Publication/Presentation Date

9-1-2012

Abstract

BACKGROUND: Pacemaker-induced right atrial thrombus is a rare condition that has not been described in the Emergency Medicine literature. This is a potentially fatal condition that is diagnosed with an echocardiogram and treated with surgical removal, thrombolytics, or long-term anticoagulation.

OBJECTIVES: This case report is designed to increase awareness among emergency physicians of this potentially fatal condition.

CASE REPORT: We describe the case of a patient with a massive right atrial thrombus secondary to pacemaker wire who presented to the Emergency Department with syncope, bradycardia, and rapid hemodynamic deterioration.

CONCLUSION: Emergency physicians should be aware of this life-threatening entity. Emergency bedside cardiac ultrasound or echocardiogram may be of value in its early identification.

Volume

43

Issue

3

First Page

185

Last Page

187

ISSN

0736-4679

Disciplines

Medicine and Health Sciences

PubMedID

20656436

Department(s)

Toxicology Division, Department of Emergency Medicine Faculty, Department of Emergency Medicine

Document Type

Article

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