She is going for
her yearly PC appt next week, when she will have an EKG, echo, stress test
, and stress
echo. Presently her diagnosis is s/p VSD with ~2mm residual VSD, s/p double chambered right ventricle, s/p vascular ring, mild mitral regurgitation, mild tricuspid regurgitation, and RBBB. What questions should I ask her PC at this visit regarding the significance of the syncope? What are the chances of her needing a pacemaker in the future?