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Your pulseNeck pulse Pulse Pulse - bounding Pulse - weak or absent Radial pulse Takayasu arteritis Taking your carotid pulse is low and since it is new, you should see a cardiologist for analysis of just what your heart rhythm is. If your heart rhythm is normal, but the rate is just low, you do not need a pacemaker unless you are having symptoms from the low rate or if you are unable to increase the rate with exercise. However, for certain abnormal rhythms, pacemaker implantation is recommended even if you are not currently having symptoms.