Heart failure with fast heart rate does not necessarily require a pacemaker. A thorough evaluation of the patient’s condition is needed to decide whether to install a pacemaker.
Patients with heart failure often have rapid heart rate, which may be related to compensatory reflexes of declining cardiac function. Most of the patients can be given medications to control the heart rate, such as metoprolol, bisoprolol fumarate, digoxin, etc., which can control the patient’s symptoms to a certain extent, but rapid heart rate is not the main indication for installing a pacemaker.
Some patients with heart failure are accompanied by significant enlargement of the heart, accompanied by conduction block, which can be manifested as uncoordinated contraction of both sides of the ventricle, is also the cause of heart failure, for patients with indications, can be installed with a pacemaker treatment, clinically known as re-synchronization therapy, so that the two sides of the ventricle can be coordinated contraction, to improve the function of the patient’s heart.
Patients with heart failure should be treated under the guidance of a physician, and patients with indications for pacemaker installation should be thoroughly evaluated to decide whether or not to install a pacemaker.