This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.
I do share your concerns for this procedure.
If your wife does not experience any dizziness, shortness of breath or any other symptoms when the heart rate drops below 50 bpm, then pacemaker insertion is not absolutely necessary.
Also if your wife has her heart rate normally above 50 bpm most of the time, that also suggests she does not need pacemaker right now.
Pacemaker insertion is considered when heart rate drops below 40 bpm persistently causing significant symptoms.
Otherwise, this procedure is not needed.
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