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Yes you may have a permanent pacemaker and use a Nitro patch
Work with you cardiologist OF COURSE with regard to any problems or worsening that you may have whether angina or shortness of breath ...
The pacemaker is not a contraindication to you using a nitroglycerin patch though
I hope that this is helpful for you
Let me know if you have further questions or concerns
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Thank you and Best Regards,
Anthony Bray MD