Conversation: The conversation between human and AI assistant.
[|Human|] my dad had a single episode of a shock feeling in his heart awakening him from sleep 4 days ago, he has had some new confusion and unsteadiness and was diagnosed with a UTI, He had not told us about the episode with heart til yesterday...do you think some of the symptoms may be related to this episode as well? He has a Pacemaker but no AICD
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that a heart disorder can not be excluded, even though this type of pain (shock like) is not typical of cardiac disorders. A musculoskeletal pain (from inflammation) can not be excluded too. The UTI infection, would not explain his confusion and unsteadiness. Did he have fever? I would recommend consulting with his physician for a careful physical examination, a resting ECG and some blood lab tests (complete blood count, inflammation tests, blood electrolytes). If the confusion persists and all the metabolic tests result normal, I would recommend consulting with a neurologist and performing a brain CT scan and an EEG. Hope to have been helpful! Best wishes,