Should elderly people with heart failure and heart valve regurgitation have a pacemaker installed?

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Question
Hello doctor,
My grandmother has heart failure grade 3, mitral valve regurgitation, and broke a wire to the aorta, so she is often tired. The treating doctor advised her to put on a pacemaker. She is 86 years old this year. So the doctor asked me if the elderly with heart failure and heart valve regurgitation should have a pacemaker? If I put the device, will it have any effect and will it get better? Thank you doctor.
Anonymous customer
Answer
Answered by Master, Resident Doctor Ngo Duc Manh - Cardiovascular Center, Vinmec Times City International General Hospital.
Hello,
With the question “Should elderly people with heart failure and regurgitation have a pacemaker installed? , the doctor would like to answer as follows:
Your grandmother is 86 years old, diagnosed with heart failure grade 3, mitral valve regurgitation, the information "break 1 aortic wire" may not be correct from the specialist. , the meaning of the above symptom is unknown. For patients with heart failure, there are many types of machines that can support the heart, so with the information you provide it is not clear exactly what type of machine your grandmother will be placed. The pacemaker should be placed when indicated to improve heart function and symptoms for the patient, however, depending on the type of machine, there will be different implementations and levels of risk during implementation. .
You and your family should discuss and listen to the consulting doctor to explain more about the indications, benefits and risks of placing the device. With the current information, the doctor does not know what type of machine will be placed for the patient, the appointment cannot fully advise you.
If you still have questions about the elderly with heart failure, you can go to the hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

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