He did not have any history in the chart. He said this is the first time he has been to the Dr since he was a child. I think the lack of history prompted them to send him in for evaluation. He said he got the pacemaker when he was a small child in another country and did not remember why. I dont know what type of pacemaker it was, but report in the chart said the pacemaker was "failing to capture and or sense" All of his labs were normal and he did not take any meds.
If the tachycardia was symptomatic he may have chest pain, dizziness, SOB, syncope, not be able to feel peripheral pulses. So he would be at risk for decreased cardiac output, decreased tissue perfusion, falls. Am I on the right track now?
His vitals were BP 125/81, T 98.1, spo2 99%, RR 15. The pulse was anywhere from 85-110 when resting, and activity brought it up to 120's-130's. He denied chest pain, SOB, dizziness.