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Related Experiment Video

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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
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Marked ST-segment elevation during permanent pacemaker implantation.

Tomoyuki Tobushi1, Soichiro Kashihara1, Toshiaki Kadokami1

  • 1Department of Cardiovascular Medicine Saiseikai Futsukaichi Hospital Fukuoka Japan.

Clinical Case Reports
|October 21, 2016
PubMed
Summary

ST-segment elevation during pacemaker implantation is a rare but serious sign. It may indicate critical complications like myocardial ischemia or ventricular perforation, requiring physician attention.

Keywords:
Current of injuryST‐segment elevationmyocardial ischemiapermanent pacemaker implantationventricular perforation

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Area of Science:

  • Cardiology
  • Medical Device Technology

Background:

  • Permanent pacemaker implantation is a common procedure.
  • Acute complications can occur during implantation, including pneumothorax, lead perforation, dislodgement, and hemorrhage.

Observation:

  • ST-segment elevation on an electrocardiogram (ECG) during pacemaker implantation is an uncommon finding.

Findings:

  • This rare ECG finding may signify critical complications.
  • Potential critical complications include myocardial ischemia and ventricular perforation.

Implications:

  • Physicians must be vigilant regarding ST-segment changes during pacemaker procedures.
  • Prompt recognition and management of ST-segment elevation can prevent severe outcomes.