Common "Pacemaker" queries answered by top doctors | iCliniq


A pacemaker is an electrical device that is placed under the skin in the chest, which helps in controlling the heartbeat. Conditions that can affect the heart rate are arrhythmias, normal aging of the heart, some medicines, and congenital abnormalities of the heart.

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I have symptoms of breathlessness even after having a pacemaker. Please help.

Query: Hi doctor, I have done ECG strip analysis. I have symptoms of breathlessness on climbing stairs. I am having a DDDR-CLS rate-responsive dual-chamber pacemaker. I have type diabetes, hypertension, hypothyroidism, and Parkinson's syndrome.   Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to Your ECG (electrocardiogram) seems to be normal (attachment removed to protect patient identity). Your rate, rhythm, axis, and everything are within the range. Please mention the reason for having DDDR (dual chamber rate-adaptive pacemaker) implantation and when you did...  Read Full »

My mother has a broken heart catheter. What are the options?

Query: Hello doctor, I am 22 years old and I am writing because when I was 11, my mother had a cardiac arrest. Over the years, she has undergone multiple surgeries due to issues with pacemakers and catheters, not because of underlying health problems. The catheter inside her heart was defective and now t...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to I read your query and can understand your concern. First, you need to be strong to stay by her side and care for her but do not make yourself sick, otherwise you will not be able to give her adequate care. The catheter you are talking about are wires of a pacemaker, r...  Read Full »

Why is there tachycardia after pacemaker implantation for bradycardia?

Query: Hello doctor, My father's heart rate was low and fainting, syncope occurs twice. The doctor suggested a permanent pacemaker for bradycardia. After pacemaker implantation, he was fine for 45 days but now his pulse rate increases and fluctuate from 70 to 100 rapidly and some chest pain for 1 or 2 min...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to This is likely a part of the syndrome called as a tachy-brady syndrome. Here, patients sometimes develop slow heart rate while sometimes a fast heart rate. Slow heart rate is taken care of by pacemaker and for high heart rate needs medicines like Ivabradine. So, usua...  Read Full »

Why is resting heart rate low even after using pacemaker?

Query: Hello doctor, My 78 year old father has had a pacemaker for five years. The pacemaker is working. But his heart is becoming weaker and more dependent on the pacemaker. He now has a low resting heart rate. What causes this? What is the treatment?  Read Full »

Dr. Sanjib Kumar Sahu

Answer: Hello,Welcome to, if the pacemaker is working, then the heartbeat will be the set rate of the pacemaker machine. If the heart rate is below the set rate then the pacemaker is not working properly. Kindly get his pacemaker checked with the pacemaker company. Please do a thyroid fu...  Read Full »

Why do palpitations occur even after pacemaker implantation?

Query: Hello doctor, My 71-year-old father was admitted to the hospital for palpitation occurrence and fast heart beating at 143 beats per minute. He was feeling dizzy in the morning. He was given injections to reduce the heart rate and has taken Holter monitoring for one day. He had previously undergone t...  Read Full »

Dr. Sapkal Ganeshrao Patilba

Answer: Hello, Welcome back to I have gone through the report that you have provided. He is having the tachycardia-bradycardia syndrome. In this case, the pacemaker avoids his bradycardia episodes only. For his tachycardia episodes, drugs can be given. Sometimes the drug controls it perfectly...  Read Full »

Will I need pacemakers for blocks based on my EKG report?

Query: Hi doctor,I am a 37-year-old female, 140 lbs 5’5". I saw a new cardiologist yesterday and my EKG results. Results said left axis deviation, LAPB, RBBB. I asked her if I have a bundle branch block and she said no because only the two heartbeats show it and the rest of the EKG was normal. I am worri...  Read Full »

Dr. Lohit Chauhan

Answer: Hello, Welcome to I guess you mean LAFB and not LAPB. According to you, you already have RBBB and this time the EKG strip read LAFB. Many times the EKG strips read the EKG strip wrongly. You should believe in your cardiologist as humans are needed to interpret the EKG with some specific...  Read Full »

What reduced my heart rate after a knee replacement surgery?

Query: Hi doctor, I was in the recovery room after undergoing total knee replacement (TKR), and my heart rate dropped to 38. I felt weak and tired, so the nurse added something to my IV, and I felt fine, and all vitals returned to normal. They took me to my room, and I ate and was resting. My heart rate dr...  Read Full »

Dr. Isaac Gana

Answer: Hi,Welcome to have gone through all your explanations in detail. The closest possibility to the cause of your problem is most likely due to the effect of anesthesia. I have seen a few cases similar to this where post-operation there is a severe case of bradycardia without any evidence ...  Read Full »

When do I need a pacemaker for my low heart rate?

Query: Hello doctor, I get low heart rates of 40 to 45 bpm while sitting or lying down, and when I get up and walk, it will return to 60 and above. I also went for a long walk for about an hour, and my heart rate was between 78 to 90 bpm. I have had this issue for more than eight years. My query is, do I n...  Read Full »

Dr. Isaac Gana

Answer: Hello, Welcome to Thanks for reaching out to us. I have gone through the result of your investigations (attachments removed to protect the patient’s identity). Your ECHO (echocardiogram) and ECG (electrocardiogram) are within normal limits and do not show any abnormalities. It is no...  Read Full »

Why is the heart rate hitting 130 with pacemaker?

Query: Hi doctor,My mother had pacemaker operation six months back. From past five days, her heart rate is hitting 130 very frequently (when she is not idle) every 20 minutes or so. She is feeling a discomfort because of this. When we met the doctor with the pacemaker test, he told everything is normal. My...  Read Full »

Dr. Hafiz Muhammad Hassan Shoukat

Answer: Hello, Welcome to Although it is difficult to answer without knowing the exact diagnosis, if pacemaker/ AICD is working well per interrogation, she is safe in terms of fatal arrhythmia or dangerously low heart rate, as her device will kick in if it detects any abnormalities. This arrh...  Read Full »

Can a hearing aid be used with a pacemaker? Clarify me.

Query: Hello doctor, My mother-in-law is 75 years old having a pacemaker installed in her heart. She had to take off her hearing aid device since the cardiologist said the electromagnetic signals will interfere with the working of the pacemaker. Can a pacemaker and hearing aid both co-exist if the hearing ...  Read Full »

Dr. Rishu Sharma

Answer: Hello, Welcome to Thank you for your query. Phonak's hearing aid would be best for her. Never keep the RCD in your breast pocket or 10 inches within the range of the pacemaker, both devices work on electromagnetic waves and hence may interfere with each other. An accurate device can b...  Read Full »

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