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office visit not covered by Medicare?

I got my pacemaker December, 2021. All is great and I am feeling better. I went for my first 3 month checkup with my electrophysiologist and both Medicare and Anthem refused to cover the visit. What's up with that? I plan to call and ask why but wonder if this is common and maybe the claim was coded wrong?

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BPM

I had my BPM increased from 50 to 60 and feel much better, more active, less swelling of my lower legs and feet. How often can the MICRA be increased and by how much? What are some symptoms that indicate the need for a BPM increase?

Someone posted earlier that Cardura caused swelling of their lower legs and feet but those symptoms don't show up in a web search. Can you lead me to that information?

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Remote Check Notes

Hello All,  I had my second Remote Check for my dual chamber pacemaker.  I don't really understand what these numbers mean.  Is the purpose of this check just to show that the pacemaker is working correctly and how the the battery life is which is 12.9 years.  What does RA paced at 99.6%,  RV oaced at less than 0.1%, HX AF burden 0.1% all mean?  That is all it says.  No other numbers or notes.  Thanks!  Sharon

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Recent remote transmission question

So I'm 3 1/2 years in with my CRT-P, and post atrial flutter ablation. It appears that I am in atrial flutter for the majority of the time, which is why I am on Eliquis.

The report says "Episodes of AF/AFL shows occaisional undersensing with periods of pacing near max track. Review of presenting rhythm suggests RV paced beat comes before LV impulse. BIV pacing programed 0 offset. "

And then later on, the recommendation is to consider VVIR programing. 

So m...

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Two weeks after

Phrenic nerve stimulation, a rare complication of pacemaker:... : Medicine (lww.com)

had just about exact complications, and tech provided about exact voltage ajust to cure the problem.......finally feels great, no more body slams (so far!). Removed bandage and a couple of stitches, but never got any instruction about keeping the site clean! :(. Not sre to do normal shower/dry, or?...... Any advice from experience would be greatly appreciated.

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pain after checkup of heart and pacemaker

I am feeling an odd pain around the pacemaker implant site after going for my regular checkup for my heart and pacemaker.  They told me everything was good (I've had my pacemaker since April 8th of 2021).  That was on the 29th and since then I keep having little pains off and on when I move my arm and it's just around the pacemaker area.  Anyone else?

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Fast heart rate all night with biotronik CL S

Hi can anyone help, I got my Cls activated for the first time yesterday after starting off with just basic levels at 60 during the day, 50at night which was an improvement but didn't give me the quality of life I hoped for. I have chronic bradycardia due to brain injury but can mount a good response to exercise, am just not so good sitting still and can't stand in one place without fainting which is why I got the PM.

The Cls function was sold to me like it would be the dogs boll...

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Need help reading remote report

A friend who originally got a pacemaker because of vaso-vagal syncope asked me for help interpreting the following:

Scheduled remote reviewed. Normal device function.  
18 new VHR events logged 31 seconds to 12 minutes 25 seconds w/ rates 150's bpm; EGMs suggest SVT
AF burden <1%; longest 1 to 3 hours; V rate histogram shows ~90% binned >110 bpm; available EGM suggest SVT
Next remote 91 days. HB

Q. V rate histogram shows ~90% binned > 110bpm

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Experiences with PVARP, AV delay, Min PAV/SAV modifications

Hello!

Question for people with Medtronic PMs...

Has anyone had to make tweaks to their PVARP, AV delay, Min PAV/SAV settings so that they can get back into running/cycling?

 

 

 

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Rate Response settings in DDD mode

I have a dual lead Medtronic Azure XT PM which is currently set in DDD (only). My SA node is working fine and is driving the AV node. We are currently trying to optimize the settings for my extracurricular activities.

The tech was saying that when the PM is in DDD mode, none of the rate response settings matter EVEN IF the Rate Profile Optimizatoin setting is set to ON. I cannot find anything in the manuals that supports this statement. I was wondering if anyone has any data that can pr...

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Patient Monitor (Medtronic "My Care Link" ) showing lights in night

I have a Patient Monitor (Medtronic "My Care Link") non wireless model placed near my bed.  I have not been asked to send transmissions yet but the device sometimes lights up in the night and therefore wakes me up.  I do not want to move it to another part of my bedroom since my house has thick stone walls and the mobile phone signal is weaker further from the window.

I have made a cover from a small cardboard box to place over the device so that if it does this...

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Boston Scientific Accelerometer /Minute Volume Exercise settings for exercise

Dear Friends,

I am due to have a pacemaker change to a Boston Scientific (thank you NHS). Just waiting for a date.  (" Please phone if you have not had a date in the next 6 weeks").

Do you guys  have any advice re. Settings  (RR & MV) for swimming, cycling, table-tennis, dancing? 

I do find my St Jude Verity PM is not so good for lifting weights, stairs,  ballroom dancing, and getting going for swimming and cycling... though I...

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Right Ventrical Pacing in AAI (R) mode

Hi,

I have a Medtronic Azure S pacemaker working in AAI (R) mode.

During last check I got printouts with the following information: 

AP (Atrial Pacing) 90.4%

VP (Ventricle Pacing) 0.1% (MVP ON)

Is it normal the PM to pace in the right Ventricle in AAI (R) mode?

What is the meaning of MVP, how it works?

Thanks

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Just some information

Biotronik dual chamber pacemaker since 2019

Resting heart rate 35.

left and right bundle block branch. 100% paced 43 years old male

im still working my same job as I did before, at a car manufacturer company.  a lot spot welders  which causes alot  EMF around me.and I do stick welding and co2 welding now and again. 

pacemaker has never recorded or reported any 

problems.  I would not recommend any else to &nb...

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How common is this situation in your experience?

Hi all,

I started life with my pacemaker with a 2:1 block and around 45% pacing. 

I struggled a little bit with exercise and they performed a treadmill stress test which showed that whilst my atria could beat at 180bpm, my pacemaker was needed to match that. As such my upper rate was adjusted to 180bpm.

All good, everything felt fine with my heart but.....I was pacing 100% now in the ventricles.

To treat another issue (autoimmune disease) I have been injecting wit...

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pacemaker

Hello, I just received my pacemaker on Dec. the 1st. should my hospital have a way to check on how it's functioning/battery life etc. Thanks! 

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Ear phones/Earbuds

Hi, I'm knew to all of this so sorry if my question has been asked before. I'm 6-weeks PostOp pacemaker placement. I am trying to learn as much as I can so I do things right. I'm wondering if I can use ear phones or the wireless earbuds? Or if I can't I was thinking would it be safe to just put the right one in away from my pacemaker site. It's sounds like a silly question but I just want to be sure it won't interfere with my pacemaker. I'd appreciate any advi...

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VVI 40 from DDD

Hi

I have 2:1 heart block and a long PR interval

For most of this year I have been on DDD with rate adaptive AV.

the rate adaptive setting appeared to be the only way of me getting 1:1 pacing when exercising. This also included an upper tracking rate of 180bpm. Everything seemed fine no symptoms of anything even during my limited exercise events this year.

But this has meant I now pace 100% in the ventricles.

Last week after an appointment I was mov...

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Bi Yearly testing in 3rd. World Country

I have a St Jude pacer/Dedefibrillator installed early 2017 . I moved to Philippines 3 months later. I go to a cardiologist at Makati Medical, in Manila.  I get tested every 6 months to keep an eye on my batteries, and to check for any events. I have a leaking Mitral valve (moderate) and I have to time my return to the US for battery replacement & valve inspection (probably time for repair). My point: The Cardiologist charges me: $37.00 for the test, shares the results on screen and...

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Check-ups

Hi everyone,

Just wondering has everyone had regular check-ups with there pacemaker? 

I have had none and am concerned about that. I had my implant 20/10/20.

Cheers Wendells

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You know you're wired when...

The meaning of personal computer is taken a step further.

Member Quotes

In fact after the final "tweaks" of my pacemaker programming at the one year check up it is working so well that I forget I have it.