A 61-year-old man presented with worsening right thoracic pain and dyspnea three days after being discharged from cardiology following pacemaker implantation for sick sinus syndrome. A 60-year-old woman with an implanted pacemaker presented with dizziness and fainting. A 77-year-old woman who had a pacemaker implanted for symptomatic sinus bradycardia presented one week later with continuous chest pain. An elderly patient presented 6 months after pacemaker implantation with a recurrence of exertional shortness of breath.

1. Morning session
Rashid Abuelhassan

2. 1

4. 2
• A 61 year old man presents to his general practitioner with right
thoracic pain and dyspnoea, progressively worsening since three days.
He was discharged from cardiology a week before, for implantation of
a pacemaker for sick sinus syndrome

7. 3
• A 60 year old female patient with known implanted pace maker
presented with a complain of dizziness and faints.

10. 4
• A 77 year-old patient had a physiological pacemaker implanted for
symptomatic sinus bradycardia, with sinus arrest. she presented after
one week with continuous chest pain.

12. 5
• A 68 year old patient, with a history of chronic obstructive pulmonary
disease and psychosis on medications, history of pace maker
implanted one month back .

15. 6

16. • T. Fahraeus and C. J. Hoijer, “Early pacemaker twiddler syndrome,” Europace, Vol. 5 (July 2003), pp. 279-281.

17. 7
• elderly patient presented 6months after a dual chamber pacemaker
was implanted. They reported recurrence of exertional shortness of
breath that was experienced before pacemaker implantation.