Cardiac strangulation after epicardial pacing: the importance of non-specific symptoms and a low index of suspicion.

Autor:	Morrison ML; Department of Paediatric Cardiology, Evelina London Children's Hospital, London, UK., Karayiannis S; Department of Paediatric Cardiology, Royal Belfast Hospital for Sick Children, Belfast, Northern Ireland., Speggiorin S; Department of Cardiothoracic Surgery, Evelina London Children's Hospital, London, UK., Sands AJ; Department of Paediatric Cardiology, Royal Belfast Hospital for Sick Children, Belfast, Northern Ireland., Rosenthal E; Department of Paediatric Cardiology, Evelina London Children's Hospital, London, UK.
Jazyk:	angličtina
Zdroj:	Cardiology in the young [Cardiol Young] 2021 Jan; Vol. 31 (1), pp. 159-162. Date of Electronic Publication: 2020 Nov 19.
DOI:	10.1017/S104795112000342X
Abstrakt:	Cardiac strangulation is a rare and potentially deadly complication of epicardial pacemaker implantation. A young boy presenting with chest pain and tiredness almost 7 years after pacemaker implantation was found to have cardiac strangulation. Literature review revealed 22 cases reported to date with a worrying rise in the number of reports over the past 3 years. Strangulation is associated with implantation of leads at a young age and appears to be related to somatic growth. Serial assessment with chest X-ray and echocardiogram is recommended, at least until full adult growth is attained with further coronary artery imaging reserved for symptoms or suspicious echocardiographic findings. If cardiac strangulation is diagnosed prompt replacement of the offending system is needed.
Databáze:	MEDLINE
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