I was just told I need a pacemaker. I have known I have complete heart block for 10 years but have never been symptomatic. My heart rate is usually about 46 but i have seen it anywhere from 37-55 while awake. I had some episodes where it sped up and things became distant 2 times. The medical doc thougt it was panic attack though I've never had one. My cardiologist says, I'll have to get a pacemaker eventually anyway and it's possible I felt my heart pause. I was very scared that day and thought I was going to die. I'm going for a second opinion. I don't feel tired like alot of these people describe. Does anyone have a similar story?