An Unusual Cause of Transient Ischemic Attack in a Patient with Pacemaker
Joint Authors
Paulus, Basil
Lapenna, William
Kalavakunta, Jagadeesh Kumar
Gupta, Vishal
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-04
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Pacemaker lead malposition in various locations has been described in the literature.
Lead malposition in left ventricle is a rare and an underdiagnosed complication.
We present a 77-year-old man with history of atrial fibrillation and pacemaker placement who was admitted for transient ischemic attack.
He was on aspirin, beta blocker, and warfarin with subtherapeutic international normalized ratio.
His paced electrocardiogram showed right bundle-branch block, rather than the typical pattern of left bundle-branch block, suggesting pacemaker lead malposition.
Further, his chest X-ray and echocardiogram confirmed the pacemaker lead position in the left ventricle instead of right ventricle.
He refused surgical removal of the lead and we increased his warfarin dose.
Diagnosis of lead malposition in left ventricle, though easy to identify in echocardiogram, requires high index of clinical suspicion.
In asymptomatic patients, surgical removal may be deferred for treatment with lifelong anticoagulation.
American Psychological Association (APA)
Kalavakunta, Jagadeesh Kumar& Gupta, Vishal& Paulus, Basil& Lapenna, William. 2014. An Unusual Cause of Transient Ischemic Attack in a Patient with Pacemaker. Case Reports in Cardiology،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-458762
Modern Language Association (MLA)
Kalavakunta, Jagadeesh Kumar…[et al.]. An Unusual Cause of Transient Ischemic Attack in a Patient with Pacemaker. Case Reports in Cardiology No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-458762
American Medical Association (AMA)
Kalavakunta, Jagadeesh Kumar& Gupta, Vishal& Paulus, Basil& Lapenna, William. An Unusual Cause of Transient Ischemic Attack in a Patient with Pacemaker. Case Reports in Cardiology. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-458762
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-458762