Oktay Yusuf Cemil, Ersoysal Muhammed Rıdvan, Akgun Burcin, Kus Gorkem, Arslan Engin Deniz
Department of Emergency Medicine, Health Sciences University Antalya Training and Research Hospital, Antalya, Turkey.
Department of Cardiology, Health Sciences University Antalya Training and Research Hospital, Antalya, Turkey.
Turk J Emerg Med. 2022 Jan 20;22(1):44-46. doi: 10.4103/2452-2473.336099. eCollection 2022 Jan-Mar.
Malfunctions of implantable cardiac devices have the potential to be catastrophic. A 63-year-old patient was admitted to our emergency department with new-onset abdominal pain and sensation of twitching on his abdominal wall. One month ago, an implantable cardioverter-defibrillator (ICD) was implanted in him to prevent malignant ventricular arrhythmias. An electrocardiogram was obtained that showed pace spikes unrelated to QRS complexes. The patient was diagnosed with ICD lead dislodgement and the lead was repositioned in another procedure. In conclusion, emergency physicians should be familiar with the problems of implantable cardiac devices.
植入式心脏设备故障有可能带来灾难性后果。一名63岁患者因新发腹痛和腹壁抽搐感被收入我院急诊科。一个月前，他植入了植入式心脏复律除颤器（ICD）以预防恶性室性心律失常。心电图显示起搏信号与QRS波群无关。该患者被诊断为ICD导线移位，并在另一次手术中重新调整了导线位置。总之，急诊医生应熟悉植入式心脏设备的相关问题。
