I had operation nearly 3 years ago for rheumatic heart and needed my t...

Unless there is something specific about your case there is no reason to suppose you will need a pacemaker just because you have rheumatic heart disease. Some patients with RHD develop atrial fibrillation and that can slow up needing a pacemaker but the symptoms are usually dizziness or blacking out and unless you have those symptoms you are unlikely to need a pacemaker. Your health generally would not be affected apart from those symptoms.

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