My 85 year old mother has sick-sinus-syndrome. Initially she had occasional heart rates of 20+, 30+ beats at night during sleep. Four years later, slow rates of 40+, 30+ and on occasion 20+ beats, are happening during in the day.
The EP is of the view of no pacemaker till she faints. This sounds extreme to us especially for an elderly person.
Her symptoms now are persistent pallor, drowsiness, nodding off /knocking out and sudden waking, very low BP(increasing instances), intermittent panting or breathlessness especially when stressed, greatly reduced exercise / physical activity tolerance.
Just 6 months ago she was still able to do 1 hour walks. Adequate nutrition and hydration mean she has managed to maintain muscle mass and mental agility. Her recent detailed blood test results done as prep for an angiogram, show all levels for minerals, etc, to be in range.
But now she has appeared to age overnight as her heart condition drags her down physically.
Our question is - is now the right time for her to get that pacemaker?