158 – Bradycardia and Pacemakers in Aging: What to Know

In This Episode:

Dr. K speaks with cardiologist and electrophysiology expert Cara Pellegrini, MD, to explain bradycardia (slow heart rate), how it’s diagnosed and treated, and when a pacemaker might be recommended. Dr. Pellegrini also explains the different types of pacemakers, including traditional and leadless options, what to expect during implantation and recovery, and how modern pacemakers are monitored.

She covers:

• Introduction to Bradycardia and Pacemakers
• What is a pacemaker?
• What is bradycardia & when is it a problem?
• Signs, symptoms & diagnosis of bradycardia
• Causes of bradycardia in aging
• How to treat bradycardia
• How different pacemakers work
• Implantable Cardiac Devices: Pacemakers vs. ICDs
• Understanding pacemaker insertion & recovery
• Monitoring and adjusting pacemakers
• Pacemakers in frailty or Alzheimer’s
• End-of-life considerations for pacemakers
• Recap of bradycardia and pacemakers
• Battery changes for pacemakers
• Questions to ask your doctor

Related episode:

• 146 – Atrial Fibrillation in Older Adults: Watchman, Medications & Other Treatment Options

Related Resources:

• American Heart Association – Bradycardia
• Upbeat – Pacemakers
• Pacemakers – HRS Patient Info
• American Heart Association – Pacemaker Guide
• Cleveland Clinic – Leadless Pacemakers

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