What should a patient with a pacemaker do if they experience bradycardia?

• A. Relax
• B. Seek immediate medical attention
• C. Increase caffeine intake
• D. Check battery

Answer: (B)

When a person with a pacemaker experiences bradycardia, the most important action is to seek immediate medical attention. Slow heart rates can be a sign that the pacemaker isn’t functioning correctly (for example, battery depletion, lead problems, or sensing/pacing issues) or that there’s an underlying change in the heart’s rhythm that needs urgent assessment. Getting evaluated promptly allows healthcare providers to interrogate the device, check the generator battery, inspect the leads, and adjust settings or plan any necessary interventions to restore reliable pacing and protect against symptoms like dizziness or fainting.

Relaxing or hoping caffeine will fix the problem isn’t appropriate here, because the issue may be device-related and not something that a simple home remedy can fix. Checking the battery yourself isn’t feasible or safe; only trained clinicians with the proper programmer can assess the device’s status and determine what, if any, treatment is needed. If symptoms are present (dizziness, fainting, chest pain, shortness of breath), treat this as an emergency and seek urgent care.