Dear Mr. Dr. Taghavi, Please be informed, I contact you from Iran to have your medical consultant, if possible. This means that I would be grateful and thank you, if you consider below paragraph and let me know your opinion in response to questions as a heart special expert, if possible. Patient Age: 50 Patient Sex: Female Patient Surgical operation type: pacemaker implant (2 chambers) Patient Surgical operation date: 6 months ago   After 6 months, she has experienced some pain of body yet, as described below: 1- Repetition of pain: Have not any regular pattern 2- Severity number of pain: 5 (1-10 score) 3- Most feeling time of pain: In most case, when doing a physical activity NOTE: sometimes in rest time position 4- Affected position of pain: Hand up position, sleeping on the left side 5- Affected body location of pain: the location of implant on chest (pain with temporary hot feeling), from left arm to left hand (pain with temporary hot feeling) 6: Duration of pain: 10 minutes (temporary) Note: No having any reportable problem, except for above item   Questions: Q1: Is it a normal pain? If it is not, so she needs to call Doctor, please inform me. Answer? Q2: Could she expect to have a normal life without any pain after this kind of surgical operation? Answer?     At the end of letter, let me thank you for time spending to provide response, consideration, guidance and helping in advance. Best regards, Hamed Khoshniat hamedkhoshniat@yahoo.co.uk