Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Pacemaker syndrome physical examination
Introduction
Physical Examination
Physical Examination
Appearance of the Patient
- Diaphoresis
- Apprehension
Vitals
Pulse
- Tachycardia
- Irreregular peripheral pulse
Blood Pressure
- Orthostatic hypotension
- Hypovolemic shock
- Fluctuating blood pressure and pulse pressure
Respiratory Rate
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
References
References
- ↑ Van Orden Wallace CJ (2001). “Diagnosing and treating pacemaker syndrome”. Crit Care Nurse. 21 (1): 24–31, 35, quiz 36-7. PMID 11858242.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]