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Unusual association of diseases/symptoms
What could be the cause of late syncope after pacemaker implantation?

Summary

A 21-year-old man who had suffered an episode of complete heart block 2 months earlier and thus undergone pacemaker implantation presented with syncope. Echocardiography showed cardiac tamponade and raised the suspicion of lead penetration. The effusion was drained. Multi-sliced CT scan confirmed that the right aspect of the pacemaker wire was extracardiac, causing the cardiac tamponade.

https://doi.org/10.1136/bcr.12.2011.5353

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