Pacemaker syndrome differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]
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Differentiating Pacemaker syndrome from other Diseases
Patients with pacemaker syndrome present with varied symptoms resulting from dyssynchrony between atria and ventricles.
Major presenting symptoms include:
- Dyspnea
- Edema
- Symptoms of low cardiac output like weakness, fatigue, lightheadedness and dyspnea on exertion
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
References
- ↑ Ausubel K, Boal BH, Furman S (1985). "Pacemaker syndrome: definition and evaluation". Cardiol Clin. 3 (4): 587–94. PMID 3910239.