AI Article Synopsis
- Nonspecific chest pain in patients with heart devices, like pacemakers, should make doctors think about possible issues with the device, even if tests look normal.
- A 77-year-old woman had chest pain a year after getting her pacemaker, which turned out to be due to a serious problem with the device's lead.
- It's important for doctors and patients to be aware that problems with heart devices can happen long after they are put in, so any unusual pain should be checked out carefully.
Article Abstract
Key Clinical Message: Nonspecific symptoms such as pleuritic or pericardial chest pain in cardiovascular implantable electronic devices patients, even with unremarkable ECG or device parameters, should always raise suspicion of electrode perforation, regardless of how long ago the implantation was performed.
Abstract: We report the successful percutaneous management of a 77-year-old woman who had a dual-chamber pacemaker implanted more than 1 year ago and presented with pericarditis pain and compensated pericardial hemorrhagic tamponade. The symptoms were due to very late acute perforation of the atrial lead. This report is intended to raise awareness of procedure-related complications in the large group of cardiovascular implantable electronic device patients. Pleuritic or pericardial pain in these patients should raise suspicion of electrode perforation, as the risk of perforation is not restricted to the period immediately after implantation and a lifelong risk cannot apparently be excluded.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10268212 | PMC |
| http://dx.doi.org/10.1002/ccr3.7525 | DOI Listing |
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