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A pacemaker is used to treat the following heart conditions that cause the heart to beat too slowly: Sinus node disease Heart block Prior heart attack Long QT syndrome Hypertrophic obstructive cardiomyopathy Dilated cardiomyopathy Tachycardia-bradycardia syndrome Chronotropic incompetence Cardiac resynchronization therapy Recurrent instances of fainting (carotid sinus syndrome) Resting heart rate of fewer than 60 beats per minute Atrial fibrillation Coronary artery disease Congenital heart defects Heart failure (for biventricular pacemakers only) A pacemaker will not be recommended when a slower-than-normal heart rate is temporary or can be corrected with medication or lifestyle changes