I am always intrigued with those of us who have received Pacemakers and our symptoms and reasons for our new best friend is as individually based as we are unique. Personally, I think it takes time for our bodies to adapt and adjust to the PM. Our heart has been fatigued for so long and use to doing its on rhythm now that an insert has been placed to help and assist I’m wondering if time and medication adjustments are apart of the equation. I’ve not had constant chest pains or anything that I would call chest pains. My symptom is more like a congested freeway at times and now those times are few and far apart. By this I mean who’s in charge the PM or the heart once they figure that out life is good. Once I learned not to dwell on my PM life has been more normal. I’m pretty regular on working out several times a week and I find that most helpful. The reason I have a PM is due to bradycardia and having 6 second pauses. I have a new normal and we hit two years in June.