Related Experiment Video

Updated: Jun 15, 2026

Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation
08:56

Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation

Published on: September 24, 2021

[Infective endocarditis on probe of pacemaker]

Thouraya Filali1, Wafa Fehri, Mohamed Ben Moussa

  • 1Service de Cardiologie, Hôpital Militaire de Tunis.

La Tunisie Medicale
|February 26, 2010
PubMed

Insights

Infective endocarditis, a rare but serious complication of permanent cardiac pacing, is often caused by staphylococci. Early diagnosis and treatment involving antibiotics and device removal are crucial for managing pacemaker lead infections.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Device Technology

Background:

  • Infective endocarditis is an uncommon yet life-threatening complication associated with permanent cardiac pacing.
  • Infections primarily arise from local contamination during device implantation procedures.
  • Staphylococci are the most frequently identified causative microorganisms.

Purpose of the Study:

  • To summarize the key aspects of infective endocarditis in patients with permanent cardiac pacing.
  • To highlight diagnostic challenges and management strategies for pacemaker lead infections.

Main Methods:

  • Review of clinical presentations, diagnostic tools, and treatment approaches for pacemaker lead infections.
  • Emphasis on bacteriological data and transesophageal echocardiography (TEE) for diagnosis.
  • Discussion of management strategies including antibiotic therapy and device/lead extraction.

Main Results:

  • Atypical clinical presentations often lead to diagnostic delays.
  • Transesophageal echocardiography is vital for visualizing vegetations and confirming lead infection.
  • Successful management relies on a combination of prolonged antibiotics and early device explantation.

Conclusions:

  • Pacemaker lead infection requires a dual approach of antibiotics and device removal.
  • Percutaneous lead extraction is the preferred method but carries potential complications.
  • Antibiotic prophylaxis is recommended to minimize infection risk during pacemaker implantation.

More Related Videos

Translational Rabbit Model of Chronic Cardiac Pacing06:14

Translational Rabbit Model of Chronic Cardiac Pacing

Published on: January 6, 2023

Testing the Efficacy of Pharmacological Agents in a Pericardial Target Delivery Model in the Swine10:05

Testing the Efficacy of Pharmacological Agents in a Pericardial Target Delivery Model in the Swine

Published on: July 7, 2016

Related Concept Videos

Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
Myocarditis II: Clinical Features and Diagnostic Tests01:27

Myocarditis II: Clinical Features and Diagnostic Tests

Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...