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Pacemaker lead endocarditis with hiccups (Kalayci)

Belma Kalaycı1, Turgut Karabag1, Turgay Erten1

  • 1Bulent Ecevit University, School of Medicine, Department of Cardiology, Zonguldak, Turkey.

Caspian Journal of Internal Medicine
|September 11, 2018
PubMed

Insights

Lead-related infections after pacemaker implantation can cause serious complications. Atypical symptoms like hiccups may indicate infective endocarditis, requiring prompt diagnosis and lead extraction.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Device Infections

Background:

  • Lead-related infections post-pacemaker implantation present significant management challenges, high costs, and severe patient outcomes.
  • Typical symptoms include fever, chills, and fatigue, often necessitating implant system extraction for effective treatment.

Observation:

  • A 66-year-old male with a dual-chamber pacemaker and implantable cardioverter-defibrillator presented with a six-week history of hiccups and fever.
  • Diagnostic workup confirmed lead-related infective endocarditis.

Findings:

  • Prompt antibiotic therapy and lead extraction were initiated for the patient.
  • The case highlights hiccup as an atypical presenting symptom of pacemaker lead-related infective endocarditis.

Implications:

  • Infection signs in pacemaker recipients warrant thorough investigation, including imaging like echocardiography.
  • Early identification of pacemaker lead localization and infective endocarditis is crucial for timely intervention and improved patient prognosis.
Abstract

Keywords:
EchocardiographyHiccupInfective endocarditisPacemaker lead

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