actually i am 54 yrs old and and i am feeling some pain in left shoulder and when i go to doctor he told me to do some tests like ECG,TMT and holter monitoring all the results are gud but avg BPM was 46.......is that condition where i have to go for the pacemaker
Ok... first, pacemakers do not increase life span. What they do is allow someone to have a life at all. So, if someone is finding themselves out on the floor on an hourly or daily or even monthly basis (and Chat Doctor.  It used to be they were put in every time someone had a heart, but the insurances caught them at it and there are now severe restrictions on that. The question is whether the arm pain would be fixed with a pacemaker. By itself a REGULAR pulse of 46 can be a sign of very good health and certainly by itself does NOT necessarily indicate a problem (it can be due to a blood pressure medicine that is just working fine). If a stress test doesn't trigger the pain or if the holder shows the arm pain doesn't fit with the bpm or if when you move the arm it hurts, then that goes against it being the pulse, cannot say in your particular case without directly examining.