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In 1989, Mother Teresa was admitted to the hospitals intensive care unit with a high temperature and an irregular heartbeat. Yesterday my Medtronic rep evaluated and turned Rate Adaptive AV from Off to On and made following settings: Upper Sensor Rate 160bpm, Rate Adaptive AV Start Rate 90bpm, Rate Adaptive AV Stop Rate 150bpm, Min Paced AV 140ms, Min Sensed AV 110ms. I do love in CO, so high altitude may be a factor. My daughter has had a pacemaker since she was four years old for complete heart block. It uses electrical pulses to prompt the heart to beat at a normal rate. Ian Fraser Kilmister (Lemmy), English musician, singer, and songwriter who founded and fronted the rock bandMotorhead. I hope the same for you. So they give you this thing, its called a pacemaker., And all it does, if your heart suddenly decides its going to skip a beat or something, it kicks in. Popular Gerry and The Pacemakers albums Best of the 60's. 2000 At Abbey . Article here:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2497157/. I suggest that you keep on returning to whoever adjusts your PM settings until you feel happy. Pacemaker Club is an online community for pacemaker, implantable cardioverter defibrillator document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Dr. Larry Creswell on athletes and heart health. Perhaps interestingly, when a patients pacemaker is stimulating the contractions of the heart, the situation is somewhat less efficient. After beginning running again in Jan16 the pacemaker (or maybe my natural heart function) did a great job of maintaining around 140 bpm throughout 40 to 50 minute runs. Thanks. Your cardiologists will be in a good position to know if this is the best treatment option for you. Famous Recipients Abbreviations . She had a pacemaker for 17 years, but it was removed because she no longer needed it. sometimes impossible to raise over 120bpm. This information is gathered by the computer that is part of the generator, and then the computer uses those same 2 leads to deliver electrical impulses, as needed, to speed up the heart (in the case of bradycardia) or to provide missing electrical impulses (in the case of heart block). Recovery is 40-50sec and then I can begin again, however time to episode is shorter after each episode. Sir Elton John: In 1999, Sir Elton was on a jet taking him to sing at the wedding of David Beckham and Posh Spicee in . Silvio Berlusconi, former Italian prime minister and media tycoon. Everyone is different, and the average paced patient is not athletic so it's perfectly normal to take a few tries to get it fine tuned. I have no symptoms, no dizziness but am finding running slower and slower with each passing year. Most new ICDs can act as both a Pacemaker and a defibrillator. He is an English natural historian and broadcaster who is best known for presenting and writing the nine natural history documentary series, which forms a comprehensive survey of plant and animal life on Earth. Ideally, the pacemaker would stimulate her ventricles at the same rate of 180 beats per minute. Moreover, Metal detectors for security and Anti-theft systems (also called electronic article surveillance or EAS) may also interfere with the working of these devices under review. Nicknamed The Splendid Splinter, The Kid, The Thumper, and Teddy Ballgame, Ted Williams is considered one of the greatest hitters of all time. Jann Arden, Canadian singer & songwriter. Top answers from doctors based on your search: Athletes with pacemakers A 24-year-old male asked: If someone was a fit athlete and had a low resting heart rate of say 30 and had a pacemaker for any reason to make it 60 what would happen? The Maryland-based "American National Library of Medicine," founded in 1836, further states that an ICD, on the other hand, monitors heart rhythms. People having any disorder of heart rate or rhythm need a cardiac pacemaker or an implantable Cardioverter defibrillator implanted in their chests or abdomens. I am trying to find information about multi-sensor pacemakers (eg accelerometer plus respiration rate) to alleviate this challenge. Hisheart rhythm was restoredwith animplantable cardioverter defibrillator (ICD) that gives a short electrical shock to the heart. Pacemakers are small battery-powered devices that are implanted to treat certain problems in the hearts electrical activity. I canvassed my cardiology Tweeps yesterday on Twitter. Much of Pletchers talk focused on the struggles associated with fine tuning these devices to react appropriately to the intensity of exercise he desires as an athlete and the recovery period needed afterward. The actor brought his formidable talent to movies like The Bad and the Beautiful and Spartacus.. He was an English actor who is best known for having played a secret agent James Bond in 7 feature films from 1973 to 1985. Doctors at Manhattans Beth Israel Medical Center decided to implant him a pacemaker. This issue relates primarily to the risk of lead dislodgment, which decreases with time after the procedure. Celebrities Who Have Opened Up About Heart Health Barbra Streisand, Jennie Garth and Queen Latifah have spoken out about how heart disease has impacted their lives By Gabrielle Olya Published on. Streamline your workflow with our best-in-class digital asset management system. She exercises vigorously and her sinus rate rises to 180 beats per minute. I cycle, backcountry ski tour and climb/hike every weekend with regular exercise during the week. Your email address will not be published. Very fast heart rates that are sustained over months can result in a weakened heart muscle andcongestive heart failure. Objective: To prove that long-distance running is safe for athletes with pacemaker devices, pacemaker function was evaluated in nine long-distance runners. I'm a runner, so this has been really difficult for me. Just looking for insight and other experiences. Obviously, a complicated situation. Sign up to receive an email when I add new content. He was an American comic book writer best known for his work with Marvel Comics. The one end of two wires are connected to pacemaker and other end is connected to heart. Ive posted your comment and perhaps others will chime in. Do you think I have a health problem. .ads_between_content{
Sarah Brealey meets two people who are proof of that Dancing has been a part of Stan Flukes' life since 1954, and he's not stopped since then. I swear I am as nice and as solitiousas I can be because I know how docs view us older ladies. This is just one example. Moore played the part of Agent 007 in the movies from 1973 to 1985. I had sinus pause and sinus escape. There is nothing (yet) better than natures own electrical system for the heart. Millions of high-quality images, video, and music options are waiting for you. I was really freaked out with the whole idea of a pacemaker, but after reading your website and others I am starting to think it might be for me. I got perscribed antidepressants and inhalers, etc.,but I'm an older woman and doctors don't listen too good to us. His condition was treated with cardioversion, but he eventually underwenta catheter ablation procedureto prevent/cure him from having SVT in the future. text-align: center;
When people hear the word "pacemaker," they often think of a frail, sick person on bedrest or confined to a limited life. You sound as though , like me, thatyou have Sick Sinus Syndrome . This comment has been removed by the author. Sometimes medical intervention is necessary to restore a regular heart rhythm, but other times the heart will return to a normal on its own. Yes, I have now had a pacemaker implanted (3.5 weeks ago) Biotronik Evia DR-T. Implanting a pacemaker in the chest requires a surgical procedure. }
I have a low heart beat of 32 bpm I have been a runner and cyclist for many years. Organize, control, distribute and measure all of your digital content. Speaking during an interview on The Jonathan Ross Show, Sir David Attenborough said: I had a funny five minutes. The Boston Scientific device will pick up on your heavier breathing and increase heart rate accordingly if it has the Minute Ventilation feature turned on. You also might be super sensitive to caffeine, asthma medications, and other stimulants and even some anti-depressants (like Wellbutrin) which can cause AV block so make sure you try removing this stuff first before you even consider surgery. SSS is often accompanied by chronotropic incompetence which means that yourheart rate doesn't go up the way it should when you exercise. Don't allow someone wearing headphones to rest his or her head on your chest. In the most typical configuration, one lead is placed into the right atrium and another is placed into the right ventricle. I had symptomatic bradycardia also. Im not entirely sure. Frank, its really hard to reply without knowing what mode you are in currently and what type of block you have. Now I'm paced mostly atrially 80 to 12% and ventrically only 2.5 to 5% of time. Frances Faye,consummate entertainer.Byron Baer, former United Sates Senator.Malcolm Mitchell Young, the Australian musician and songwriter, best known as a co-founder, rhythm guitarist, backing vocalist and songwriter for thehard rockbandAC/DC had a pacemaker. I had to go to Australia and the insurance said they wouldnt insure me to go on a long flight unless I had something to monitor my heart to make sure it didnt do funny things. I did 100 miles this week outdoors in three short rides 2.5 weeks after pacer insertion. And if it doesnt, it doesnt. And then it went blump-bla-bla-blump. Hes a trooper!. However, today my heart blocked at about 20 minutes into a run and at about 130bpm. No more than that. Despite what may seem a long list of things to avoid with a pacemaker, there are minimal lifestyle changes you'll need to make in the day-to-day. Required fields are marked *. My question isWhat do you think? Staale Solbakken, is aformer Norigiena midfielder soccer player who is now coaching received a pacemaker at 33 years old. Some athletes have essentially become professional pacemakers. Miley Cyrus The youngest celebrity on our list, the 24-year-old pop star has tachycardia, a condition that is not life-threatening but causes her resting heart rhythm to exceed the normal range. And I dont think it has., READ MORE: Famous People With Bipolar Disorder. I had a low heart rate, sometimes as low as 20, and typically in the 30s. Attenborough was the recipient of many honors, includinga Peabody Award (2014) and a few BAFTA Awards. Mark Fredrick Farner,an American singer, guitarist and songwriter, best known as the lead singer and lead guitarist for GrandFunk Railroad. Very common in cyclists. He is an American businessman and politician who served as the 46th vice president of the US from 2001 to 2009. November 18, 2022. On a mt bike i dont feel the fatigue effect, should I have a pace maker as my MD is not 100% convinced in the absence of any symptoms and I run the competitive 10 Ks twice a year? Im a bit bummed about losing strength and fitness during the six week recovery time but what can I do? If your own heart rate falls too low, the pacemaker can kick in.. Im a 75 year old athlete, former wrestler who began running on a daily basis 49 yrs ago. Settings can make a HUGE difference in our ability to be active. Lifetime warranty no longer gives peace of mind. There are certainly soccer players out there with pacemakers of various sorts. (ICD) and cardiac resynchronization therapy (CRT) recipients. These gadgets include newer models of certain cell phones because the wireless transmissions from their antennae might make ICDs and pacemakers less reliable. Kirk has received 3 Academy Award nominations and an Oscar for Lifetime Achievement. Back in April I experienced a traumatic injury. At first, the sensation of having a pacemaker was odd. The ICDs are very expensive. Sometimes some trial and error is needed. It has been over two months and remain symptomatic. The 007 actor received a pacemaker after blacking out on stage in 2003, reportedExpress Newsin 2009. Many athletes, though, can return to their sports after implantation of a pacemaker, but its important to have a detailed discussion with their physician about this issue. Any ideas? Lars Andrews. The American Heart Association, assisted in its work of fighting heart diseases and strokes by more than 33 million volunteers and supporters as well as our more than 3,400 employees, recommends that cell phones should be kept at least six inches away from the ICD or pacemaker by using it on the ear opposite ear where your device has been implanted. Between 1993 and 2009, 2.9 million people received permanent pacemakers in the US. What advice would you give? George Voinovich, a former US Senator from Ohio. Copyright 2023. I was reminded by a reader over the weekend that rhythm problems in athletes sometimes necessitate the implantation of a pacemaker. In other words, the more afib you have, the harder it is to control. As the electrical impulses travel through the ventricles, the pumping chambers contract, ejecting the blood that they hold. Pletcher noted he is able to get by without a two lead model at this point but alluded to the possibility he might need a two lead model in the future. Ken Hawk Harrelson, former White Sox broadcaster. It can speed up a slow heart rhythm, control a fast heart rhythm, and coordinate the chambers of the heart. Access the best of Getty Images with our simple subscription plan. Shes credited with writing the "Happy Trails to You" theme song that became attached to her and her husbands work.Izzy Asper, the colorful Canadian media baron.Jack Buck, a mainstay in the Cardinals broadcast booth and longtime sports director for KMOX radio.Bob Bullock, former Texas Lieutenant Governor, had a pacemaker. Also interestingly, pacemakers can be used (with high heart rates over long stretches of time) to produce heart failure in animal models. If I start out too fast I am done in one mile sometimes. In 2007, Dick Cheneys doctors disabled his pacemakers wireless capabilities to thwart possible assassination attempts. In patients with atrial fibrillation, medicines are sometimes used to slow down an irregular heartbeat, says Campbell. A question from one of my students; could a pacemaker be used in an athlete for an unfair edge in competition/training? Pletcher described his need for a pacemaker and shared experiences with three different models of pacemakers. Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window). David Hasselhoff , former Baywatch star received a defibrillator implant in 2019 to stave off a heart attack. Dr. Mae Jemison is most famous for becoming the first Black woman astronaut to go into space, in 1992. I'm made up of parts and pieces". He is revered in Canada as the father of biomedical engineering. He has received critical acclaim and is considered one of the greatest guitarists in rock history. she once bragged. The first important issue for athletes with pacemakers is the healing time after the pacemaker implantation procedure. I get really frustrated when it happens because I know how good of shape I was in and now I have issues walking around the neighborhood or just pruning my trees. Indeed, entire textbooks have been written about these problems. In 2011, Barry Manilow revealed he had atrial fibrillation. Burton Race, a Britishstarredchef,television personalityandcelebrity. .ads_between_content{
The sinus node is sometimes called the heart's "natural pacemaker." Each time the sinus node generates a new electrical impulse; that impulse spreads out through the heart's upper chambers, called the . Then the physician can have an informed discussion with the patient and advise them of the options for therapy., In 2010, Gene Simmons, the bass player for KISS, was treated for atrialfibrillation bycardioversionto bring back a normal sinus rhythm, while on an episode of his reality TV show Family Jewels, according to a2010 interview onArk TV. Each pacemaker system contains a microprocessor that can be programmed to work optimally for an individual patient. Ric Flair, retired WWE legend has a pacemaker. Seven-time Olympic medalist Dana Vollmer discusses having arrhythmia as an athlete and why women need to monitor their heart health. While it doesnt hurt her, it does bother her. Boards are the best place to save images and video clips. Sir David Frederick Attenborough,Englishbroadcasterandnatural historian. Back to running now but if I push it I lose my breath.I mean I lose itI can't take another step. He is a British celebrity chef and television personality who was made famous by the Channel 4 series French Leave and its sequel Im A Celebrity, Get Me Out Of Here and Return of the Chef., He has also appeared on other television programs, including Britains Best Dish.. HiI am a triathlete who began experiencing problems exercising early this year as well as development of VEB at rest. 56 Celebrities With Pacemakers Premium High Res Photos Browse 56 celebrities with pacemakers stock photos and images available, or start a new search to explore more stock photos and images. Miley Cyrus has not disclosed her exact diagnosis but says the type of tachycardia that she has is not life threatening. Bradycardia is defined as a heartrate less than 60 beats per minute. John David Dingell, an American politician who served as a member of theUnited States House of Representativesfrom 1955 until 2015. Mark is doing well. I'm not sure that there was any need to prove that long distance running is safe if you have a PM . Among those with heart rhythm disorders are public figures like musician Gene Simmons, singerMiley Cyrus, and vice president Joe Biden, pictured here. Miley Cyrus - Musician - Tachycardia Miley Cyrus is no stranger to the rockstar lifestyle. READ MORE: Famous People with Myasthenia Gravis. According to the "American National Library of Medicine," which is operated by the United States Federal government with a budget of over $341 million, a Pacemaker helps control abnormal heart rhythms. People from all walks of life have an Implantable deviceincluding; celebrities, world-class athletes, politicians and business leaders. Im no medical professional but this reset seemed to me (and the rep) that it would fix the blocking problem. I have been told that Boston Scientific has a pacer that advances rate based on minute volume of breathing= breath harder- HR goes faster. Cream of Tartar (Potassium Hydrogen Tartrate) Poisoning, Side Effects (Diarrhea), Uses, Substitute. float:none;
I'm a runner, so this has been really difficult for me. I am an old (69) marathon runner. Khalilou Fadiga, former professional footballer had an automatic defibrillator implanted at 29 years old. List Of 11 Famous People With Pacemakers: #1 Ted Williams @Getty Images Nicknamed "The Splendid Splinter," "The Kid," "The Thumper," and "Teddy Ballgame," Ted Williams is considered one of the greatest hitters of all time. Obviously cant continue exercising this way. Catheter ablation is first-line therapy for the treatment of most SVTs, says Campbell. In 1979, Mother Teresa won the Nobel Peace Prize for her work among the poor. Sir Alex Ferguson, former Manchester United soccer manager. I would much appreciate any ideas. My doctor is giving me time to see if my heart/body corrects the issue itself. After the procedure, he was quoted as saying, "The only long-term effect of the heart problem is that I have to carry a card explaining why I set off the alarms when I walk through airport security.". I am in constant touch with our commanders in the field and victory shall soon be ours. 5 Comments. Others have other types of arrhythmiasincluding supraventricular tachycardia (rapid heart rate) and bradycardia (slow heart rate). This risk is related to upper extremity as well as whole body exercise. In the end.probably no good effects from cardiac pacemaker that would provide an advantage to an athlete with a healthy heart. Howard Reig, NBC nightly news announcer.Hans-Dietrich Genscher, German Foreign Minister.Jesse Helms, United StateSenatorwas fitted with a pacemaker in August 2003.Don Haskins,basketball coach and member of the basketball Hall of Fame. Im very active and have begun wearing a HR monitor during my runs, mountain bikes and road rides. Ideally, the pacemaker would stimulate her ventricles at the same rate of 180 beats per minute. Don't wear clothes that will rub on your incision. The strategy is to use drugs to help maintain normal sinus rhythm once cardioversion is performed. In 2010, Cheney needed a surgically implanted, electrically-driven pump called a left ventricular assist device, LAVD, which replaced his heart's normal functions until he received alife-saving heart transplant. When the heart beats too quickly, too slowly, or with an irregular pattern, the phenomenon is commonly called Arrhythmia. It's the result of abnormal electrical conduction in the heart that's often associated with atrial fibrillation.. One important setting for athletes is the maximal rate setting. Gerald Ford, former United States President. Byron Nelson, golf legend had a pacemaker implanted in 1999 to combat bouts of vertigo, dizziness and an irregular heartbeat. What is your Pacemaker for? 1996-2023 Everyday Health, Inc., a Ziff Davis company. He is an English pianist, singer, and composer. I have a three chamber pacemaker (no dfib) because of an a/v block. Natasha. Hello Doc!What would be, in your opinion, the indications to have an Automatic Cardioverter Defibrillator (ACD) implanted in an athlete? I had SSS and on good days could run ok, but on bad days..well you know how bradycardia makes you feel..lead legs, no breath, dizzy. I have been looking into this issue and found an interesting article that talks about settings for pacemakers for athletes (specifically long distance runners), but I think it must apply to many others. I was fainting, dizzy and had a tight chest and stomach aches very often. I cant work out on the trainer in the garage anymore no heart rate response. The electrical impulses start in an area in (or near) the top of the right atrium called the sinus node. There are topical-oriented forums where members can network with people with similar problems and concerns. If the maximal rate setting were only 140, she would have the feeling of not enough oomph from her heart to continue the exercise. In April 2016, the right-handed batsman was forced to retire from international cricket at the age of just 26 after he was diagnosed with arrhythmogenic right ventricular cardiomyopathy (ARVC). More Americans getting pacemakers. The pacemaker usually consists of 2 parts: 1) a battery (or generator) that is implanted beneath the skin of the upper chest and 2) a set of wires that are threaded through a vein and fastened to the lining of the heart. I had some test done 15 months ago. Mike Wallace, newscorrespondent and co-editor of 60 Minutes since its 1968 premiere. Musician Sir Elton John and Irregular Heartbeat Michael Loccisano/Getty Images Award winning singer/songwriter Sir Elton John received a pacemaker in 1999 after tests showed an irregular. However, Dr.Hopps died just before his invention was voted the Canadian engineering invention of the century. I must say though that I can't work out why it was done. His most remarkable accomplishments include running a 50 mile trail race and completing a Grand Canyon rim to rim run with his two sons. I don't deny this one saved my life and did a good job inserting the little ticker, but quality of life must go on! She had a permanent pacemaker implanted. In these cases, doctors use a continuous portable ECGmonitorto track the heart rate and rhythm. An overactive thyroid gland,hyperthyroidism,caused former President George H. W. Bushs atrial fibrillation episode in 1991, noted theHarvard Mens Health Watchin 2011. good luck. I am hopeful that further tweaking of the settings will resolve my symptoms! Charlie Daniels,an Americanmulti-instrumentalist lyricist,and singer, best known for his number one country hit "The Devil Went Down to Georgia". He stated when I told him my breathing was difficult after insertion, though it got better after a month (a common complaint I found out later), "well do you want me to just take it out if you are unhappy?" I am now reluctantly accepting that this is as good as it gets with the limitations of a Medtronic pacemaker. In addition, if the patient experiences a heart rate pause of more than 3 seconds, a pacemaker is also indicated. I see that, like me,you have a Medtronic PM . Similarly, walkie-talkies (operating on three watts or less) should be kept at least six inches away from the ICD or pacemaker implantation site. Login Yesterday I went to run and after a quarter mile I had to stop because my HR did the same as usual, climbed up to 150, but would come downit was jacked up to 165 and I was running down hill. As his doctor asked questions trying to determine a cause for the atrialfibrillation, Simmons responded that he doesn't drink or do drugs, and that no one in his family has a history of heart disease. Your implanting cardiologist is the best person to ask because there are different types of leads.and the risk probably depends upon the type. Individuals with heart block may have electrical impulses that start at 80 beats per minute at the sinus node, but because of the block, these electrical impulses are delayed (or lost entirely) and the ventricles might beat at only 30 beats per minutefar too slow to manage the necessary pumping function of the heart. Bob Huggins, an American college basketballcoach.University has a defibrillator (ICD). I somewhat fit this description my rides on the trainer involve taps on the pacemaker to trigger the accelerometer and a bit of upper body motion for the same purpose. Surprisingly Medtronic sponsored thisstudy which is virtually stating that Medtronic pacemakers are not ideal for runners and cyclists who suffer from chronotropic incompetence. My activity level went lower and lower and NO ONE would listen to me!! Talk to your health care professional about the maximum acceptable heart rate above your pacemaker rate. Another of their most famous songs, "Ferry Cross the Mersey", refers to the River Mersey that flows into Liverpool. Doctors concluded that Biden's busy lifestyle and lack of exercise contributed to the most recentafibepisode. At this page, there are additional links for more detailed information on a variety of topics. Physicians and technicians are most interested in preserving life and therefore take a more conservative approach in the settings than some of these athletes would prefer, based on levels of performance they want to achieve. Dont drape headphones around your neck so that they hang on your chest. Pacemaker. For affected athletes who are reading here, it would be wise to discuss your PERSONAL situation with your doctor so that you understand the PARTICULAR electrical problem that you have. I am a medical resident on cardiology and I also wrote a few words about cardiac pacemakers. Common Problems That Are Treated With a Pacemaker. With the most modern pacemakers, the generator is about the size of a stack of 3 half dollars. Learn more. The former vice president specialized in energy, defense, and the Middle East. Moose Skowron, former New York Yankee ball player who played in eight World Series in the 1950s.Joseph"Joe" Jackson,the manager and father of the Jackson familyof entertainers which includes music superstars Michael Jacksonand Janet Jackson. Avoid causing pressure where your pacemaker was implanted. Most headphones contain a magnetic material that can interfere with ICDs and pacemakers. Check out cardiac athletes on Facebook! For any query, please feel free to contact the following departments respectively. I would not wish this on my worst enemy. The generator and leads are placed during a operative procedure that usually lasts less than an hour and can be done with either local anesthesia and sedation or with general anesthesia. Sir David Attenborough admitted that he has suffered from some minor heart trouble that threatened his career. The heart has a very elaborate electrical system that is designed to initiate and carry electrical impulses throughout the heart, causing the heart muscle to contract (in just the right way) and pump the blood that it holds. Julie Bowen had a pacemaker implanted in her 20s. In the long term, there continues to be a small risk of lead dislodgement and some physicians recommend that patients avoid athletic activities that place a patient at risk of severe body blows. This study has a tiny reference to this in the text when it says " Cardiologists should be awareof the patient's wishes andselect the sensor according to the sport requirement ". "There is never a time onstage when I'm not thinking about my heart, she wrote. As an example, lets consider an athlete with heart block. James Taylor, a former Nottinghamshire and England batsman, has adefibrillator. Read on to find out how these celebrities take care of their conditions. You may have to modify your training or choose a different sport. Don Ho, known for his signature tune "Tiny Bubbles". OMG -- YES!! }*/. [Using these] An MD is able to make a good guess as to the location and mechanism of the tachycardia. Until this healing process is complete, the leads can become dislodged inadvertently with vigorous activity. A pacemaker is recommended when a person's slow heart rate causes dizziness or fainting. disadvantaged patients. There are also additional links to information about related topics. tachycardia, a heartbeat thats too fast. ICD and running by RegBrown - 2018-03-18 03:28:23 "One tends to really think about living and dying when you get a pacemaker implanted at 20 years old." Thank you. Women may want to wear a small pad .