Conversation: The conversation between human and AI assistant.
[|Human|] I am 47 years old I had a Heart attack six months ago (on valentines day Ironic) I am female,, I had many symptoms beforehand shortness of breath.. Pain in arms etc..etc.. I have 2 stents to R.C.A. m y damage is on bottom and side of heart and my problem is the more active I am the worse I feel.. My pulse skips around and sometimes is in the 30 range even without beta blocker.. They say I am not a canadate for a pacemaker tell my pulse stays in the 30s but I do not feel well!
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that low heart rate is not always an indication for pacemaker. You mention that your heart skipped a beat. You should be careful and not measure the frequency after a feature heart contraction or a skipping beats, because in these cases the heart pause its normal. So, it is important to differentiate this thinks, if you have low frequency during four daily live, and you feel week, or you just measure these episodes after a skipped beat with pauses. In my opinion, if I was your treating doctor I will recommend a holder rhythm monitoring. If it registers frequency to 30 beats for minute during day, and you do have symptoms than it might be an indication for pacemaker because symptomatic bradycardia fulfills the criteria. Hope Ia was helpful. Best regards, Chat Doctor.