Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 1082,
    "title": "Pacemaker Lead Migration and Ventricular Perforation in a Patient Presenting with Chest Pain",
    "subtitle": null,
    "abstract": "Case Presentation:\n We describe a middle-age male with a past medical history of second-degree atrioventricular block type II status post permanent pacemaker placement the day prior who presented to the emergency department complaining of chest pain. Electrocardiography showed a non-paced ventricular rhythm. Chest radiograph showed the ventricular pacemaker lead located distally overlying the right ventricle apical area. On further investigation, chest computed tomography showed a perforation of the ventricular wall by the pacemaker lead prompting urgent intervention by the cardiothoracic surgery team for lead replacement and right ventricular repair.\nDiscussion:\n Our case illustrates the importance of timely recognition of a perforated pacemaker lead in a patient presenting with chest pain after device implantation. We additionally describe the risk factors for ventricular perforation, initial clinical presentation, and management approach.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "pacemaker"
        },
        {
            "word": "ventricular lead"
        },
        {
            "word": "perforation"
        },
        {
            "word": "chest pain"
        }
    ],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/6pm2c1x9",
    "frozenauthors": [
        {
            "first_name": "Maria",
            "middle_name": "C.",
            "last_name": "Cañizares-Otero",
            "name_suffix": "",
            "institution": "Aventura Hospital & Medical Center, Department of Critical Care Medicine, Aventura, Florida",
            "department": "None"
        },
        {
            "first_name": "Mauricio",
            "middle_name": "",
            "last_name": "Danckers",
            "name_suffix": "",
            "institution": "Aventura Hospital & Medical Center, Department of Critical Care Medicine, Aventura, Florida",
            "department": "None"
        }
    ],
    "date_submitted": "2021-09-09T23:34:07Z",
    "date_accepted": "2021-09-09T23:34:07Z",
    "date_published": "2021-09-09T23:34:49Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1082/galley/824/download/"
        }
    ]
}