Question 1

I'm a 54-year-old guy and I've been told I need a heart pacemaker. So, before I go for it, I want to know all the details. Like, how does this thing actually work? What kind of care do I need after getting one? Is it going to be comfortable to live with? And most importantly, should I be worried about any side effects from having a pacemaker?

Accepted Answer

A pacemaker is a small device that's placed in the chest or abdomen to help control abnormal heart rhythms. It uses electrical pulses to prompt the heart to beat at a normal rate. You may need a pacemaker if your heart beats too slowly, too quickly, or irregularly. After getting a pacemaker, you should avoid vigorous activities that could damage the device. It's important to attend regular follow-up appointments with your doctor to ensure the pacemaker is working properly. Most people find living with a pacemaker to be comfortable and are able to resume normal activities. However, you should avoid certain activities that can interfere with the pacemaker, such as using certain medical devices or undergoing certain medical procedures. Common side effects of a pacemaker include infection at the site of implantation, bleeding, bruising, or swelling. In rare cases, there may be complications such as a collapsed lung or a punctured blood vessel during the implantation procedure. It's important to discuss any concerns with your healthcare provider.

Question 2

I'm trying to understand why my ejection fraction is higher than normal. It's at 82, whereas previously it was 70 according to another report. Should I be worried about this change? What could cause such an increase in ejection fraction?

Accepted Answer

An ejection fraction of 82% is considered higher than normal and may indicate a condition such as hypertrophic cardiomyopathy. It is important to follow up with your cardiologist for further evaluation and management. In some cases, medications like Metoprolol (Toprol XL) may be prescribed to help lower the heart rate and improve heart function. The dosage will depend on your specific condition and needs.

Question 3

I'm really concerned about my dad. He had a massive cardiac attack and the doctors told us that all three of his arteries were blocked. They managed to save him by placing a stunt in one of them. I'm just wondering, what do you think would be the best way forward now? Should we consider bypass surgery, or would it be better to place stunts in the other two arteries too? It's a lot to think about, and I just want to make sure we're making the right decision for his health.

Accepted Answer

In this case, since your dad already had a stent placed in one of the blocked arteries, the most suitable course of action going further would be to assess the condition of the other two blocked arteries. If the blockages are severe and bypass surgery is deemed necessary, then bypass surgery may be recommended. However, if the blockages are suitable for stenting, then placing stents in the other two arteries may be a more suitable option. It is important to consult with your cardiologist to determine the best course of action based on your dad's individual medical condition.

ECHO report is normal

More Cardiology Health Queries

I'm trying to understand why my ejection fraction is higher than normal. It's at 82, whereas previously it was 70 according to another report. Should I be worried about this change? What could cause such an increase in ejection fraction?

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