title: Pacemaker lead design masquerading as lead fracture.
abstract: Performing chest X-ray is an important annual investigation to check pacemaker lead integrity during follow-up of patients with pacemakers. Understanding lead design is vital to the correct interpretation of X-rays to prevent inappropriate interventions for patients as highlighted in this case.
authors.affiliation: Department of Paediatric Cardiology, University Hospital Southampton NHS Trust, Southampton, UK.
authors.forename: Madhu
authors.initials: M
authors.lastname: Gangadhara
authors.affiliation: Department of Radiology, University Hospital Southampton NHS Trust, Southampton, UK.
authors.forename: Charles
authors.initials: C
authors.lastname: Peebles
authors.affiliation: Department of Paediatric Cardiology, University Hospital Southampton NHS Trust, Southampton, UK.
authors.forename: James
authors.initials: J
authors.lastname: Gnanapragasam
keywords: Correct interpretation of X-rays; pacemaker lead design; pacemaker lead fracture