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Pacemaker implant
can you have a slow heart beat but still have a good echocardiogram results
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It's possible.  Echos measure things like cardiac wall thickness, how much blood you pump on each contraction, and the health of the valves.  A slow heart rate will not necessarily alter most things that an echo is designed to measure for disease.  For that you probably need an EP or electrophysiology study.  If you're unsure definitely ask your cardiologist.
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