Case 1

Rajkumar Rajendram, Javed Ehtisham and Colin Forfar

in Oxford Case Histories in Cardiology

Published on behalf of Oxford University Press

Published in print March 2011 | ISBN: 9780199556786
Published online November 2012 | e-ISBN: 9780191753305 | DOI:

Series: Oxford Case Histories

Case 1

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A 79-year-old man with type II diabetes mellitus, New York Heart Association (NYHA) class II–III heart failure, and a permanent pacemaker (PPM) presented to the emergency department (ED) with a 3-week history of increasing shortness of breath. His exercise tolerance had reduced and he also reported orthopnoea and paroxysmal nocturnal dyspnoea. He denied chest pain, palpitations, or loss of consciousness. The PPM had been implanted for complete heart block 7 years prior to this presentation.

Chapter.  2060 words.  Illustrated.

Subjects: Cardiovascular Medicine

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