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pros and cons of a pacemaker
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pros and cons of a pacemaker

One cardiologist has me on dilatazium and warfarin to control my a-fib.  I am also a COPD patient using 2 litres 24/7.
Another has suggested a pacemaker.  I am torn between making this choice.  I have absolutely no energy and would stay in bed all day if I were able.  What are your thoughts?
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We typically only put pacemakers into patients with a-fib if they alternate between a fast heart rate and a very slow heart rate (usually less than 50 or so).  I would not put a pacemaker in for atrial fibrillation alone.  However, it sounds like you do not feel well in atrial fibrillation so it would definitely be worth try to get you out of it.  I would recommend that you be evaluated by an Electrophysiologist.  This is a cardiologist who specializes in abnormal heart rhythms such as atrial fibrillation.  Your primary cardiologist could refer you.  There are medications we can use to convert your rhythm out of a-fib and keep you out of a-fib.  There are also procedures which an Electrophysiologists could do to try and get rid of the rhythm for you.  They are 50% successful but do work for some patients.  


Hope this helps.  Good Luck!
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