Presentation
Presyncope.
Patient Data
Age: 70 years
Gender: Male
From the case:
Cardiac pacemaker lead displacement
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One of the pacemaker leads has become disconnected from the pulse generator. Defibrillator pads noted.
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Pacemaker pulse generator has been changed with a third pacemaker lead inserted.
Case Discussion
The permanent pacemaker demonstrated failed to capture on ECG and x-ray confirmed disconnection of one lead from the pulse generator, the cause of which is not known.