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Pacemaker lead endocarditis with hiccups (Kalayci)
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Belma Kalayci   , Turgut Karabag , Turgay Erten , Tunahan Akgun |
| Bulent Ecevit University, School of Medicine, Department of Cardiology, Zonguldak/Turkey , turgutkarabag@hotmail.com |
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Abstract: (4934 Views) |
Background: Lead-related infections that might develop after pacemaker implantation associated with high mortality and morbidity rates are challenging to manage and pose high-cost. Patients with lead-related infections usually present with fever, chills and fatigue and the treatment can be challenging unless the implant system is extracted.
Case presentation: A 66-year old male patient who underwent dual chamber pacemaker and implantable cardioverter defibrillator was admitted to the emergency service with a six-week history of complaints of hiccups and fever. After a detailed investigation, lead-related infective endocarditis was the diagnosis. The patient was initiated on antibiotic therapy and lead extraction was performed.
Conclusions: Patients with signs of infection who underwent pacemaker implantation may present with atypical symptoms such as hiccup. In these cases, imaging, particularly echocardiography, should be performed as soon as possible and the localization of the pacemaker leads and signs of infective endocarditis should be investigated.
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| Keywords: Hiccup, Pacemaker lead, Infective endocarditis, Echocardiography |
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Full-Text [PDF 263 kb]
(1176 Downloads)
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Type of Study: case report |
Subject:
Cardiology
Received: 2017/07/2 | Accepted: 2017/12/31 | Published: 2018/05/14
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