Case Report (n=1)
No
Non-productive cough can be a rare symptom of pacemaker lead perforation, which resolves upon lead repositioning.
Unexplained post-implant cough may signal lead perforation; this single case leaves open whether septal repositioning is generally effective.
Na naĹĄe oddÄlenĂ byla pĹijata 64letĂĄ Ĺžena k implantaci dvoudutinovĂŠho kardiostimulĂĄtoru. SamotnĂ˝ vĂ˝kon se obeĹĄel bez jakĂŠkoli komplikace. Jedna komorovĂĄ elektroda s aktivnĂ fixacĂ byla umĂstÄna v hrotu pravĂŠ komory. Brzy po implantaci zaÄal pacientku suĹžovat neproduktivnĂ kaĹĄel, jednoznaÄnÄ souvisejĂcĂ s komorovou stimulacĂ. TranstorakĂĄlnĂ echokardiografie prokĂĄzala malĂ˝ perikardiĂĄlnĂ vĂ˝potek podĂŠl apikĂĄlnĂch segmentĹŻ. U pacientky bylo provedeno urgentnĂ CT vyĹĄetĹenĂ s kontrastnĂ lĂĄtkou, kterĂŠ potvrdilo perikardiĂĄlnĂ vĂ˝potek a pĹĂtomnost elektrody v myokardu hrotu pravĂŠ komory. Pro pĹetrvĂĄvĂĄnĂ symptomĹŻ jsme se rozhodli pĹemĂstit pravokomorovou elektrodu do stĹedu mezikomorovĂŠho septa. Po vĂ˝konu kaĹĄel okamĹžitÄ vymizel.
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Parisi et al. (2022) conducted a case report in Lead perforation after pacemaker implantation (n=1). Right ventricular lead repositioning was evaluated on Symptom resolution.
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