Key result
Chest X-ray identifies pacemaker lead fracture causing dizziness and third-degree AV block.
Why the study?
Lead fracture is a common late complication of permanent pacemaker implantation and a major cause of pacemaker malfunction, with varied clinical presentations requiring proper diagnosis.
Population
A 91-year-old female with permanent pacemaker lead fracture
Design
Case presentation
Authors
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Supports chest radiography for lead integrity in symptomatic elderly pacemaker recipients; leaves open optimal venous access to minimize fracture risk.
This case highlights the importance of careful vein access selection during pacemaker implantation to prevent lead fracture and the need for prompt diagnosis and management when it occurs.
Selaković et al. (2024) studied this question. In a 91-year-old female, lead fracture of the pacemaker was diagnosed via chest X-ray after presenting with dizziness and third degree AV block.
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