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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Do I need a pacemaker for low heart rate?

Query: Hi doctor, I am an 80-year-old woman with a little history of hypertension but without any other significant health issues. I am not on any medication at all. My blood pressure historically has been in a band of 120/80 up to 140/100 or so. My pulse is generally 80-95 bpm. I usually measure my blood ...  Read Full »

Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to Yes, it is a heart block, and it is a 2:1 AV (arteriovenous) block. Block can be intermittent, present at sometimes, and recover at other times. This certainly requires treatment as it can be life-threatening or may lead to syncope if the heart rate drops further do...  Read Full »

Is it normal for the heart to stop for 11 seconds during vasovagal syncope?

Query: I'm a 21 year old male and take no medications. 4 years ago I started having Vasovagal Syncope episodes that have increased in frequensy over the years and I have now passed out from it around 10 times. My triggers for it are blood, needles, and damage to the wrists. My clinic reccomended that I wea...  Read Full »

Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Thanks for the query 1. First thing know that vaso vagal syncope is not dangerous. Try to avoid circumstances which lead to syncope. 2. When you feel that you are having syncope (prodrome), escape from that area/scene. Sit down on floor in squatting position, close fists tightly, drink 2 glasses ...  Read Full »

Can prevailing heart problem cause vomiting, urine problem and fatty liver in a 6-year-old kid?

Query: Hello doctor, My 6-year-old son has a diaphragm problem. He has a heart problem post operated for VSD and having pacemaker from his 11th month. Now he have a new problem like vomiting, urine problem, fatty liver, gall bladder wall thickening, mega cardio, 30 percent heart function only. What is the...  Read Full »

Dr. Mian Shah Yousaf

Medical Gastroenterologist

Answer: Hello, Welcome to I am very much concerned about all the problems your son is going through. Now, he has a few different issues overall not a single problem. His urinary problem looks like due to inflammation of urinary bladder called cystitis, which needs investigation of urine and ...  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

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

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, usuall...  Read Full »

Does my EKG show any block?

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

Family Physician, General Medicine Physician, Internal Medicine Physician

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 is the role of pacemaker in arrythmia?

Query: Hello doctor, I am 63 years old male. I am a known case of atrial fibrillation 20 years. I had a brain hemorrhage 23 years back. I have a paroxysmal type of afib. Recently its frequency has markedly increased. I am taking Sotalol 80 mg and 80 mg. But now Sotalol increase is required which causes br...  Read Full »

Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hi, Welcome to The rate in AF is controlled with beta blockers, calcium channel blocker or Digoxin. You are taking Sotalol which is a beta blocker as well as the anti-arrhythmic drug. The permanent pacemaker is implanted when there is tachy-brady syndrome. It means sometimes there is ...  Read Full »

Why did my heart rate drop to 32 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 d...  Read Full »

Dr. Isaac Gana


Answer: Hi, Welcome to I 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 evidenc...  Read Full »

Why are palpitations occurring 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 dizziness in the morning. He was given injections to reduce the heart rate and has taken Holter monitoring for one day. He had previously undergon...  Read Full »

Dr. Ganesh P Sapkal


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 »

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

Family Physician, General Practitioner, Internal Medicine Physician

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 »

I am implanted with pacemaker and potassium is high. What diet to follow?

Query: Hello doctor, I am implanted with a pacemaker. I am aged 71, potassium 5.1, fasting glucose 273, postprandial 353. What diet should I follow?  Read Full »

Dr. Sumiya Sulthana

Nutritionist, Dietician

Answer: Hello, Welcome to It needs to be monitored very strictly with diet so that it will help to manage the present condition and avoid kidney problems. Strictly follow a diabetic diet plan with complex carbohydrate diet with a split of seven to eight meals per day. Avoid excess potassium...  Read Full »

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