Had my pacemaker for a year and have been diagnosed with pacemaker syndrome. My Dr reccomends changing out my pacemaker and adding an additional lead plus defibulator type pacemaker. When my device was first implanted one lead came loose and several weeks in they had to go back in and reposition lead. Now I am faced with this situation. This will be third time under the knife for this implantation, Dr doesn't think there is any adjustment on current device that will fix the problem. I am in limbo today, wondering if I am really out of all other options. My ejection factor before implantation was 60 now it is at 20, a real downer to say the least.