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Ask Dr. D. Love Your Own Question
Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 19306
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
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I went hospital procedure which could not take place as my

Customer Question

I went for a hospital procedure which could not take place as my pulse rate was showing 29 this has happened on numerous occasions the lowest reading being 28,
I am not a athelete, I just have a heavy work pattern, I have experienced pains in my chest, dizziness and loss of sight for a few seconds, I feel lost as a ecg does not show
-this problem because its not consistent, what do I do to put my mind at rest.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. D. Love replied 1 year ago.

Hello from JustAnswer.

If there is no identifiable cause of the low heart rate, such as the use of a medicine that can lower the heart rate, the usual next step in this situation would be a consultation with a Cardiologist for consideration of placement of a pacemaker.

It is appropriate to consider pacemaker placement in someone having a heart rate below 40, even if only happening intermittently. The consideration for a pacemaker would be greater if there are symptoms that could be related to the low heart rate, such as dizziness or loss of sight.

When someone is having intermittent low heart rate, it is common that an ECG done by your doctor or hospital will miss the low heart rhythm, and we will frequently used a prolonged monitoring method, such as a Holter monitor. But since the low heart rate was documented when you were scheduled for the procedure, the Cardiologist would be able to make a decision based on this documentation.

Since the ECG ordered by your doctor did not show the rhythm, you may need to ask the hospital to send a copy of the documented low heart rate to your doctor, and then your doctor can consider the referral to a Cardiologist.

If I can provide any further information, please let me know.

Customer: replied 1 year ago.
Thank you for your quick response, much appreciated.
Expert:  Dr. D. Love replied 1 year ago.

You are most welcome.