DOAJ Open Access 2024

Defibrillator Lead Perforation Leading to Concerning Electrocardiogram Findings: Case Report

Bryan Rosenberg Max Hockstein Cyrus Hadadi

Abstrak

Introduction: Implantable cardioverter-defibrillator (ICD) lead perforation through the myocardium may result in chest pain and electrocardiogram (ECG) changes concerning for ST-segment elevation myocardial infarction. The clinical context of the ECG aids in appropriate management. Case Report: We report the case of a 71-year-old woman experiencing chest pain after an ICD placement two weeks earlier. On presentation, she exhibited ST-segment elevation on her ECG. Computed tomography confirmed ICD lead migration. The patient’s hemodynamics were normal, and she was discharged home after a five-day hospital stay following a lead revision. Conclusion: Although rare, ICD lead perforation is a potential cause of chest pain and ischemic ECG changes. Emergency physicians should consider lead perforation as a potential differential diagnosis when evaluating chest pain in patients with ICDs, taking into account the potential complications of coronary angiography.

Topik & Kata Kunci

Medical emergencies. Critical care. Intensive care. First aid

Penulis (3)

Bryan Rosenberg

Max Hockstein

Cyrus Hadadi

Format Sitasi

APA MLA BibTeX

Rosenberg, B., Hockstein, M., Hadadi, C. (2024). Defibrillator Lead Perforation Leading to Concerning Electrocardiogram Findings: Case Report. https://doi.org/10.5811/cpcem.1466

Akses Cepat

PDF tidak tersedia langsung

Cek di sumber asli →

Lihat di Sumber doi.org/10.5811/cpcem.1466

Informasi Jurnal

Tahun Terbit: 2024
Sumber Database: DOAJ
DOI: 10.5811/cpcem.1466
Akses: Open Access ✓