Pacemaker syndrome physical examination

Pacemaker syndrome Microchapters
Home
Overview
Historical Perspective
Pathophysiology
Differentiating Pacemaker syndrome from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
Chest X Ray
Echocardiography
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Pacemaker syndrome physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
slides
Images
American Roentgen Ray Society Images of Pacemaker syndrome physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Pacemaker syndrome physical examination
CDC on Pacemaker syndrome physical examination
Pacemaker syndrome physical examination in the news
Blogs on Pacemaker syndrome physical examination
Directions to Hospitals Treating Pacemaker syndrome
Risk calculators and risk factors for Pacemaker syndrome physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]

Physical Examination

Appearance of the Patient

• Diaphoretic
• Apprehension

Vitals

Pulse

• Tachycardia
• Irreregular peripheral pulse

Blood Pressure

• Orthostatic hypotension
• Hypovolemic shock
• Fluctuating blood pressure and pulse pressure

Respiratory Rate

• Tachypnea

Neck

• Neck vein distension (elevated JVP)
• Cannon waves in the neck veins

Lungs

Crackles may be heard at the bases of the lungs

Pulmonary rales

Heart

• S3 gallop

• Regurgitant murmurs and variability of heart sounds may be heard on auscultation.

Abdomen

• Abdominal distension (ascites) may be present in severe cases

• Tenderness may be present at the right upper quadrant (RUQ)

• Pulsatile liver may be palpated

Extremities

• Edema may be present
• cool extremities

Neurologic

• Confusion and dizziness may be observed
• Mental status may be altered