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How does recovery look after a pacemaker for bradycardia?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My father's heart rate was low, and he experienced fainting (syncope) twice. The doctor recommended a permanent pacemaker for bradycardia. After the pacemaker implantation, he was fine for 45 days, but now his pulse rate fluctuates rapidly between 70 and 100, along with occasional chest pain lasting one to two minutes.

The doctor has prescribed Ivabradine and mentioned that he has some tachycardia. What could be the reason for these complications?

Please help.

Thank you.
Answered by Dr. Sagar Ramesh Makode

Education:

MBBS

Professional Bio:

Dr. Sagar Ramesh Makode is a Consultant Cardiologist dedicated to diagnosing and managing various heart conditions with precision and care. He focuses on improving cardiovascular health through advanced treatments and preventive strategies. With expertise in providing personalized care, he strives to support patients in achieving better heart health, enhancing their quality of life, and reducing the risk of future cardiac complications.

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Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

This is likely part of a syndrome called tachy-brady syndrome. In this condition, patients sometimes experience a slow heart rate and other times a fast heart rate. The slow heart rate is managed by the pacemaker, while the fast heart rate requires medications like Ivabradine. It is usually not a worrisome issue but requires ongoing medication.

If these episodes are occurring frequently, it is advisable to have Holter monitoring or an ECG (electrocardiogram) during periods of high heart rate to optimize the medications. Given his age and the chest pain, it would be prudent to perform tests to check for blockages, such as stress thallium or CT (computed tomography) coronary angiography.

I hope this helps you.

Thank you.

Medically reviewed by Dr. Divya Banu M
Published At May 11, 2019
Reviewed At February 11, 2026

Education:

MBBS

Professional Bio:

Dr. Sagar Ramesh Makode is a Consultant Cardiologist dedicated to diagnosing and managing various heart conditions with precision and care. He focuses on improving cardiovascular health through advanced treatments and preventive strategies. With expertise in providing personalized care, he strives to support patients in achieving better heart health, enhancing their quality of life, and reducing the risk of future cardiac complications.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Dr. Sagar Ramesh Makode

Cardiology

Education:

MBBS

Professional Bio:

Dr. Sagar Ramesh Makode is a Consultant Cardiologist dedicated to diagnosing and managing various heart conditions with precision and care. He focuses on improving cardiovascular health through advanced treatments and preventive strategies. With expertise in providing personalized care, he strives to support patients in achieving better heart health, enhancing their quality of life, and reducing the risk of future cardiac complications.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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