February Beebe patient story: Healing Mr. Valentine's heart

Electrophysiology team completes state’s second Micra pacemaker procedure
February 21, 2018

H. Richard Valentine reclines comfortably with his granddaughter Tera Fazal sitting next to him. Only a week prior, however, Valentine was in much different surroundings at Beebe's Medical Center in Lewes as he prepared to undergo a pacemaker implant procedure.

"Mr. Valentine was a special circumstance. He came into Beebe because he had fallen and injured his shoulder. While he was in the Emergency Department, we discovered he had an extremely slow heart rate, which had resulted in his fall and significant injury. We worked with him and his family to evaluate which pacemaker would be best in his specific case," said Malick Islam, MD, an electrophysiologist with Delaware Cardiovascular Associates.

It turned out that Valentine, who lives in Selbyville, was the perfect candidate for the Micra, making him the second pati­ent in the state to receive this device. He is the first patient at Beebe.

"In ways, it is a miracle that we have this device and procedure available here," said Valentine. "I feel very fortunate. I was awake for the entire procedure and could see the progress, but there was very little pain. I expected it to be a difficult recovery, but looking back now, I would rather have this procedure again than go to the dentist!"

The Micra, developed by Medtronic, is the world's smallest pacemaker. It is delivered to the right ventricle of the heart where it is implanted and helps pace the heart. It is a lead-less device, which means it doesn't have any wires. The entire pacing system is implanted in the heart, with no wires running to a battery unit implanted under the skin, as is the case with traditional pacing systems. This translates to a quicker recovery time and less risk to the patient.

This procedure is a good fit for those who are older, who may be frailer, and who have a higher infection risk, said Islam, who noted that not every patient who needs a pacemaker is a good candidate for the Micra.

According to Medtronic, the Micra has a 99 percent success rate, as determined in a 726-patient global clinical trial. It also has 48 percent fewer major complications than traditional pacemakers, reports Medtronic.

"It's a quicker procedure. All told, we were done in about 30 minutes," said Islam. "With a normal pacemaker procedure, the patient would have six weeks of restrictions on weight lifting and arm movements. With this Micra pacemaker, they only have one week of restriction on heavy lifting. After the week is up, full activity can be resumed."

Valentine and his family are thrilled with the results and the fact that he is bouncing back so quickly following the procedure.

"He may not realize it yet, but his color is better, he has more pep, and he is talking and interacting more already," said Fazal.

"We are proud to be able to offer advanced procedures like this one to the community," said Amy Bradshaw, RT(R)(CV), a team member in Beebe's Electrophysiology Lab. "Here at Beebe we are a community, and especially in the EP and Cath Labs, we think of ourselves as family and our patients are part of that family."

February is American Heart Month, which is a great time to talk to primary care providers about any heart health concerns.

To find out more about Cardiac and Vascular Services at Beebe Healthcare, go to For questions about heart health or whether a cardiologist may be needed, call Carrie Snyder, Cardiac and Vascular nurse navigator, at 844-316-3334.