Had atrial stenosis and AF for years, was given the Edward's valve on July 22, 2022 at the Cleveland Clinic, OH, USA. All appeared to be in good order, and was discharged after overnight stay in hospital. On July 26th I presented at my local primary care provider in acute heart failure, with very low heart rate and very high BP. Had a St. Jude Medical Assurity MRI PM2272 DDDR installed within an hour and a half. Since then recovery has been slow, with bouts of dizzyness and general lack of energy at the least attempt at movement. I am on Eliquist and Metropolol 12.5 mg BID in the evening. BP runs 115-120/75-78, pulse of course is always 81(+/- 2). I am due for the first check-up of the device on August 2nd. My question is: can the device be adjusted to improve my situation?