My phrenic nerve does act up especially when I eat and positions but I look at as what’s my alternative? I make it doable .

I had thumping in my diaphram after I got the pacemaker defibrillator. I felt like a baby kicking me in my stomach. It scared me to death . The pacemaker clinic adjusted the settings and now I’m fine. No more thumping. I don’t even know it’s there anymore. And I’m feeling great

Yes, Your Pacemaker representative needs to adjust it so you don't get those twitchings. One of your leads is close to a nerve and is setting it off.

Yes I had the same thing was often and annoying
Went to my electrophysiooligst doc
He made adjustments and I no longer have that problem

Yes, I have twitching off and on, ( not a lot) can be scary sometimes. At night if I lay on my left side, I have a little jerk sometimes 😞. Had an ICD since 2020 because of low EF.