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Patients with atrial fibrillation and slow heart rate needs a pacemaker permanently to maintain an adequate, sufficient heart rate. This procedure improves atrial fibrillation symptoms, but does not cure the condition. Thus she still needs medication to reduce the risk of stroke.
However, many patients with atrial fibrillation have a pacemaker to allow the doctor to put them on medications---the pacemaker per se is ineffective for the AF part. If the patient has a tendency for a very slow heart rhythm & placed on and anti-arrhythmic medication, his heart rate may get so slow that he could get dizzy or pass out. So pacemakers are really used to allow the doctor to put the patient on an anti-arrhythmic medication.
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