Missing av node spikes

Hi all,

I just had a few questions..for anyone who has not read my posts before my sa and av node have been ablated. I recently had a stress done last week and it showed that I am at times having some activity from my own sinus node and not the pacemaker. This puzzled the dr cause of last month when I had my last ablation it was not working at all and my atrail pacing is not 80% instead of the 95% it was 3 weeks ago.

What is really bothering now is after seeing myself on the monitor at work (I work in a hospital and they off and on will put me on the monitor just to see what my heart is doing while i'm working) on friday it showed that as long as I'm not up moving or walking I am pacing 100% in both chambers but when I get up moving around I thought I was losing the atrail pacer spike but after looking more closely today I lose my ventrical spike, and also sometimes I have NO pacer spikes! How can that be possible when they have ablated both sa and av nodes?

They are taking me back into surgery on aug 5th for an epicardial ablation of the sinus node again as it is causing me lots of problmes like chest pain, shortness of breath and very fatigued.

Has anyone else ever seen or heard of this?

Thanks Holly

1 Comments

beats

by Tracey_E - 2013-05-27 10:05:07

From what I understand, AV node is just one area and they can ablate it all, but SA comes from multiple areas and it's virtually impossible to get them all.

It's normal for the heart to get something of an underlying rhythm on its ownafter an ablation. I thought it was usually idionodal/junctional rather than normal so I'd expect some pacing in there to even it out but who knows?! I sometimes think they have a mind of their own! Good luck with the next surgery.

You know you're wired when...

You have a $50,000 chest.

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I have an ICD which is both a pacer/defib. I have no problems with mine and it has saved my life.