Pacemaker syndrome differential diagnosis: Difference between revisions
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{{Pacemaker syndrome}} | {{Pacemaker syndrome}} | ||
{{CMG}}; {{AE}} {{RT}} | {{CMG}}; {{AE}} {{MIR}} {{RT}} | ||
== Overview == | == Overview == | ||
Patients with pacemaker syndrome present with varied symptoms resulting from dyssynchrony between atria and ventricles. | |||
Pacemaker syndrome should be differentiated from the following diseases:[[Acute coronary syndrome]], failed [[pacemaker]], [[hypothyroidism]], cardiogenic [[pulmonary edema]], [[arrhythmia]]s (especially [[supraventricular tachycardia]]s), [[hyperthyroidism]], [[pulmonary embolism]], and [[carotid sinus hypersensitivity]]. | |||
==Differentiating Pacemaker syndrome from other Diseases== | ==Differentiating Pacemaker syndrome from other Diseases== | ||
Patients with pacemaker syndrome present with varied symptoms resulting from dyssynchrony between atria and ventricles. | Patients with pacemaker syndrome present with varied symptoms resulting from dyssynchrony between atria and ventricles. | ||
Presenting symptoms include: | Presenting symptoms include: | ||
* [[Dyspnea]] | * [[Dyspnea]] | ||
* [[Edema]] | * [[Edema]] | ||
*Orthopnea | * Orthopnea | ||
* Symptoms of low cardiac output like [[weakness]], [[fatigue]], [[lightheadedness]] and [[dyspnea]] on exertion | * Symptoms of low cardiac output like [[weakness]], [[fatigue]], [[lightheadedness]] and [[dyspnea]] on exertion | ||
*Hypotension | * Hypotension | ||
*Shock | * Shock | ||
*Orthostatic changes | * Orthostatic changes | ||
*Syncope | * Syncope | ||
*Dizziness | * Dizziness | ||
*Right upper quadrant pain | * Right upper quadrant pain | ||
*Headaches | * Headaches | ||
*Palpitations | * Palpitations | ||
*Easy fatigability | * Easy fatigability | ||
Pacemaker syndrome should be differentiated from the following diseases: | Pacemaker syndrome should be differentiated from the following diseases: | ||
* If patient had implanted ventricular pacemaker and develops new neurological or cardiovascular symptoms, consider Pacemaker Syndrome as a differential diagnosis. | * If patient had implanted ventricular pacemaker and develops new neurological or cardiovascular symptoms, consider Pacemaker Syndrome as a differential diagnosis. | ||
*[[Acute coronary syndrome]] | * [[Acute coronary syndrome]] | ||
*Failed [[pacemaker]] | * Failed [[pacemaker]] | ||
* [[Hypothyroidism]] | * [[Hypothyroidism]] | ||
* Cardiogenic [[pulmonary edema]] | * Cardiogenic [[pulmonary edema]] | ||
Revision as of 16:54, 19 May 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahshid Mir, M.D. [2] Raviteja Guddeti, M.B.B.S. [3]
Overview
Patients with pacemaker syndrome present with varied symptoms resulting from dyssynchrony between atria and ventricles. Pacemaker syndrome should be differentiated from the following diseases:Acute coronary syndrome, failed pacemaker, hypothyroidism, cardiogenic pulmonary edema, arrhythmias (especially supraventricular tachycardias), hyperthyroidism, pulmonary embolism, and carotid sinus hypersensitivity.
Differentiating Pacemaker syndrome from other Diseases
Patients with pacemaker syndrome present with varied symptoms resulting from dyssynchrony between atria and ventricles.
Presenting symptoms include:
- Dyspnea
- Edema
- Orthopnea
- Symptoms of low cardiac output like weakness, fatigue, lightheadedness and dyspnea on exertion
- Hypotension
- Shock
- Orthostatic changes
- Syncope
- Dizziness
- Right upper quadrant pain
- Headaches
- Palpitations
- Easy fatigability
Pacemaker syndrome should be differentiated from the following diseases:
- If patient had implanted ventricular pacemaker and develops new neurological or cardiovascular symptoms, consider Pacemaker Syndrome as a differential diagnosis.
- Acute coronary syndrome
- Failed pacemaker
- Hypothyroidism
- Cardiogenic pulmonary edema
- Arrhythmias (especially supraventricular tachycardias)
- Hyperthyroidism
- Pulmonary embolism
- Carotid sinus hypersensitivity
Differentiating [disease name] from other diseases on the basis of [symptom 1], [symptom 2], and [symptom 3]
On the basis [symptom 1], [symptom 2], and [symptom 3], [disease name] must be differentiated from [disease 1], [disease 2], [disease 3], [disease 4], [disease 5], and [disease 6].
| Diseases | Clinical manifestations | Para-clinical findings | Gold standard | Additional findings | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Symptoms | Physical examination | ||||||||||||||
| Lab Findings | Imaging | Histopathology | |||||||||||||
| Symptom 1 | Symptom 2 | Symptom 3 | Physical exam 1 | Physical exam 2 | Physical exam 3 | Lab 1 | Lab 2 | Lab 3 | Imaging 1 | Imaging 2 | Imaging 3 | ||||
| Differential Diagnosis 1 | |||||||||||||||
| Differential Diagnosis 2 | |||||||||||||||
| Differential Diagnosis 3 | |||||||||||||||
| Diseases | Symptom 1 | Symptom 2 | Symptom 3 | Physical exam 1 | Physical exam 2 | Physical exam 3 | Lab 1 | Lab 2 | Lab 3 | Imaging 1 | Imaging 2 | Imaging 3 | Histopathology | Gold standard | Additional findings |
| Differential Diagnosis 4 | |||||||||||||||
| Differential Diagnosis 5 | |||||||||||||||
| Differential Diagnosis 6 | |||||||||||||||