My husband has Alzheimer's (4 years since diagnosis) with severe cognitive decline. He had tests after a mild stroke this summer and might need a heart pacemaker. His doctor says his heart arrythmia is not life threatening but he might get dizzy and fall and hurt himself. She (doctor) said that if my husband was in a care home she would not recommend a pacemaker, but since I am trying to keep him at home with best possible quality of life he should get the pacemaker (pending results of further tests) to prevent a serious fall. Before his Alzheimer's became severe, my husband and I discussed whether we wanted life-extending interventions and he did not. My son says it is my decision. My youngest (a daughter) wants everything medically possible to keep him alive as long as possible. Has anyone else faced this issue? I have seen in the internet that pacemaker in this situation is a controversy.