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if a patientamp;#39;s experience syncope in the past and we have gotten ambulatory monitoring on on that patient and demonstrated either a potentially unstable slow heart rhythm or potentially unstable fast heart rhythm we may have to talk about the device based therapy for that patient if the patient has experienced either a an excessive slowing in their hearts intrinsic pacing their hearts intrinsic rate or whatamp;#39;s called an atrioventricular block as in the heart rate is normal but the main pumping chamber is not seeing that rate we may offer that patient pacemaker implantation to make sure that the heart rate doesnamp;#39;t get too slow in the future if a patient has experienced syncope because their heart rate has become unstable fast we may offer that patient an ICD or an implantable cardioverter-defibrillator to automatically deliver an electrical shock to the heart to interrupt that abnormally fast heart rhythm
