Pacemaker syndrome physical examination
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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]
Physical Examination
Appearance of the Patient
Vitals
Pulse
Blood Pressure
Respiratory Rate
Neck
- Neck vein distension (elevated JVP)
- Cannon waves in the neck veins
Lungs
- Crackles may be heard at the lung bases
Heart
- Cardiac examination may reveal regurgitant murmurs and variability of heart sounds
Abdomen
- Liver may be pulsatile, and the RUQ may be tender to palpation. Ascites may be present in severe cases.
Extremities
- Edema may be present
Neurologic
- Neurologic examination may reveal confusion, dizziness
- Mental status may be altered