Positional convulsant syncope in a pacemaker patient following insulation break of the right ventricular lead.
In spite of the advances made in the technology of pacemakers which resulted in a decrease in the incidence of pacemaker lead fracture, the latter remains a potential complication of implanted pacemakers manufactured in the early days. In this report, we present a case of fracture of the unipolar electrode diagnosed by an emergency physician in a patient on a pacemaker for 10 years who presented to the emergency department with positional convulsant syncopes.
Emergency Department, Military Hospital of Tunis, Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia.
Mehdi
M
Ben Lassoued
Emergency Department, Military Hospital of Tunis, Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia.
Makram
M
Baatour
Cardiology Department, Military Hospital of Tunis, Faculty of Medicine, University Tunis El Manar, Tunis, Tunisia.
Abdeddayem
A
Haggui
Emergency Department, Military Hospital of Tunis, Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia.
Khaled
K
Lamine
D000368:Aged; D004567:Electrodes, Implanted / Q000009:adverse effects*; D004868:Equipment Failure; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology*; D012640:Seizures / Q000209:etiology*; D013575:Syncope / Q000209:etiology*