Medical professional help here would be appreciated.?

Can the cells in the heart that help it contract when the natural pacmaker (sino atrial node?) is inefficent be the cause of a more forceful beat(Palpitations?). I have had bradycardia 39bpm for the past ten months, which I think has caused imbalance and the forceful beat of the heart, that is most noticeable laying down in bed. Wondering if when the heart has to take up the slack for the pacemaker, that is why i feel a much harder contraction. Very worried, to this point the cardiologist has found nothing from the ecg, echo, blood test, and holter. Now that want to send me to neurology(????). Any insight into the question is appreciated.

I have not had a pacemaker put in.

How long have you had the pacemaker?
Sometimes the body needs to adjust, especially if your pulse was running at 38.
Do as the cardiologist says.
CC

Sounds like you possibly have Sick Sinus Syndrome (SSS) and would benefit from a Permanment Pacemaker. Bradycardia can cause palpitations as the heart is pumping quite forcefully to maintain adequate cardiac output. Are you young or super fit? Bradycardia of that nature shouldn't go untreated for too long. Maybe get a second opinion?

Anyone with brachycardia should seriously consider a permanent pacemaker. I know it's a pain, but it will keep the ticker beating at a reasonable rate. 39bpm is not a reasonable rate. By all means, follow what your doctor says. If he thinks there's possibly a way a neurologist can help, then go for it. The heart is regulated by nerves after all, such as the very important vagus nerve which has a major influence on how your heart beats. Good luck to you, and listen to your doctor!