@itdontgo
Last year my heart rate was always in the low 40’s to 30 range, and I was in a junctional rhythm most of the time. I was having episodes of feeling lightheaded, but was tolerating it. My cardiologist recommended that we continue to monitor the symptoms closely. He said if the symptoms got worse - which he felt they would - that I would eventually need a pacemaker. 7 months after the diagnosis I needed to get the pacemaker. My point is that if you aren’t symptomatic, you should listen to your cardiologist. If symptoms start, you should touch base with the cardiologists immediately.