Have you talked with your electrophysiologist about reprogramming your pm? When mine was put in five years ago I was not given the opportunity to speak with the doctor about the symptoms I was experiencing. But I finally was put in touch with another electrophysiologist who helped me in resetting some of the many features on my Boston Scientific pm, which has eliminated the fatigue and shortness of breath. This may be what you need to do.

Thank you at least I have something to discuss with my doctors when I go in