this depends on if it is type 1 or type 2, really. i know all this nonsense about "type one, type 2, first degree and second degree) probably confuses you, it is important to know wether or not you have type 1 or 2. ask your doctor. if he says type 2, you will need a pacemaker. the difference between type 1 and type 2 is this: type 1 involves missed p waves(the beginning of atrial electricity) wich can be benign and not cause anyhing. type 2 is erratic p waves that are not followed by PR intervals. this may cause your heart to go into panic after it completely misses a beat. This can ultimately result in passing out or sudden cardiac death. You need an artificial pacemaker installed if this is the case.