They say that ablation isn't too safe for people with POTS because they can wind up pacemaker dependent. I have never heard that having a pacemaker with POTS was not safe. My heart rate is all over the place too, but I've not had a doctor suggest a pacemaker (maybe mine's different from yours). Did they say was what led them to believe a pacemaker would be appropriate in your case? If you can and since you are concerned especially , I'd recommend getting a second opinion from somebody who is very familiar with POTS and how it behaves.
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