You are dispatched to a residence for a 59-year-old male with an unknown emergency. when you arrive, you find the patient sitting on the couch. he is conscious, is noticeably diaphoretic, and complains of dizziness and weakness. during your assessment, you note a large, well-healed vertical scar in the center of his chest and a small bulge just under the skin in the upper left part of his chest. his blood pressure is 90/50 mm hg, pulse is 44 beats/min and weak, and respirations are 24 breaths/min and unlabored. what is the most likely cause of this patient's condition?

You are dispatched to a residence for a 59-year-old male with an unknown emergency. when you arrive, you find the patient sitting on the couch. he is conscious, is noticeably diaphoretic, and complains of dizziness and weakness. during your assessment, you note a large, well-healed vertical scar in the center of his chest and a small bulge just under the skin in the upper left part of his chest. his blood pressure is 90/50 mm hg, pulse is 44 beats/min and weak, and respirations are 24 breaths/min and unlabored. what is the most likely cause of this patient's condition?

- Artificial pacemaker failure

Well, l think that some effective communication is, emotional barriers and lack of attention, interest distraction or irrelevance. also some physical disabilities such as hearing problems or speech difficulties.      l hope i am correct  and you good luck.