Stručni rad

Atypical presentation of thrombosis of a permanent pacemaker lead

Damir Fabijanić orcid.org/0000-0002-4199-3905 ; Split University Hospital, Division of Cardiology, Spinčićeva 1, 21000 Split, Croatia
Vedran Carević ; Split University Hospital, Division of Cardiology, Spinčićeva 1, 21000 Split, Croatia
Zora Sušilović-Grabovac ; Split University Hospital, Division of Cardiology, Spinčićeva 1, 21000 Split, Croatia
Ivo Božić ; Split University Hospital, Division of Cardiology, Spinčićeva 1, 21000 Split, Croatia
Dražen Zekanović ; Division of Cardiology, General Hospital Zadar
Zorislav Šušak ; Division of Cardiology, General Hospital Zadar
Grgo Gunjača ; Department of Pharmacology, University of Split School of Medicine

Sažetak

Pacemaker related infective endocarditis (PMIE) and pacemaker lead thrombosis (PMLT) are infrequent but potentially lethal complications of pacemaker (PM) therapy. Differences in clinical presentation, echocardiographic appearance and laboratory findings are usually helpful in making a confident diagnosis. On the other hand, atypical clinical and echocardiographic findings may complicate their differentiation and result in a therapeutic dilemma. We present a 70-year-old man with a permanent PM hospitalized because of a 7-day history of fever and weakness. Elevated inflammatory parameters and atypical echocardiographic findings resulted in a diagnostic dilemma between PMIE and PMLT. In this paper, we discuss the pathogenesis of these entities, their clinical presentation and therapy.

Ključne riječi

echocardiography; endocarditis; pacemaker; lead; thrombosis

Hrčak ID:

81752

URI

https://hrcak.srce.hr/81752

Datum izdavanja:

1.4.2012.

Posjeta: 1.103 *