Conversation: The conversation between human and AI assistant.
[|Human|] hi doc i am a patient of severe bradicardia with a pace maker for last 10 months...i still have problem off n on inspite of severe changes in adjustment...oflate i have been havibg nagging chest pain with mild discomfort through out the day...is there a reason to worry?
[|AI|]  HelloWelcome to Chat Doctor. Pacemaker is implanted when the hearts automatic rhythm is too slow. It generates impulses and conducts it to the heart muscle so that the heart contracts effectively and rhythmically. However, it doesn't take care of blockages in the heart of any. Chest pain and discomfort are symptoms of angina which may suggest there are blockages in the heart. Most cardiologists prefer to do an angiogram before pacemaker insertion to see for heart blockages. I don't know if it was done in your case. If an angiogram has been done and there were no blocks then you need not wish about this chest pain. You can take a course of antacids twice daily for 2 weeks.  If there were blockages at that time or the angiogram has not been done earlier, then you must proceed with an angiogram and stenting if required. Also since it have mentioned that pacemaker had to be adjusted several times it is a possibility the pacemaker is pacing the diaphragm. Please call the pacemaker technologist and get your pacemaker checked. Wishing you good healthRegards