Can a pacemaker self-convert a person if they are in flutter. A woman I know has had flutter episodes and said she has had her pacemaker convert her. I didn't know a pacer could do that, so I am asking if that is possible. I belive she has to go to a pacer clinc for that. She has had 4 ablations and her heart rate goes high for her and she then get an ECV she has had a lot of ECVs they work for a while then she goes into flutter again. Her doctor wants to ablate her node, she doesn't want to do that right now, she is having a lot of problems.