I am a 36 year old male in good shape I was diagnosed with NCS (neurocardiogenic syncope) in 2004 after blacking out. I have had every test under the sun and all check out OK. Since 2004, I have several recordings of my heart flat lining for about 4.5+ seconds which resulted in dizzy spells. My doctors are trying to determine if a pace maker would be helpful to me. I know my heart rate drops but I don't know if my BP also drops. There are studies and doctors that argue for and against using pace makers for NCS. I average 2 dizzy spells a month and 1 blackout per year. I take the following meds to help keep my NCS in check: 1 20mg Lexapro, 2 Floranefs and 2 salt tabs. I am currently trying to get an appt at Mayo for additional help. Any words if wisdom are greatly appreciated!