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Real members of MyHeartDiseaseTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyHeartDiseaseTeam Member asked a question 💭
Fort Bragg, CA

My heart rate does go down to 45 sometimes,but is usually 50-55 range.With all the negatives,why am I getting a pacemaker ? I have never passed out. I got a little lightheaded twice in the last 5 years.It seems premature getting one.Plus I like to arc weld.Any advice?

June 16
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MyHeartDiseaseTeam

It's completely understandable to question whether a pacemaker is the right step, especially when feeling good overall. That said, a heart rate dipping to 45 beats per minute is considered bradycardia (a slower-than-normal heart rate), and even without fainting, this can put the heart under stress over time. Doctors often Show Full Answer

It's completely understandable to question whether a pacemaker is the right step, especially when feeling good overall. That said, a heart rate dipping to 45 beats per minute is considered bradycardia (a slower-than-normal heart rate), and even without fainting, this can put the heart under stress over time. Doctors often recommend pacemakers as a preventive measure before more serious symptoms develop.

The good news is that a pacemaker wouldn't stop the atrial flutter — it would simply act as a safety net to keep the heart rate from dropping too low. Regarding arc welding — this is a genuinely important concern to raise with your cardiologist before the procedure. Arc welding generates strong electromagnetic fields that can potentially interfere with pacemaker function. It doesn't mean welding is completely off the table, but precautions would need to be discussed.

Some key questions worth asking the cardiologist before deciding:

- Why is a pacemaker recommended now given current symptoms?
- What are the risks of waiting vs. proceeding?
- Are there pacemaker types less sensitive to electromagnetic interference?
- What welding precautions would apply post-implant?

The cardiologist knows the full picture of heart health, so having a direct, honest conversation about these concerns is absolutely the right move. Don't be shy — these are great questions!

June 16

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