000 | 02388nam a22004337a 4500 | ||
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008 | 240807s20242024 xxu||||| |||| 00| 0 eng d | ||
022 | _a2474-252X | ||
024 | _aPMC11166071 [pmc] | ||
040 | _aOvid MEDLINE(R) | ||
099 | _a38869330 | ||
245 | _aDefibrillator Lead Perforation Leading to Concerning Electrocardiogram Findings: Case Report. | ||
251 | _aClinical Practice & Cases in Emergency Medicine. 8(2):107-110, 2024 May. | ||
252 | _aClin. pract. cases emerg. med.. 8(2):107-110, 2024 May. | ||
253 | _aClinical practice and cases in emergency medicine | ||
260 | _c2024 | ||
260 | _fFY2024 | ||
260 | _p2024 May | ||
265 | _sppublish | ||
265 | _tPubMed-not-MEDLINE | ||
266 | _d2024-08-07 | ||
266 | _z2024/06/13 09:13 | ||
520 | _aCase 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. | ||
520 | _aConclusion: 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. | ||
520 | _aIntroduction: 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. | ||
546 | _aEnglish | ||
650 | _zAutomated | ||
651 | _aMedStar Heart & Vascular Institute | ||
651 | _aMedStar Washington Hospital Center | ||
656 | _aElectrophysiology | ||
656 | _aEmergency Medicine | ||
656 | _aEmergency Medicine Residency | ||
657 | _aJournal Article | ||
700 |
_aHadadi, Cyrus _b _bMHVI |
||
700 |
_aHockstein, Max _bMWHC |
||
700 |
_aRosenberg, Bryan _bMWHC _cEmergency Medicine Residency _dMD |
||
790 | _aRosenberg B, Hockstein M, Hadadi C | ||
856 |
_uhttps://dx.doi.org/10.5811/cpcem.1466 _zhttps://dx.doi.org/10.5811/cpcem.1466 |
||
942 |
_cART _dArticle |
||
999 |
_c14480 _d14480 |