Pacemaker or not?

Hi, my grammy is 92 years old, she suffers from arrhythmia and recently is getting dizzy very often. Once she felt to the floor and got hospitalized. The doctor told us that she may need a pacemaker. We are worry about all the risks implied during and after the procedure, specially because of her age. She is also depressed after being in the hospital and we are not sure she can go through this emotionally.

Thanks for your advice.

[CCF-M.D.-MJM]

Hello,

It is true that pacemaker have the initial risks of implantation and long term risks of infection, but these risks are low.  Pacemakers can change peoples lives, depending on what there problem is.  My grandmother had a pacemaker placed at 86 years-old.  She felt like a new person.

If is frequently falling, she is at significant risk of a hip fracture, not to mention the constant fear of falling.  In my opinion, this is no way to live.  Especially if a 60 minute procedure could so drastically change your grandmothers life.

I would recommend the pacemaker if your doctors think it is indicated.  If you think about, post how she is doing a month or so after the pacemaker if she decides to go forward.

Good luck.

[Kristin391]

I have a pacemaker.  It will make her feel so much better.  I was told there are few risks with the procedure...the major ones being infection or bleeding into the pocket.  But, with skills hands most complications can be avoided.  I don't regret having the pacemaker.  At first, it is a scary thought but the technology is so great today that these devices are very reliable.  Bottom line, irrespective of age, she will feel so much better and not have these episodes.

[renee in chicago]

Hi, just my two cents here.  Falls at your grammy's age can have debilitating consequences with prolonged stays in a hospital.  If she fell and broke her hip it could possibly decrease her independence and that too could very difficult to take emotionally.

Peace,
Renee

[SteveB47]

I have a question pertaining to this thread.  I am throwing out my ignorance for all to see so please understand this is only a question.  Usually when a pacemaker is installed the ventricals only are stimulated Right? I'm aware of one that will also make the atrii pump but I understand it's not the usual pacemaker.  So here's the question.  If the ventricals only are pumping, is there a slightly increased risk of stroke simular to A. Fib. where the blood will pool in the atrii?  I'm hoping that this will not scare anyone or change their minds about getting a pacemaker, that is not my intention.  I'm probably looking at getting one in the future myself and I think knowing all the facts benefit everyone.