Very late stent thrombosis immediately after recurrent inappropriate shock delivery by an implantable cardioverter defibrillator

Abstract The case of a 49-year-old man who developed an ST segment elevation myocardial infarction because of very late stent thrombosis occurring in the immediate aftermath of a “storm” of recurrent inappropriate implantable cardioverter defibrillator (ICD) shocks caused by a fracture of a Medtroni...

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Veröffentlicht in:	Journal of electrocardiology 2012-05, Vol.45 (3), p.333-335
Hauptverfasser:	Groarke, John, MB, BCh, BAO, BA, MRCPI, Phelan, Dermot, MB, BCh, BAO, MRCPI, Burke, David, MB, BCh, BAO, MRCPI, Crean, Peter, MD, MSc, FRCPI, Foley, Brendan, MD, MRCP(UK), FRCPC
Format:	Artikel
Sprache:	eng
Schlagworte:	Cardiovascular Defibrillators, Implantable - adverse effects Electric Injuries - diagnosis Electric Injuries - etiology Heart Diseases - diagnosis Heart Diseases - etiology Humans Inappropriate shocks Lead fracture Male Middle Aged ST elevation myocardial infarction Stents - adverse effects Thrombosis - diagnosis Thrombosis - etiology Very late stent thrombosis
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Zusammenfassung:	Abstract The case of a 49-year-old man who developed an ST segment elevation myocardial infarction because of very late stent thrombosis occurring in the immediate aftermath of a “storm” of recurrent inappropriate implantable cardioverter defibrillator (ICD) shocks caused by a fracture of a Medtronic Sprint Fidelis (Medtronic Inc., Minneapolis, MN) right ventricular lead is described. A causal relationship between recurrent ICD shocks and stent thrombosis is proposed. This deleterious association is an important observation given the increasing population of patients who receive both coronary stents and ICDs.
ISSN:	0022-0736 1532-8430
DOI:	10.1016/j.jelectrocard.2011.11.003