Cardiac perforation by pacemaker (PM) lead is a rare but potentially life-threatening complication. The clinical presentation is highly variable. Patients may be asymptomatic or present with chest pain, dyspnea or tamponade. In this case, we report a patient with pacemaker implantation who developed a stubborn cough secondary to lead perforation.
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Mori H, Kato R, Ikeda Y, Tsutsui K, Hasegawa S, Tanaka S, et al. Percutaneous Simple Lead Traction Is a Feasible and Effective Method for Right Ventricular Lead Perforations. Int Heart J. 2020 Jan 31;61(1):54-59. doi: 10.1536/ihj.19-326. Epub 2020 Jan 17. PMID: 31956147.
Hirschl DA, Jain VR, Spindola-Franco H, Gross JN, Haramati LB. Prevalence and characterization of asymptomatic pacemaker and ICD lead perforation on CT. Pacing Clin Electrophysiol 2007; 30: 28-32.
Huang XM, Fu HX, Zhong L, Osborn MJ, Asirvatham SJ, Sinak LJ, et al. Outcomes of lead revision for myocardial perforation after cardiac implantable electronic device placement. J Cardiovasc Electrophysiol. 2014 Oct;25(10):1119-24. doi: 10.1111/jce.12457. Epub 2014 Jul 7. PMID: 24863054.
Steiner S, Schueller PO, Blondin D, Winter J. Husten als seltenes Symptom einer Schrittmacherelektrodenperforation [Cough as a rare symptom of a pacemaker lead perforation]. Pneumologie. 2015 Feb;69(2):86-8. German. doi: 10.1055/s-0034-1391263. Epub 2015 Jan 14. PMID: 25588023.
Cohen SI, Frank HA. Preservation of active atrial transport: an important clinical consideration in cardiac pacing. Chest, 1982;81:51-4.
Beatriz F, Jorge T, Ramon AE, Ignacio FL, Pacemaker Lead Displacement: Mechanisms And Management. Indian Pacing Electrophysiol J. 2003 October–December; 3: 231–8
Erdinç M. Definition, Epidemiology and Basic Pathophysiologic Mechanisms. Turk Toraks Derg 2013; 14(Supplement 3): 1-5 DOI: 10.5152/ttd.2013.100
Year 2023,
Volume: 14 Issue: 1, 10 - 12, 07.04.2023
De Blasio F, Virchow JC, Polverino M, Zanasi A, Behrakis PK, Kilinç G, et al. Cough management: a practical approach. Cough. 2011 Oct 10;7(1):7. doi: 10.1186/1745-9974-7-7. PMID: 21985340; PMCID: PMC3205006.
Aktürk İF, Erol MK. Bradyarrhythmias and pacemaker indications in elderly patients. Turk Kardiyol Dern Ars 2017;45 Suppl 5: 71–74 doi: 10.5543/tkda.2017.05315
Glikson M, Nielsen JC, Kronborg MB, Michowitz Y, Auricchio A, Barbash IM, et al. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy. Eur Heart J. 2021 Sep 14;42(35):3427-3520. doi: 10.1093/eurheartj/ehab364. PMID: 34455430.
Mori H, Kato R, Ikeda Y, Tsutsui K, Hasegawa S, Tanaka S, et al. Percutaneous Simple Lead Traction Is a Feasible and Effective Method for Right Ventricular Lead Perforations. Int Heart J. 2020 Jan 31;61(1):54-59. doi: 10.1536/ihj.19-326. Epub 2020 Jan 17. PMID: 31956147.
Hirschl DA, Jain VR, Spindola-Franco H, Gross JN, Haramati LB. Prevalence and characterization of asymptomatic pacemaker and ICD lead perforation on CT. Pacing Clin Electrophysiol 2007; 30: 28-32.
Huang XM, Fu HX, Zhong L, Osborn MJ, Asirvatham SJ, Sinak LJ, et al. Outcomes of lead revision for myocardial perforation after cardiac implantable electronic device placement. J Cardiovasc Electrophysiol. 2014 Oct;25(10):1119-24. doi: 10.1111/jce.12457. Epub 2014 Jul 7. PMID: 24863054.
Steiner S, Schueller PO, Blondin D, Winter J. Husten als seltenes Symptom einer Schrittmacherelektrodenperforation [Cough as a rare symptom of a pacemaker lead perforation]. Pneumologie. 2015 Feb;69(2):86-8. German. doi: 10.1055/s-0034-1391263. Epub 2015 Jan 14. PMID: 25588023.
Cohen SI, Frank HA. Preservation of active atrial transport: an important clinical consideration in cardiac pacing. Chest, 1982;81:51-4.
Beatriz F, Jorge T, Ramon AE, Ignacio FL, Pacemaker Lead Displacement: Mechanisms And Management. Indian Pacing Electrophysiol J. 2003 October–December; 3: 231–8
Erdinç M. Definition, Epidemiology and Basic Pathophysiologic Mechanisms. Turk Toraks Derg 2013; 14(Supplement 3): 1-5 DOI: 10.5152/ttd.2013.100
Erat, M., Öner, D. Y., Yarlıoglues, M., Murat, S. N. (2023). Stubborn Cough; A Rare Symptom Due to Pacemaker Lead Perforation. Journal of Emergency Medicine Case Reports, 14(1), 10-12. https://doi.org/10.33706/jemcr.1186646
AMA
Erat M, Öner DY, Yarlıoglues M, Murat SN. Stubborn Cough; A Rare Symptom Due to Pacemaker Lead Perforation. Journal of Emergency Medicine Case Reports. April 2023;14(1):10-12. doi:10.33706/jemcr.1186646
Chicago
Erat, Mehmet, Damla Yalçınkaya Öner, Mikail Yarlıoglues, and Sani Namık Murat. “Stubborn Cough; A Rare Symptom Due to Pacemaker Lead Perforation”. Journal of Emergency Medicine Case Reports 14, no. 1 (April 2023): 10-12. https://doi.org/10.33706/jemcr.1186646.
EndNote
Erat M, Öner DY, Yarlıoglues M, Murat SN (April 1, 2023) Stubborn Cough; A Rare Symptom Due to Pacemaker Lead Perforation. Journal of Emergency Medicine Case Reports 14 1 10–12.
IEEE
M. Erat, D. Y. Öner, M. Yarlıoglues, and S. N. Murat, “Stubborn Cough; A Rare Symptom Due to Pacemaker Lead Perforation”, Journal of Emergency Medicine Case Reports, vol. 14, no. 1, pp. 10–12, 2023, doi: 10.33706/jemcr.1186646.
ISNAD
Erat, Mehmet et al. “Stubborn Cough; A Rare Symptom Due to Pacemaker Lead Perforation”. Journal of Emergency Medicine Case Reports 14/1 (April 2023), 10-12. https://doi.org/10.33706/jemcr.1186646.
JAMA
Erat M, Öner DY, Yarlıoglues M, Murat SN. Stubborn Cough; A Rare Symptom Due to Pacemaker Lead Perforation. Journal of Emergency Medicine Case Reports. 2023;14:10–12.
MLA
Erat, Mehmet et al. “Stubborn Cough; A Rare Symptom Due to Pacemaker Lead Perforation”. Journal of Emergency Medicine Case Reports, vol. 14, no. 1, 2023, pp. 10-12, doi:10.33706/jemcr.1186646.
Vancouver
Erat M, Öner DY, Yarlıoglues M, Murat SN. Stubborn Cough; A Rare Symptom Due to Pacemaker Lead Perforation. Journal of Emergency Medicine Case Reports. 2023;14(1):10-2.