Contralateral Pneumothorax after the Implantation of a Dual Chamber Pacemaker

摘要

An 85-year-old male presented to the primary care clinic with aone-month history of excessive fatigue and one episode of almostfainting. An electrocardiogram showed Mobitz II second degreeheart block with a pulse rate of 36 beats per minute. He was admittedand cardiology was consulted for further work-up and management.His past medical history was significant for diabetes mellitus,hypertension, hyperlipidemia, hypothyroidism, and peripheral vasculardisease. Initial laboratory tests showed a normal thyroid profile,complete blood count, liver panel, and renal function panels. Histroponin was 0.04 u/dl. With no reversible causes of heart blockidentifiable, he was scheduled for a permanent pacemaker insertion.