TY  - BOOK
AU  - Hadadi, Cyrus
AU  - Hockstein, Max
AU  - Rosenberg, Bryan
TI  - Defibrillator Lead Perforation Leading to Concerning Electrocardiogram Findings: Case Report
SN  - 2474-252X
PY  - 2024///
KW  - Automated
KW  - MedStar Heart & Vascular Institute
KW  - MedStar Washington Hospital Center
KW  - Electrophysiology
KW  - Emergency Medicine
KW  - Emergency Medicine Residency
KW  - Journal Article
N2  - 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; 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
UR  - https://dx.doi.org/10.5811/cpcem.1466
ER  -