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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pains And Discomfort After Insertion Of A Pace Maker?

hi doc i am a patient of severe bradicardia with a pace maker for last 10 months...i still have problem off n on inspite of severe changes in adjustment...oflate i have been havibg nagging chest pain with mild discomfort through out the day...is there a reason to worry?
Wed, 17 May 2017
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Pulmonologist,  's  Response
Hello
Welcome to HCM.
pacemaker is implanted when the heart's automatic rhythm is too slow. It generates impulses and conducts it to the heart muscle so that the heart contracts effectively and rhythmically.
However it doesn't take care of blockages in the heart of any. Chest pain and discomfort are symptoms of angina which may suggest there are blockages in the heart. Most cardiologists prefer to do an angiogram before pacemaker insertion to see for heart blockages. I don't know if it was done in your case. If an angiogram has been done and there were no blocks then you need not wish about this chest pain. You can take a course of antacids twice daily for 2 weeks. If there were blockages at that time or the angiogram has not been done earlier, then you must proceed with a angiogram and stenting if required.
Also since it have mentioned that pacemaker had to be adjusted several times it is a possibility the the pacemaker is pacing the diaphragm. Please call the pacemaker technologist and get your pacemaker checked.
Wishing you good health
Regards
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What Causes Chest Pains And Discomfort After Insertion Of A Pace Maker?

Hello Welcome to HCM. pacemaker is implanted when the heart s automatic rhythm is too slow. It generates impulses and conducts it to the heart muscle so that the heart contracts effectively and rhythmically. However it doesn t take care of blockages in the heart of any. Chest pain and discomfort are symptoms of angina which may suggest there are blockages in the heart. Most cardiologists prefer to do an angiogram before pacemaker insertion to see for heart blockages. I don t know if it was done in your case. If an angiogram has been done and there were no blocks then you need not wish about this chest pain. You can take a course of antacids twice daily for 2 weeks. If there were blockages at that time or the angiogram has not been done earlier, then you must proceed with a angiogram and stenting if required. Also since it have mentioned that pacemaker had to be adjusted several times it is a possibility the the pacemaker is pacing the diaphragm. Please call the pacemaker technologist and get your pacemaker checked. Wishing you good health Regards