000 02388nam a22004337a 4500
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