7 doctors weighed in:

I have a pacemaker...But I am having trouble breathing when I lay down. What could it be?

7 doctors weighed in
Dr. Ed Friedlander
Pathology
3 doctors agree

In brief: CHF

Shortness of breath lying down strongly suggests a failing left ventricle, pacemaker or no.
Often people with pacemakers have lost both the av node and some heart muscle to disease. We also need to consider something mechanically impinging on the pulmonary venous return to the heart. Schedule a physician's appointment as soon as you can, and get several pillows.

In brief: CHF

Shortness of breath lying down strongly suggests a failing left ventricle, pacemaker or no.
Often people with pacemakers have lost both the av node and some heart muscle to disease. We also need to consider something mechanically impinging on the pulmonary venous return to the heart. Schedule a physician's appointment as soon as you can, and get several pillows.
Dr. Ed Friedlander
Dr. Ed Friedlander
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1 comment
Dr. Bennett Werner
Shortness of breath when lying down ("orthopnea") occurs when there is is excessive blood volume returning to a heart that can't handle the load - it's a very suggestive symptom of congestive heart failure (CHF) as Dr. Friedlander said and I agree with him.
Dr. Tarek Naguib
Internal Medicine - Nephrology & Dialysis
1 doctor agrees

In brief: Possible CHF

It may mean that you have congestive heart failure i.
e. Extrafluid build u p in your body with leg swelling. When you sleep flat the fluid creeps up to the lungs making you short of breath. If you have edema you will need to control salt and water and take your water pills. Other options are lung disease, like asthma, emphysema, or pneumonia.It is imperative to check with doctor before emergency.

In brief: Possible CHF

It may mean that you have congestive heart failure i.
e. Extrafluid build u p in your body with leg swelling. When you sleep flat the fluid creeps up to the lungs making you short of breath. If you have edema you will need to control salt and water and take your water pills. Other options are lung disease, like asthma, emphysema, or pneumonia.It is imperative to check with doctor before emergency.
Dr. Tarek Naguib
Dr. Tarek Naguib
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Dr. Mary Efremov
Internal Medicine

In brief: Fluid overload

Sounds like it could be fluid overload or a problem with the heart muscle.
It may be reasonable to get a clinical; exam, chest xray and an echocardiogram. Kidney and liver function need to be assessed as well.

In brief: Fluid overload

Sounds like it could be fluid overload or a problem with the heart muscle.
It may be reasonable to get a clinical; exam, chest xray and an echocardiogram. Kidney and liver function need to be assessed as well.
Dr. Mary Efremov
Dr. Mary Efremov
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