Pacemaker? or No Pacemaker? - So what decision do I make???

MMMMM... Well at least I know I am NOT INSANE! (or anymore than I've always been) :)... My tests from the 24 hour Holter monitor on my heart rate DOES SHOW THAT 17 HOURS OUT OF 24... my heart rate runs ABNORMALLY LOW.... as low as 42 BPM 7 hours out of that time and then in between that and 55 ..so it never really got to "normal" even when I was out and about doing things during that time... so now I can decide "if" I want to do something, like have the pacemaker put in... or wait....

my issue is that I noticed the past 6 months, I tire so easily.... by the time I get up and do a few things either around the inside or outside of the house, or make a trip to the market, get the groceries in the car, home out of the car, and put up.... and get changed..

I feel exhausted... today I did some weed eating in the back yard, and within 30 minutes I could barely lift my feet to get in the house, change, and if I ever sit down, it's like I am just too exhausted to do anything else fr the day.... plus I am not sleeping, and I found out that could be why my ankles are swelling so badly again... and having a slow rate also can cause nausea, which I am seemingly nauseated every day darned near it. But, of course once a pacemaker goes in just like the pain pump, it is there "for life"...

you can't decide in a year or so that you 'don't want it any longer" ... and of course I know every about 8 years or more, the battery has to be replaced...good thing that is NOT so invasive like my pain pump... when it "goes out" I have to undergo major surgery to completely replace it...not just put a new battery in....so, I decided to do some research more and give it some thought over the weekend... and then see if I want to go in and discuss it more with my cardiologist....

https://www.nhlbi.nih.gov/health-topics/pacemakers