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Tachycardia-Induced Cardiomyopathy As a Chronic Heart Failure Model in Swine

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Pyoderma gangrenosum complicating pacemaker implant.

Francisco G Cosío¹, Carlos González Herrada, Alfonso Monereo

¹Cardiology Service, Hospital Universitario de Getafe, Carretera de Toledo, km 12.5, 28905 Getafe, Madrid, Spain. fcosio@vitanet.nu

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology

|November 14, 2006

Summary

A pacemaker implant complication in a diabetic patient led to pyoderma gangrenosum. Prompt corticosteroid treatment successfully healed the necrotic lesion within three weeks.

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Published on: December 11, 2017

Area of Science:

Cardiology
Dermatology
Pathology

Background:

Pacemaker implantation is a common procedure for managing cardiac arrhythmias.
Co-existing conditions like diabetes and monoclonal gammopathy can influence patient outcomes.
Atrioventricular block necessitates cardiac pacing for hemodynamic stability.

Observation:

A 70-year-old female patient with diabetes and monoclonal gammopathy developed a painful, necrotic lesion at the pacemaker implant site within seven days.
The lesion was infiltrating and rapidly progressive, raising concerns for infection or inflammatory processes.

Findings:

Histopathological examination of the lesion confirmed pyoderma gangrenosum, an ulcerative inflammatory skin condition.
The patient's comorbidities, including diabetes and monoclonal gammopathy, were noted as potential contributing factors.

Implications:

This case highlights a rare but serious complication of pacemaker implantation, emphasizing the need for vigilance.
Early recognition and appropriate treatment, such as corticosteroid therapy, are crucial for managing pyoderma gangrenosum.
Understanding the interplay between cardiac devices, comorbidities, and dermatological reactions is essential for comprehensive patient care.