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Abdominal twitches due to ICD lead dislodgement; A case report
Yusuf Cemil Oktay1, Muhammed Rıdvan Ersoysal2, Burcin Akgun1
1Department of Emergency Medicine, Health Sciences University Antalya Training and Research Hospital, Antalya, Turkey.
Turkish Journal of Emergency Medicine
|March 14, 2022
Summary
Implantable cardioverter-defibrillator (ICD) lead dislodgement caused abdominal pain and twitching in a patient. Prompt diagnosis and lead repositioning resolved the issue, highlighting the need for physician awareness of device complications.
Area of Science:
- Cardiology
- Medical Device Technology
- Emergency Medicine
Background:
- Implantable cardiac devices, such as implantable cardioverter-defibrillators (ICDs), are crucial for managing malignant ventricular arrhythmias.
- Device malfunctions can lead to severe patient outcomes, necessitating prompt recognition and management.
Observation:
- A 63-year-old male presented with acute abdominal pain and abdominal wall twitching.
- The patient had recently undergone ICD implantation for arrhythmia prevention.
- Electrocardiogram revealed abnormal pace spikes unrelated to QRS complexes.
Findings:
- The patient was diagnosed with dislodgement of the implantable cardioverter-defibrillator lead.
- A subsequent procedure successfully repositioned the dislodged lead.
Implications:
- Emergency physicians must be vigilant for potential complications associated with implantable cardiac devices.
- Early identification and intervention for device-related issues are critical for patient safety and effective treatment.
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