I am seeking medical opinions regarding the indication for peacemaker.

@carolinradulescu
With your medical history your questions would be best answered by experienced and knowledgeable medical specialist. You are asking some very specific medical decision questions. Do you have experienced medical doctors and medical institution?

For me if this was my medical history I would seek the guidance of medical specialist and consider doing a second opinion.

The actual surgery for a pacemaker is an outpatient procedure. But with your medical history may be different for you. I am on my 3rd ICD/Pacemaker. I am only here typing this because I had it done. I has my first one back in 2006.

I feel that the previous responder has answered properly and ethically. Nobody who posts here as a 'regular' can offer you medical advice................sorry. Despite your care in posting salient information, we can't ethically do more than to report our own experience if we have something similar going on and have been, or are being, treated for it.

For these things, I figure the people at the top of the food chain have it all over me on this. It is wise to be cautious and circumspect about one's elections with respect to health care, but if a cardiologist of some repute tells me it's time for a pacemaker, and assures me it will get me to 2029, I'm good for it.

I do wish you full success.

@gloaming
So correct and and informative post. No one should expect or asked for medical advices of what to do or not do medically or try to diagnose someone and prescribed treatments.

Just try to help with your own experience and why you decided to do this or that. Everyone body is different and what is best for one person will not be best for another.

I agree with above posts.
One important thing that I have issue with is determining blood flow.
Stress tests, EKG, ECHO, ultrasound,%SP02, all give indication but not an accuracy that I'd like to see.
Recently had a regular pacemaker on my chest. The wireless would not attach to my heart.
Went from ER and was 5 days in hospital and 4 surgeries. All my fatigue, balance, dizziness, short breath are gone.
Wish you the Best..

I will do my best, as a reasonably well-read (but NOT medically trained) layman, to address your questions:

1. I believe you are a prime candidate for a pacemaker. Your bradycardia tendency, all by its lonesome, suggests it's time. Pacemakers can help with AF, but they can't always nullify it completely. But, even if you are much more seldom in that arrhythmia, wouldn't that be a boon? You'll probably live longer, and better, just for that;
2. I'm not up to speed on pacemakers since they are outside my experience....so far. However, if just to speed your ventricles, a regular pacemaker, whatever that is, should suffice. If you inquire, and learn that there are types of pacemaker that can do a better job for you, would you seriously consider getting one of those;
3. I am not familiar with dialysis and with kidney disorders or malfunction. As a 'comorbidity', though, you are probably at some risk if your blood pressure and volume are consistently low/poor because both your brain and your kidneys need robust blood volume to work properly. So, leaving aside clotting, anti-coagulants, anti-arrhythmic drugs, etc, I would want my heart functioning as close to normal as possible, and for as long and as consistently as can be managed. If that must be with a pacemaker......................................................; and
4. I'm gonna shake my head on this, one. Sideways. Your heart is a sick instrument and needs help. As a result, your other organs are circling the proverbial drain....or at least might be....soon. I don't mean to alarm you with that phraseology, but if we could agree not to kid each other here, you need some aggressive treatment. According to some people with whom you have consulted, that involves a pacemaker. Probably even first. No. 1.

I cant address anything to do with Dialysis as I've never had that problem. Before my Heart transplant I had a pacemaker with defibulator for 10 years . I had what's called VT (Ventricular Tachycardia) which is very dangerous and when I would have an arrythmia minutes counted to get my heart back in rhythm.
VT is just the opposite of your slow heart beat as mine would go up to about 140-200 BPM. But the reason it was deadly is when the heart beats that fast basically your blood stops flowing. I would venture to say bradycardia is just as dangerous as i would guess your heart could slow down to the point that blood almost stops flowing. So Im not had bradycardia but I know for me that my pacemaker and sometimes the difibilator saved my life.
As for risks to the surgery to implant it as any surgery has risks. Due to battery life I had 2 surgeries to first put in the first one then a replacement when the battery was in need to be replaced. The surgeries were about 6 years apart. the first one because they also need to implant the wires to your heart has a 6 week recovery period were depending on you type of work means light duty for the 6 weeks. The battery replacement is day surgery, and you not usually required much down time. Mainly waiting for the wound to heal wont be able to go swimming or hot tubs for a couple of weeks.
Hope that helps and for me I had a pretty sick heart and it gave me the 10 years to get closer to retirement before a more radical surgery was needed.
Please let me know if I can answer any spacific questions.

I am getting ready to celebrate my third anniversary with my pacemaker for Sick Sinus Syndrome. I had bouts of bradycardia and tachycardia with proximal AFib and a flutter. I was a healthy, active 61 year old female when I started having problems. After an episode of passing out and having pauses in my heart beat, I was easily convinced that I needed to do something. I am thankful for the active life that I have returned to. I will also add that I had a cardiac ablation for the afib and aflutter. So thankful for the life saving devices and procedures that are available.