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Elk City, OK
A male asked:

Do i need a pacemaker, 73 year old male active, walking 3 mile a day. pulse rate in the 40 to 50 beats a minute?

2 doctor answers3 doctors weighed in
Dr. Milton Alvis, jr
Preventive Medicine 41 years experience
Unlikely! PulseRate≠: heart rate, may be slower, never faster. Slower rates for someone physically active is c/w lower normal heart size & good heart function. Pacemakers make heart weaker (less well coordinated due to where they stimulate heart muscle); only useful for long pauses, e.g. >2 sec, with symptoms due to low output for given activity. Pacemakers=only a backup; remind heart muscle to contract if too slow.
Dr. Milton Alvis, jr
Preventive Medicine 41 years experience
Provided original answer
If you were to have symptoms (or to detect more marked asymptomatic bradyarrhythmia), then a Holter monitor which automatically rolls over to an 30 day event monitor, such as the https://www.medi-lynx.com device, would be a good alternative. As a cardiologist, I usually keep these on hand for such issues. For most people, we can work out better solutions without my implanting a pacemaker.
Aug 7, 2017
Dr. Donald Colantino
Internal Medicine 61 years experience
Bradycardia: That is an abnormally slow heart rate and warrants an evaluation by a cardiologist. A 24 hour Holter Monitor would trace your heart rhythm and rate at rest, with activity and while asleep. This would help determine whether you may need a permanent pacemaker. Your intrinsic pacemaker may be too sluggish, you may have intermittent types of heart block or rate,too slow during exercise.

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Last updated Jan 2, 2019

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