An unusual cause of localised ST elevation following insertion of a permanent pacemaker

Pierre Qian, Yishay Orr, Lloyd Davis

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Localised ST elevation, chest pain and dyspnoea usually indicate ST elevation myocardial infarction. Eight one year old female with a background included unrepaired atrial septal defect, moderate to severe right ventricular (RV) dilatation and pulmonary hypertension, presented with worsening chest pain and dyspnoea four days post-insertion of a dual chambered pace- maker for sick sinus syndrome on Apixaban thromboprophylaxis for atrial fibrillation. The patient underwent surgical decompression of the pericardium, RV lead removal and ventricular wall repair. An epicardial dual chamber system was inserted. Retrospective comparison of chest x-rays immediately following device implantation and at presentation four days later demonstrated an anterior RV lead position at implantation and subsequent leftward and posterior migration of the lead tip as it courses in pericardially.
Original languageEnglish
Pages (from-to)e140-e142
Number of pages3
JournalHeart , Lung and Circulation
Volume25
Issue number10
DOIs
Publication statusPublished - 2016

Keywords

  • cardiac pacemakers
  • cardiac tamponade
  • chest pain
  • electrocardiography

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