risk Of Congestive Heart Failure After A New Biotronik CLS Pacemaker Implantation?
Hi I am a 50 year old white male. In trying to find out why I cough and laugh and black out, I have had ECG’s come back always saying different things. Starting with possible left artiral enlargement, left axis deviation, sinus Tachycardia, QT shortened, early R/S transition. Left axis deviation with mild right ventricular delay, left anterior Fascicular Block, left branch bundle block. In 2009 a loop recorder detected asystole which warned a pacemaker, 2012 a esphogeol echocardiogram detected a PFO which was closed. A heart cath in 2012 detected left coronary arterial spasm. Current pace maker shows super ventricular tachycardia. A recent ECG showed left ventricular output reduced to 20-25% from 55-60% in December however a MUGA scan showed out put at 55% after being on cardeilol 3.125 mg 1 2X daily. New biotronic CLS pacemaker implanted in June 2017 SHOWS pacing about 35% of the time. While my electrophysiologist says there is nothing to worry about I was wondering why there is so many different results with the ECG and is there something to worry about such as Congestive heart failure or something?
Mon, 8 Oct 2018
Hi,
You are little bothering about the different ECG findings in you at different times. There are many reasons as to the findings of ECG. One such is a normal finding, there are lot abnormal. Like heart disease due to hypertension, coronary artery disease which is commonly referred to as heart attack, and in certain situations it is due to cardiomyopathy, a condition where the heart muscle is diseased, which has many reasons, one of which is genetic.
Certain drugs can also cause the ECG changes which you are bothering about like Lanoxin. As your electrophysiologist said, be assured and stay in followup with that Doctor. Based on your history, it seems that you have some degenerative condition of the heart, which has lead to heart blocks and the episodes of giddiness and syncopal attacks which are due to the reduction of blood supply to your brain during the abnormal beating of the heart.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Muhammad Azhar Hussain,
Internal Medicine Specialist
You are little bothering about the different ECG findings in you at different times. There are many reasons as to the findings of ECG. One such is a normal finding, there are lot abnormal. Like heart disease due to hypertension, coronary artery disease which is commonly referred to as heart attack, and in certain situations it is due to cardiomyopathy, a condition where the heart muscle is diseased, which has many reasons, one of which is genetic.
Certain drugs can also cause the ECG changes which you are bothering about like Lanoxin. As your electrophysiologist said, be assured and stay in followup with that Doctor. Based on your history, it seems that you have some degenerative condition of the heart, which has lead to heart blocks and the episodes of giddiness and syncopal attacks which are due to the reduction of blood supply to your brain during the abnormal beating of the heart.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Muhammad Azhar Hussain,
Internal Medicine Specialist
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