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Pacemaker Lead Perforation Leading to Cardiac Tamponade and Subsequent Anterior STEMI

John Martinez-Ponce1, Oskar Ubysz2, Anthony Costa1

  • 1Department of Internal Medicine, Henry Ford Genesys, Grand Blanc, Michigan, USA.

JACC. Case Reports
|May 14, 2026
PubMed

Insights

Pacemaker lead perforation is a rare but serious complication. Prompt diagnosis and drainage are crucial, especially in patients on antithrombotic therapy, to ensure favorable outcomes.

Area of Science:

  • Cardiology
  • Medical Devices
  • Electrophysiology

Background:

  • Pacemaker lead perforation is a rare but life-threatening complication of cardiac implantable electronic devices.
  • Risk is elevated in patients requiring antithrombotic therapy due to potential hemopericardium and tamponade.
  • Early recognition and management are critical for patient survival.
Abstract

Keywords:
cardiac pacemakermyocardial infarctionpericardial effusiontamponade

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