Conversation: The conversation between human and AI assistant.
[|Human|] my friend was told that he has an irregular heart rate 39-40bpm.and that he is lucky that he wake up in the morning.and that he needs a pacemaker to be put in.and for him to go to emergency room.but my friend didnt.what is going to happen to this person if he doesnt soon get the pacemaker in?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of heart block is more in your friends case. It is conduction defect in heart when impulses are regularly conducted. So heart is not beating properly and hence blood circulation in the body is also not proper. pacemaker insertion is must for him. If he is not willing for pacemaker, he may develop brain damage (paralysis) due to decreased blood supply to brain. Sudden stoppage of heart is also seen due to heart block. So sudden cardiac arrest may occur, and it is life-threatening. So convince him for pacemaker insertion. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks.