Thanks for your reply. I guess I need to find out if this new doctor actually thinks I have bradycardia. I don’t think I do and I don’t believe my BPM are slow. My blood pressure is generally ok, but there are times I could use more water. This whole thing confuses the hell out of me because I don’t have enough information and I know enough to ask all the right questions. There are times I am in rhythm and times my heart is erratic, hence afib. A PM will not help this situation. If the dizziness and fatigue would be helped by a PM, that would be a benefit. Again, thanks for your input.