Key result
Pacemaker lead perforation through the myocardium to the anterior chest wall caused presyncope, chest discomfort, and pectoralis muscle stimulation in a 66-year-old patient.
This case report highlights a presentation of pacemaker lead perforation involving presyncope, chest discomfort, and pectoralis muscle stimulation.
Prompts consideration of lead perforation in pacemaker patients with presyncope and muscle stimulation; single case leaves open incidence and management questions.
We report on a 66-year-old man who presented with presyncope, chest discomfort, and pectoralis muscle stimulation after pacemaker implantation. Imaging confirmed lead perforation through the myocardium and reaching the anterior chest wall. (Level of Difficulty: Intermediate.)
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Simsolo et al. (2022) studied this question. Pacemaker lead perforation through the myocardium to the anterior chest wall caused presyncope, chest discomfort, and pectoralis muscle stimulation in a 66-year-old patient.
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