Slight dizziness

It's called Syncope. Yes i have had it for yrs and the ICD did not help it. I also have Vertigo.

@brhendo
I believe you posted you take BP medication. BP medication will lower your BP. Depending on how much it can cause dizzeness you are experiencing and something you need to talk to your doctors about.

My BP because of my medications can be as low as 90/60 but usually around 100/70. If I stand up too quickly I can get dizzy. What I have learned to do is rise slowly and or move my feet around before I stand.

AFIB can also cause dizzenes.

You mentioned you have a pacemaker. What is your pacing set at. My heart rate would be in the 30s because of medication so my pacemaker is set to 70. To low of a pacing rate can also affect your dizziness. Thinks like this talk to your EP and or pace clinic as they are easily programmed for what is best for you.

Your stress test will tell your cardiolgy team a lot but asked about medications, pace rate, AFIB.

Thanks for responding JC 76 very good information.
I have cut my BP medication in half at the Cardiologist suggestion and blood pressure is good usually between 110-120 and 70-80
My heart rate was also in the 30 pacing is set at 60.
I think you maybe right about AFIB causing dizziness cause I get dizziness when walking sometimes as well.
After I've healed from surgery Cardiologist wants to do a Cardioversion for the AFIB
Thanks again just hope to get it figured out

I am writing this message on behalf of my wife to share her recent experience before and after the pacemaker replacement.
She had a Medtronic ADDR L1 pacemaker implanted in February 2012. In early January 2026 she started having intermittently high blood pressure, palpitations, and her heart rate fluctuated between the set 60 bpm up to 100. The pacemaker data transmitted to the cardiologist's office showed that the battery voltage had dropped below a certain voltage, the atrial electrode wire was disconnected causing fibrillation. It signaled the need to prepare for a replacement.
She felt worse by the day to the point that I took her to her cardiologist's. The ECG showed atrial fibrillation, anterolateral ischemia, heart rate 97. She was immediately moved from the cardiologist's office to the ER at the hospital. While preparing to stabilize her, the monitor showed her heart rate at one point reaching 147 bpm. After being stabilized, she was put on blood thinner, spent a day in the cardiology section of the hospital and discharged.
On January 23 her pacemaker was replaced with an Azure S DR, model W3DR01. She was prescribed Eliquis blood thinner and medication for high blood pressure. Since then, her heart rate fluctuates between 60 bpm and 80 bpm. The blood pressure varies during the day, at night reaching as high as 177/100, in spite of taking medication to control it. At night she feels palpitations and dizziness, and is quite weak during the day. A visit to the office of the cardiologist who did the surgery 3 days ago showed that the pacemaker was supposedly working well.
While the pacemaker replacement took place only 10 days ago, some time to adjust to it was to be expected, but it seems that her current symptoms give cause to be concerned. We are trying to get ASAP an appointment with the cardiologist, not easy after several days during this past week when everything shut down due to the extreme winter weather we had to face. Has anyone else experienced issues following a pacemaker replacement? We would be very interested to learn about it. Thank you.

@deberh
I am on my 3rd ICD/Pacemaker and have had one since 2006. I think everything that can go wrong or happen I have experienced.

First do you have access to a Electrophysiologist (EP). Please check. They are cardiologist trained and experienced with the electrical functions of heart.

A pacemaker can be programmed to sent electrical charge to heart and beat. That number should be discussed with your EP of what is best for you wife. When mine was too low I was having a lot of PVCs and dizziness. It was set to start pacing at below 40. This caused my heart to have tons of PVCs and some irregular heart beats.

The EP and I then started experimenting with increasing my pulsing rate it to see where the PVCs would reduce. We finally found that 70 beats was best for me.

When you feel palpitations and dizziness (which a low pulse rate can cause) you also have stress and anxiety which can led to blood pressure rise. It is important (from my EP and HF doctors) to know that stress and anxiety will cause BP to rise.

I had the same issues your wife has had and working with my EP found solutions. If you can, (even if you have to drive) I would try to find a EP to work along with your cardiologist who can work together. I have never heard of Azure pacemakers. Most common brands are Boston Scientific (mine), Medtronic, and others.

You mentioned atrial fib (AFIB). Irritation of the Atrial by lose wire coming out can cause this along with the electrical charge hitting the heart where it is not supposed to. Your wife was probably put on blood thinner as was having AFIB. When she gets her knew one in for a while and there are not signs of AFIB talk to cardiologist (and hopefully your EP) about need to be on blood thinner still.

I lived in a small city and was seeing a cardiologist. When I reached the thresholds for having an ICD I was being referred to a EP by my cardiologist. At that point I decided to drive to Mayo Jacksonville for second opinion. At that visit I met with a EP who no only recommended the ICD but pacemaker. He then referred me to a heart failure specialist who changed my medications. I have been a Mayo Jacksonville patient and seeing these two specialist since 2006.

Did they remove the old wires from past pacemaker? Put in new ones? This will cause the heart to be very irritated for a while along with the surgery itself. Again having gone through 3 ICD/Pacemaker surgeries, wires coming lose, battery issues, wire issues, and having had outstanding EP my post comes from that information not as a medical professional.

My experience concurs with jc76. You need an electrophysiologist to examine the settings on your wifés pc to make appropriate changes. I have a Boston Scientific implanted in 2020. The pacing features had to be reset to combat the lightheadedness I still felt. Other settings had to be changed as well.

Although a cardiologist told me the pc was working fine, it was only after I got to see an ep that I found out how complicated a device a pc is.