Blood pressure

Your question sparks a question of my own, if you don’t mind.
I had a (ICD) defibrillator implanted 6 weeks ago - and ever since my blood pressure has dropped from 120 (when regulated with ramipril) to 100-115ish stistolic - with no ramipril (at my doctor’s recommendation). Am wondering what caused my blood pressure to drop and now be consistently lower ??? And assume that is an okay blood pressure.

The whole reason I got a pacemaker was that my blood pressure was high and my heart rate was low. My doctor explained to me. It’s like a seesaw when your heart rate is low. Your blood pressure goes high, so they put in a pacemaker that would raise my heart rate thus lowering my blood pressure it has worked. I don’t know if that would be one of the things that would cause your blood pressure to go down if you had a lower heart rate and your device has caused your heart rate to increase just a thought that’s what worked for me.

Hello lulu45
You ask an interesting question. However, it is one that is hard to answer without knowing what your diagnosis is, if you are on any medication for blood pressure and what type of pacemaker you have.
Standard pacemakers, while not directly designed for blood pressure control, can affect blood pressure. There are specific pacemakers that are designed to address drug resistant hypertension, such as a CNT (Cardiac Neuromodulation Therapy) unit or a Baro pacer. Each device works differently but their design is to address otherwise uncontrollably high blood pressure.
I have a biventricular pacemaker, a CRT (Cardiac Resynchronization Therapy) device with a defibrillator. A biventricular pacemaker, such as the one I have, is designed for those, like me, who have heart failure.
Because I have CHF, I also take Entresto, 49/51 dose. That is a medication designed for heart failure patients and reduces the workload of the heart . The primary arrhythmia I experience is ventricular tachycardia, which is a rapid heart beat, although I rarely experience full blown VT. Instead I primarily experience episodes of SVTs (supra tachycardia), both sustained and nonsustained. Because I am asymptomatic, I am completely unaware of these episodes when I experience them. However, my CRT-D dutifully records these episodes and sends frequent reports to the arrhythmia clinic, much to their chagrin. My blood pressure routinely runs at 107/69, which is considered very good. All of the medical professionals I see are happy with that level.
I am not sure my answer is of much help to you. There are so many variables - including good old fashioned stress - involved in the issue surrounding blood pressure and pacemakers. It makes it difficult to compare "apples to apples" when some of us are more like oranges. 😉 I think the bigger question is: how do you feel? And how do your physicians feel about your current readings?
You are in the "early days" of your recovery. I have no doubt things will change as your body - and mind - becomes more adjusted to the device. I hope your recuperation is going well.
Keep well.