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My cardiologist has never mentioned a pacemaker as something i might need going forward , but my systolic BP numbers run pretty low.

A MyHeartDiseaseTeam Member asked a question 💭
Gainesville, AL

i had heart attack in 1994 and have had no problems since.I am now 85 and notice my BP daily test consistently show a Systolic number in the high 50s or low 60s. My Cardiologist doesnt seem worried about it. I exercise a lot which may be one reason for the numbers i see. Wonder if i should raise pacemaker question with him. I certainly dont want one unless i really need it!

February 25
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A MyHeartDiseaseTeam Member

Jerry, it sounds like you have a good cardiologist. I am with you; if the doctor is not worried about something, neither am I. Good luck in May and keep us posted.

February 27
A MyHeartDiseaseTeam Member

Thanks. I plan to discuss in early May at my next regular appt. He is usually all over any potential problem he sees or i ask about so his lack of concern about my Systolic numbers is comforting because we track my BP on my daily monitor.

February 27
MyHeartDiseaseTeam

Should you discuss pacemaker concerns with your cardiologist given your low systolic blood pressure readings?

It's important to clarify that pacemakers address heart rate issues, not blood pressure problems. A pacemaker regulates your heartbeat when it becomes too slow or irregular, sending electrical impulses to keep your Show Full Answer

Should you discuss pacemaker concerns with your cardiologist given your low systolic blood pressure readings?

It's important to clarify that pacemakers address heart rate issues, not blood pressure problems. A pacemaker regulates your heartbeat when it becomes too slow or irregular, sending electrical impulses to keep your heart beating at the right pace.

Low systolic blood pressure (in the 50s-60s) is different from a slow heart rate. If your cardiologist isn't concerned about your blood pressure readings, it may be because your heart rate is normal and you're not experiencing symptoms like dizziness, fatigue, or fainting.

That said, it's always appropriate to discuss any health concerns with your doctor. You might ask:

* Is my heart rate normal, or just my blood pressure low?
* Could my exercise routine be affecting these readings?
* Are there any symptoms I should watch for that would indicate a problem?
* When would a pacemaker become necessary for someone with my history?

Your cardiologist knows your complete medical history since your 1994 heart attack and can provide personalized guidance about whether your current readings are cause for concern.

February 25
A MyHeartDiseaseTeam Member

That could be a possibility but there are other ways to treat systolic pressure with drugs that are eaiser that putting in a pacemaker. This is really a question for your doctor.

February 27

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