My mother in law has had a pacemaker for 6 years. Since receiving the PM, her average heart rate is between 80-90. Suddenly her HR drops to 60 and stays there for a couple of weeks. When this happens, she is completely wiped out. The doctor doesn't seem to have any explanation for her. HR will stay at 60 for a couple of months and overnight it goes back to 80-90. She has been doing well for a couple of months, and last night HR dropped again to 60. What causes this to happen?