The lead model was not implicated in a recall to our knowledge and search. Jude Accent generator with Medtronic CapSure SP Novus atrial and ventricular leads) in 2002 for sick sinus syndrome and had a generator changeout in 2011. He underwent implantation of a dual-chamber pacemaker device (St. Case DescriptionĪ 62-year-old male with history of hypertension, coronary artery disease, and sick sinus syndrome presented to outpatient device check clinic to establish care for a pacemaker device. In our patient's case, fracture of a pacemaker lead occurred during accelerated rides in the absence of direct trauma. Stress or trauma due to physical exertion causes compression of a lead between the clavicle and first rib when implanted by subclavian approach. Subclavian crush syndrome is one of the most commonly reported causes of traumatic pacemaker fractures. Lead fractures are most commonly associated with physical exertion during weight lifting or chest trauma. Lead fractures are seen in approximately 0.1 to 4.2% of patients with pacemakers per year. Pacemaker lead fracture is one of the most common causes of pacemaker malfunction. This case indicates that extreme physical forces in the absence of direct trauma, such as during amusement park rides, may result in lead fractures and patients with pacemakers should be cautioned regarding such activities. In our case, the fracture occurred during amusement park rides and went undiagnosed until the patient presented for routine pacemaker evaluation. We present an interesting case of complete severance of the tip of a dual-chamber pacemaker’s atrial lead after a high-velocity theme park ride. Treatment involves placement of a new lead with or without extraction of the fractured lead. Diagnosis is made by ECG and careful review of chest imaging such as chest X-ray or fluoroscopy. These patients usually present with symptoms of dizziness, syncope, chest discomfort, and palpitations or less commonly with extracardiac symptoms. Pacemaker lead fracture is one of the most common causes of pacemaker malfunction and is most frequently associated with weight lifting or chest trauma.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |