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Question:

Should I have a pacemaker? I am very apprehensive.

I've had very poor results taking Lopressor. On 2 occasions I tried with 1/2 of a 25mg pill & my pulse plummeted to low 50s very quickly, so I immediately stopped as I lost most of my energy. My LVEF (left ventricular ejection fraction) is 23. I'm male, 85 years old. Now my cardiologist wants me to have a pacemaker to hold my pulse to 60 as a minimum & try to take Lopressor again. He says it will possibly forestall a stroke or heart attack. I am very apprehensive. Can you give me any advice? Thanks.

submitted by Gilbert from Metropolitan, Washington, DC on 12/11/2013

Answer:

by Texas Heart Institute cardiologist, Abdi Rasekh, MD    

Abdi Rasekh, MDYou mention that your EF (ejection fraction) is 23%. If your EF is low you would likely benefit from a defibrillator which is also a pacemaker. It can prevent sudden cardiac death and also prevent slow heart rate. You may also benefit from use of a beta blocker such as Lopressor. Your cardiologist has given you good advice.   

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Updated December 2013
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Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
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