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My Doctor is willing to set it at any rrrrrrrrrrate I choose.
I am 86 years old in good physical shape,play tennis do nautilis and swim several times a week. Do get puffin when extended on tennis, or on a tread mill at higher than 3.5 miles per hour.
A retired Electro cardio surgeon I met Has a resting rate of 50 ppm and has his pacemaker set at 45 ppm
He points out this is a 12% duty cycle oh his pace maker and mine is over 75%. This save on the battery life and delays pacemaker replacement.
He has installed over 2000 pacemakers in his career.
Does having a high pulse rate on your pacemaker make you feel like you have more pep?