AI Article Synopsis
- Cardiac strangulation is a rare but serious issue that can happen after epicardial pacemaker implantation, as shown in a case of a young boy who experienced symptoms nearly 7 years later.
- There have been 22 reported cases of this complication, with an increasing trend noted in the past 3 years, particularly linked to young patients as they grow.
- Regular monitoring through chest X-rays and echocardiograms is advised until patients reach full adult size, and if cardiac strangulation is confirmed, immediate replacement of the pacemaker system is required.
Article Abstract
Cardiac strangulation is a rare and potentially deadly complication of epicardial pacemaker implantation. A young boy presenting with chest pain and tiredness almost 7 years after pacemaker implantation was found to have cardiac strangulation. Literature review revealed 22 cases reported to date with a worrying rise in the number of reports over the past 3 years. Strangulation is associated with implantation of leads at a young age and appears to be related to somatic growth. Serial assessment with chest X-ray and echocardiogram is recommended, at least until full adult growth is attained with further coronary artery imaging reserved for symptoms or suspicious echocardiographic findings. If cardiac strangulation is diagnosed prompt replacement of the offending system is needed.
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| http://dx.doi.org/10.1017/S104795112000342X | DOI Listing |
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