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Curing CSA by upgrading to CRT pacemaker? - Printable Version

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Curing CSA by upgrading to CRT pacemaker? - Per Laursen - 03-02-2024

I have had OSA for 20 years and are well treated with my CPAP. After having an old 2 lead pacemaker implant two years ago, I suddenly developed the socalled Pacemaker Syndrome, including CSA in the level of AHI ~40. -with Obstructive apneas still below 3. Nightly oxygen levels dropped to below 85%. To cure the pacemaker syndrome, I have had a new type of pacemaker, the socalled CRT-P which paces both parts of the heart, and not only the right part as the former. Suddenly CSA burden fell to the level of 0.5- 5.8, and the CRT pacemaker seems to be a successfull cure of CSA in my case. 
Wonder if anybody else have experienced the same, as its a simple solution to a devastating and deadly problem, which are not to be cured by CPAP or any medication. Per in Denmark???


RE: Curing CSA by upgrading to CRT pacemaker? - Jay51 - 03-02-2024

Per Laursen, I very much appreciate your post.  I am a healthy 54 YO male, but my Cardiologist thought about giving me a pacemaker a few years ago.  I have bradycardia (and mitral valve prolapse), but Cardiologist decided I didn't need pacemaker because I am a former athlete and that is the reason for my bradycardia (I can get down into 30's at night during sleep).  

Interesting that pacing both parts of the heart stops CA's.  I had a ton of CA's on my polysomnography.  Machines with back up rates have stopped all of my CA's.  Great information to have for the future though.

Also, I have noticed that when using this ventilator or my ASV, it speeds up my heart rate slightly (maybe 5 beats per minute on average).  I assume from the increased air delivery to my lungs.