Work

Bleeding from the heart: Chronic anemia from a pacemaker lead–related ventriculopleural fistula

Year: 2025

Type: article

Abstract: Chronic anemia can be the result of nutritional deficiency, chronic illness, or blood loss, typically identified through standard laboratory and imaging workup. Cardiac implantable electronic device (CIED) lead perforation is a well-known implant complication, often initially diagnosed by identifying elevated capture thresholds and poor sensing – usually shortly after implant. However, in rare cases, perforation may occur or progress insidiously, evading early detection. With the increasing prevalence of same-day discharges after CIED procedures, and reliance on CIED remote monitoring transmission, device programming for diagnostic sensitivity is critical – and may differ than typical programming used when in-person device checks may be more frequent.

Source: HeartRhythm Case Reports

DOI: 10.1016/j.hrcr.2025.07.001

Authors: Shir Levanon, Isaac R. Whitman

Institution: Temple University Hospital

Language: English

Topic: Cardiac pacing and defibrillation studies

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,100