Cardiac pacemaker lead displacement

Case contributed by Henry Knipe

Presentation

Presyncope.

Patient Data

Age: 70 years
Gender: Male

One of the pacemaker leads has become disconnected from the pulse generator. Defibrillator pads noted. 

One week later

x_ray

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. 

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