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Lead related atrial perforation mimicking inferior ST elevation myocardial infarction

Reşit Yiğit Yilancioglu1, Oğuzhan Ekrem Turan1, Ahmet Anıl Başkurt1

  • 1Faculty of Medicine, Heart Rhythm Management Center, Dokuz Eylul University, Izmir, Turkey.

Pacing and Clinical Electrophysiology : PACE
|December 8, 2022
PubMed

Insights

A rare case of atrial perforation due to an atrial lead mimicked ST-elevation myocardial infarction (STEMI). This condition requires immediate intervention, highlighting the importance of considering lead complications in STEMI diagnosis.

Area of Science:

  • Cardiology
  • Medical Devices

Background:

  • ST-elevation myocardial infarction (STEMI) is a critical condition often caused by blocked arteries.
  • Differential diagnosis of STEMI includes various cardiac and non-cardiac conditions.

Observation:

  • A rare case of atrial perforation caused by an atrial lead was observed.
  • This perforation presented symptoms mimicking an inferior STEMI.

Findings:

  • Atrial lead-related atrial perforation can present as an ST-elevation myocardial infarction.
  • Diagnostic challenges arise when lead complications mimic acute coronary syndromes.

Implications:

  • Physicians must consider pacemaker lead complications in the differential diagnosis of STEMI.
  • Prompt recognition of lead perforation is crucial for appropriate patient management and outcomes.

Keywords:
ST segment elevationchest paindeviceelectrocardiographyextractionlead perforationpacemaker

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