The patient is a cardiologist's mother so you can imagine that this is
being posted after many many doctors have been consulted and they all
have no idea.

A pacemaker was implanted in a 72 year old woman who has had atrial
fibrillation episodes for several years. The resulting Bradycardia and
low blood pressure necessitated the pacemaker.

Immediately after the procedure she complained of right shoulder and
back pains. First assumed to be normal post-operative symptoms. All
test were normal.

Several hours later, the pain was spreading and was excruciating.

She went into the OR again and new leads were moved elsewhere. Pain
was mostly relieved.

She then went into A-Fib. Cardioversion was tried and failed - and
almost caused more severe issues.

She got out of the A-fib 24 hours later. Went home with what was
described as normal post operative pain.

Over the next three weeks she had episodes of some moderate pain and
discomfort in the same general back, neck, shoulder area but it didn't
last long.

Then all of a sudden the excruciating pain came back. As it was
spreading- where she could feel it crawling into her face- she was
hospitalized.

The pain is being managed, it comes and goes, but she is now again in
A-Fib with very low blood pressure. The Pacemaker is functioning as it
should.

No doctor asked can figure out what could possibly be causing the
pain. Every test on the issue is negative.

Any ideas from anywhere would be appreciated.

If responding by e-mail, please revove the X's

Thank you