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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Necessary To Replace The Pacemaker With 60 BPM?

Mom has dementia. The decision was just made to not replace her pace-maker. Her heart rate is currently about 60 beats per minute with the pace-maker turned down. She is estimated at usinig the pace-maker about 50% of the time. Should I expect se see symptoms soon as the pace-maker stops?
Mon, 16 May 2016
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Cardiologist,  's  Response
This is a question that, when speaking with my patients, I call, "the great what if". That means a question to which there may be no correct answer until the worst happens. With a pacemaker is use intermittently, symptoms may range from fatigue to episodes of passing out. The best guide is the symptom complex experienced before placing the pacemaker. The more complex issue is performance of a procedure in the setting of dementia. Here, the discussion of whether or not to perform a procedure should involve the heart specialist as well as the provider helping manage her dementia.
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Is It Necessary To Replace The Pacemaker With 60 BPM?

This is a question that, when speaking with my patients, I call, the great what if . That means a question to which there may be no correct answer until the worst happens. With a pacemaker is use intermittently, symptoms may range from fatigue to episodes of passing out. The best guide is the symptom complex experienced before placing the pacemaker. The more complex issue is performance of a procedure in the setting of dementia. Here, the discussion of whether or not to perform a procedure should involve the heart specialist as well as the provider helping manage her dementia.