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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Shortness Of Breath And Chest Pain After Pacemaker Implant?

My mom had a pacemaker put in on June 3, and since have been short of breath everyday. She can not walk from her couch to her front door without being short of breath. She can not take a bath nor vacuum her floor without being out of breath. She has even experience several episodes of chest pain on the left side and in the center of her chest. What do we need to do at this point? I have talked with the surgeon that put it in and he only said to see her heart doctor which can only see her on July 30. Is this something serious that we need to head to the er with?
Tue, 27 Jan 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
In my opinion she is having congestive cardiac failure (CCF) mostly because of underlying heart disease.
So consult cardiologist and get done
1. ECG
2. 2d echo
3. Coronary angiography (If needed).
Many times pace makers do not give desired effect because of underlying poor functioning myocardium. So in such cases, pumping function of heart is impaired and can cause fluid overload. Fluid accumulate in the dependent parts of the body like lower limb, abdomen and lungs. In lungs it will cause pulmonary edema. And this cause breathlessness on exertion.
So she may need diuretic a and cardiac inotropic drugs to improve heart function. So consult cardiologist and discuss all these.
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What Causes Shortness Of Breath And Chest Pain After Pacemaker Implant?

Thanks for your question on HCM. I can understand your situation and problem. In my opinion she is having congestive cardiac failure (CCF) mostly because of underlying heart disease. So consult cardiologist and get done 1. ECG 2. 2d echo 3. Coronary angiography (If needed). Many times pace makers do not give desired effect because of underlying poor functioning myocardium. So in such cases, pumping function of heart is impaired and can cause fluid overload. Fluid accumulate in the dependent parts of the body like lower limb, abdomen and lungs. In lungs it will cause pulmonary edema. And this cause breathlessness on exertion. So she may need diuretic a and cardiac inotropic drugs to improve heart function. So consult cardiologist and discuss all these.