Hello I am a 24 year old female who has had presyncope episodes for 12 years. During the 12 years I have undergone many tests. I had a positive tilt table test in 2006 where my blood pressure dropped to 69/32 and the tilt showed neurocardiogenic syncope with a cardioinhibitory component. I was placed on florinef 4 years ago and after 3 days of taking the medication I had a TIA. Would pacemaker placement be an appropriate option for treatment?