Conversation: The conversation between human and AI assistant.
[|Human|] We are looking for a heart specialist who has placed pacemakers in patients with Dextrocardia. My husband had a Boston Scientific Pacemaker in 2012. The pacemaker checks out as working perfectly but he is very short of breath, weak legs. We would like to be able to consult with a physician who has placed pacemakers in persons with Dextrocardia. His seems to be a difficult case, as we have consulted weth Cardiologists in Salt Lake City, Pocatello Idaho, and Mayo Clinic in Phoenix. We really need some help, as these physicians do not know what to do. It seems if they adjust the pacemaker he feels normal for several weeks -= he is definately NOT a textbook case. Thank you for any recommendation that you might be able to make.
[|AI|]  Hello I have gone through your question. Thanks for using Chat Doctor. I agree that pacemaker implantation in setting of dextrocardia is difficult. But after proper implantation if he has shortness of breath we need to establish the cause of it. Malfunction of pacemaker and lead maladjustment usually result in rhythm disturbance with syncope or giddiness. Shortness of breath may not be related to pacemaker. Deciding the cause of shortness of breath can be established by any good physician. So I would request you to consult any good physician. He would evaluate him with EKG and Echo. Subsequently he will guide you further. My best wishes Chat Doctor.