A 56-year-old woman with dual-chamber permanent pacemaker fo | Figure 1

QueensU

A 56-year-old woman with dual-chamber permanent pacemaker for complete heart block presented to the Cardiac Rhythm Device Clinic due to increased shortness of breath. What is your diagnosis and most reasonable approach in this case?

a) Ventricular lead dislodgement / chest radiography

b) Ventricular pacing with AV dissociation / pacemaker interrogation

c) Pacemaker malfunction and lead / device replacement

d) Left bundle branch block and AV complete block / chest radiography

e) Atrial tachycardia and ventricular pacing / pacemaker interrogation

Why you should join Figure 1

• Share your knowledge with our global community of healthcare professionals
• Get help from experts in your field
• Learn from our library of real-world cases and quizzes

Similar cases

A 66 yo M with CRT device presents with dyspnea. Case Link

70 year old male with chest pain. AV block and a Mobitz II.](https://app.figure1.com/case-detail/2b0864ae-537d-4464-b1af-bfce109e72a6)

3 ECG's from the same patient. Case Link

A 30-year-old male admitted with syncope. Case Link

A 52-year-old man presented with a 20-minute history of chest pain. Case Link

A 28-year-old woman presented with a 3-day history of intense pruritus. Case Link

A 4-month-old male infant presented with skin lesions localized to the chin. Case Link

Patient in late teens presenting after a collapse. Case Link