Key result
Pacemaker lead perforation can present with persistent chest pain despite normal electrical lead parameters.
Why the study?
Cardiac wall perforation from pacemaker lead fixation typically alters electrical parameters, but may occur despite normal device parameters and function.
Case Report (n=1)
In patients with recent cardiac electronic device implantation, persistent chest pain should raise suspicion of myocardial perforation even if electrical parameters are normal.
Answers are grounded in this paper and cite their sources.
Chest pain after recent device implantation warrants perforation evaluation despite normal parameters; case report leaves open true incidence and surveillance needs.
Cardiac wall perforation is a recognized complication of pacemaker lead fixation. It is typically associated with deterioration of electrical parameters; however, this case demonstrates that perforation may occur despite normal parameters and apparently normal device function. In patients with recent cardiac electronic device implantation, persistent or pleuritic chest pain should raise suspicion of myocardial perforation. Transthoracic echocardiography may be diagnostic, and cardiac computed tomography provides definitive confirmation when uncertainty remains.
No takes yet. Share an insight, caveat, or question.
Nastasi et al. (2026) conducted a case report in Cardiac wall perforation (n=1). Pacemaker lead fixation was evaluated. Cardiac wall perforation following pacemaker lead fixation can present with persistent chest pain despite normal electrical parameters and apparently normal device function.
Synapse has enriched 10 related papers. Consider them for comparative context: