yap had it so bad in the early 80s my heart rate would drop as low as 16 bpm and wake me up a dozen times a night . Back then the treatment was a pacemaker so yap I got one . but mine has inproved since i HAVE LOST 90 LBS .I weigh about 280 right now so got a ways to go . stress and weight was causing mine . but iam a wreck 2 heart attacks a double bypass the pacemaker and iam diabetic type 2 . everything is inproving with the weight loss thou Iam off insulin completely and take half the pills I use to .