Bradycardia and abnormal ECG

Good morning! My name is Brenda and I am brand new to MayoConnect. I am a 63 yr old female with family history of heart issues. Regardless how well I maintain my body I still have issues with my heart. I have had numerous stents, angios and a triple bypass. I also have bradycardia and my ECGs are always "abnormal". My HR is most always in the mid-40s to mid-50s unless I am exerting myself then on rare occasions I may reach 80. I have presaure on my chest that can move into my neck and arm as well. I was just wondering at what point do I ask about a pacemaker? My mother also had one.

Thank you for the advice in advance!