A clinical case report detailing the presentation of a patient requiring pacemaker generator replacement following a complex myocardial infarction.
May inform long-term pacing decisions post-MI; hypothesis-generating and should not yet change practice.
Presentation or CaseA 56-year-old man was admitted to the hospital for replacement of an electronic cardiac pacemaker generator.He was well until 18 months before admission, when he was brought to the hospital because of chest pain followed by collapse. An electrocardiogram disclosed acute inferior myocardial infarction with complete heart block. A temporary pacing electrode was inserted but failed, and ventricular fibrillation occurred, with circulatory arrest. He was resuscitated, and examination disclosed for the first time a Grade 3 holosystolic murmur along the lower left sternal border, with radiation to the cardiac apex. Thrombophlebitis developed about the temporary pacing . . .
No takes yet. Share an insight, caveat, or question.
Cabot et al. (1973) studied this question.
Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context: