scholarly journals A case report of lead fracture presenting as high ventricular premature complex burden

Author(s):  
Saurabh Deshpande ◽  
Ameya Udyavar
2021 ◽  
Vol 14 (5) ◽  
pp. e241353
Author(s):  
Gaurav Chauhan ◽  
Brandon I Roth ◽  
Nagy Mekhail

Dorsal root ganglion stimulation (DRGS) therapy is a rapidly emerging tool being used by pain physicians in the treatment of chronic pain. Complex regional pain syndrome (CRPS), a debilitating disease whose mechanism is still has yet to be fully elucidated, is a common pathology targeted by DRGS therapy, often better results than traditional spinal cord stimulation. DRGS therapy, however, is not bereft of complications. Lead migration and fracture are two examples in particular that are among the most common of these complications. The authors report an unusual case of lost efficacy due to lead fractures in patients with CRPS treated with DRGS. The case report narrates identification, management and probable mechanism of DRGS lead fracture. The structural instability of DRGS leads can yield distressing symptoms at any point during the therapy, and physicians should be cognisant of the complications of DRGS therapy.


1970 ◽  
Vol 3 (2) ◽  
pp. 87-89
Author(s):  
Abdullah Al Shafi Majumder ◽  
Abdul Wadud Chowdhury ◽  
AEM Mazharul Islam ◽  
Md Abdul Muttalib ◽  
Mahinoor Mortuja Alam
Keyword(s):  

(University Heart Journal 2007; 3 : 87-89)


Author(s):  
Toshiharu Koike ◽  
Yoichi Ajiro ◽  
Ken Kobayashi ◽  
Masayuki Sakai ◽  
Kenjiro Oyabu ◽  
...  

Troubleshooting of left ventricular (LV) lead fractures in cardiac resynchronisation therapy patients is important, especially for those with limited and problematic transvenous LV lead placement. In this case, surgical epicardial LV lead implantation was employed.


2021 ◽  
Vol 71 (10) ◽  
pp. 2461-2463
Author(s):  
Syed Haseeb Raza Naqvi ◽  
Madiha Fatima ◽  
Pir Sheeraz Ali ◽  
Maqsood Alam ◽  
Muhammad Taha Khan ◽  
...  

We present an unusual case of positional syncope occurring years after pacemaker implantation due to pacemaker lead fracture resulting from subclavian-crush syndrome. The syncope occurred incidentally during hospital admission and was timely diagnosed using an integrated approach of history taking, examination findings, device interrogation and radiographic parameters. The patient subsequently underwent lead and device revision which led to resolution of her symptoms. Continuous...


Open Medicine ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. 1482-1485
Author(s):  
Yi Xu ◽  
Xiaoming Chen ◽  
Jianyi Feng ◽  
Jun Guo ◽  
Zicheng Li

Abstract Trauma-induced complete lead fracture is a rare complication of pacemaker implantation. Only a few cases have been previously reported. Common treatment included replacement of pacemaker and/or extraction of fractured lead. In this report, however, we describe this unique case of complete traumatic pacemaker lead fracture. The patient had her right-ventricular lead fractured after a bicycle accident and had lived with the fractured lead for 8 months prior to her hospitalization. After examinations, she was treated with a relatively conservative strategy. The pacemaker and fractured lead were left for further observation and follow-up.


2018 ◽  
Vol 71 (5) ◽  
pp. 407-410
Author(s):  
Shu Chung Choi ◽  
Ji Seon Chae ◽  
Youn Jin Kim ◽  
Jin Young Chon ◽  
Ho Sik Moon

2016 ◽  
Vol 27 (10) ◽  
pp. 1238-1239
Author(s):  
STEFAN SIMOVIĆ ◽  
NJEGOŠ PETROVIĆ ◽  
ZORICA SMILJANIĆ ◽  
VLADIMIR IGNJATOVIĆ
Keyword(s):  

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.


2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.


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