A 44-year-old woman with cardiac sarcoidosis receives a DDD pacemaker for complete atrioventricular block. Two weeks after discharge she presents for follow-up. She mentions breathlessness on exertion which seems more pronounced than before pacemaker implantation. The onset of dyspnea is very sudden during exertion. Her weight is unchanged and she denies peripheral oedema or orthopnea.
Test your knowledge
Note: The views and opinions expressed on this page are those of the author and may not be accepted by others. While every attempt is made to keep the information up to date, there is always going to be a lag in updating information. The reader is encouraged to read this in conjunction with appropriate ESC Guidelines. The material on this page is for educational purposes and is not for use as a definitive management strategy in the care of patients. Quiz material on the site are only examples and do not guarantee outcomes from formal examinations.