Key result
Intravenous heparin allowed complete resolution of a mobile thrombus attached to a pacemaker lead in an 84-year-old man presenting with syncope and hypotension.
Why the study?
Symptomatic thrombus formation due to a permanent pacemaker lead is a rare complication with potentially serious outcomes that warrants timely recognition and management.
Population
An 84-year-old man presenting with syncope and hypotension a few days after PM implantation
Design
Case report
Authors
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Consider lead thrombus in unexplained post-PM syncope; case report leaves open optimal management strategies.
Case Report (n=1)
Intravenous heparin can be an effective treatment for acute, symptomatic pacemaker lead thrombosis early after implantation.
Domain et al. (2022) conducted a case report in Pacemaker lead thrombosis (n=1). Intravenous heparin was evaluated on Resolution of thrombus. Intravenous heparin allowed complete resolution of a mobile thrombus attached to a pacemaker lead in an 84-year-old man presenting with syncope and hypotension.
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