Chest pain in pacemaker patients, the answer is not always antiplatelets and anticoagulants: a four-case series.
Chest pain in pacemaker patients can be difficult to evaluate due to alterations in QRS and ST segments on the surface ECG. A high prevalence of ischaemic heart disease in this population also serves to influence the differential diagnosis. We highlight four cases, all with simple yet informative imagery, in an attempt to alert clinicians of worrying signs.
Modi
Simon
S
Department of Cardiac Electrophysiology and Pacing, Liverpool Heart and Chest Hospital, Liverpool, UK. simodi@doctors.org.uk
Cooper
Robert
R
Hall
Mark
M
Wright
Jay
J
Todd
Derick
D
D000368:Aged; D000369:Aged, 80 and over; D002637:Chest Pain / Q000209:etiology*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006335:Heart Injuries / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*