Common "Pacemaker" queries answered by top doctors | iCliniq

Pacemaker

A pacemaker is an electrical device that is placed under the skin in the chest, which helps in controlling the heartbeat. Conditions that can affect the heart rate are arrhythmias, normal aging of the heart, some medicines, and congenital abnormalities of the heart.

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I have symptoms of breathlessness even after having a pacemaker. Please help.

Query: Hi doctor, I have done ECG strip analysis. I have symptoms of breathlessness on climbing stairs. I am having a DDDR-CLS rate-responsive dual-chamber pacemaker. I have type diabetes, hypertension, hypothyroidism, and Parkinson's syndrome.   Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Your ECG (electrocardiogram) seems to be normal (attachment removed to protect patient identity). Your rate, rhythm, axis, and everything are within the range. Please mention the reason for having DDDR (dual chamber rate-adaptive pacemaker) implantation and when you did...  Read Full »

My father has recurrent infections after pacemaker placement. Why?

Query: Hi doctor, My dad had undergone pacemaker fitment, and after that, it was removed due to pocket infection and post explanted, again there was an infection, which was cleaned from a plastic surgeon, and now again he is having swelling near the pacemaker fitment site, and previous pus culture reports ...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. It is recommended to place a pacemaker generator on another side of the chest after explanting due to infection. If the pacemaker is implanted and there is re-infection, again, the whole hardware should be removed. And after clearance of infection, it should be implante...  Read Full »

Which has to be given priority among angioplasty and pacemaker placement?

Query: Hi doctor, My mother is 64 years old. She has diabetes and hypertension. She suddenly fainted after taking BP medicine. Her pulse rate went down to 30 bpm. She is admitted to the hospital with a low pulse rate of 50 to 55 bpm. The angiography is showing two blockages. One is 70%, and the other is 90...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. According to your query, two vessels are diseased. Her heart rate went to 30, and she fainted after taking BP (blood pressure) medicines. Why angiography was done? Did she have heart attack or just uncontrolled angina? What medicines is she taking for BP and diabetes...  Read Full »

Do I need to get my VDD pacemaker replaced?

Query: Hello doctor, I have been implanted with a VDD pacemaker due to Brady-tachy syndrome for ten years. My condition improved, and medication was stopped (Amiadorone and Metoprolol). I pace less than 3 % when interrogated. Now the battery is depleting, and my doctor said I need a replacement even though...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. Thanks for the query. What is your age?  Read Full »

Is it normal for the heart to stop for 11 seconds during vasovagal syncope?

Query: Hi doctor,I am a 21-year-old male and take no medications. Four years ago, I started having vasovagal syncope episodes that have increased in frequency over the years, and I have now passed out from it around ten times. My triggers for it are blood, needles, and damage to the wrists. My clinic recom...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Thanks for the query. First thing you should know is that vasovagal syncope is not dangerous. Try to avoid circumstances that lead to syncope. When you feel that you are having syncope (prodrome), escape from that area or scene. Sit down on the floor in a squatting posi...  Read Full »

What is the role of pacemaker in arrythmia?

Query: Hello doctor, I am 63 years old male. I am a known case of atrial fibrillation 20 years. I had a brain hemorrhage 23 years back. I have a paroxysmal type of afib. Recently its frequency has markedly increased. I am taking Sotalol 80 mg and 80 mg. But now Sotalol increase is required which causes br...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. The rate in AF (atrial fibrillation) is controlled with beta blockers, calcium channel blocker or Digoxin. You are taking Sotalol which is a beta blocker as well as the anti-arrhythmic drug. The permanent pacemaker is implanted when there is tachy-brady syndrome. It mea...  Read Full »

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