完全性起搏器外排导致心力衰竭加重。
Exacerbation of heart failure due to total pacemaker extrusion.
作者信息
Masuno Hiroaki, Kato Atsuko, Kurosaki Kenichi
机构信息
Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan.
出版信息
J Cardiol Cases. 2022 Apr 28;26(2):144-147. doi: 10.1016/j.jccase.2022.04.002. eCollection 2022 Aug.
UNLABELLED
Total extrusion of a pacemaker is rare and may result from skin and/or pocket infection or skin erosion because of fragility caused by actions such as scratching an itch. Total extrusion of a pacemaker may cause fatal arrhythmias, exacerbation of heart failure, and infection. We report the case of a 37-year-old man with a pacemaker implanted for complete atrioventricular block who presented with exacerbation of advanced heart failure due to complete extrusion of the pacemaker from the left groin and pacing failure. No fever was observed during the clinical course, but exudate leaked from his abdominal pocket. Electrocardiography showed a complete atrioventricular block. He successfully underwent implantation of a new pacemaker.
LEARNING OBJECTIVE
There are various complications related to permanent pacemaker implantation; however, total extrusion, which is extremely rare, can lead to pacemaker failure, sepsis, and life-threatening arrhythmias. It is essential not only to check the pacemaker pocket and generator but also to educate patients on the importance of pacemaker check-ups and problems.
未标注
起搏器完全脱出很少见，可能是由于皮肤和/或囊袋感染，或因搔抓等行为导致的皮肤脆弱而引起的皮肤破溃所致。起搏器完全脱出可能导致致命性心律失常、心力衰竭加重及感染。我们报告一例37岁男性患者，因完全性房室传导阻滞植入起搏器，现因起搏器从左腹股沟完全脱出及起搏失败导致晚期心力衰竭加重。临床过程中未观察到发热，但有渗出液从其腹部囊袋漏出。心电图显示完全性房室传导阻滞。他成功接受了新起搏器植入术。
学习目标
永久性起搏器植入有多种并发症；然而，极其罕见的完全脱出可导致起搏器故障、败血症及危及生命的心律失常。不仅要检查起搏器囊袋和发生器，还必须对患者进行起搏器检查及相关问题重要性的教育。
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