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Case Reports
. 2023 Jun 9;11(6):e7518.
doi: 10.1002/ccr3.7518. eCollection 2023 Jun.

Sympathetic crashing acute pulmonary edema following pacemaker insertion

Ibtehal Othman Hussain Mohammed  1 , Sarya Swed  2 , Weaam Ezzdean  3 , Mohammad Badr Almoshantaf  4 , Baraa Shebli  5 , Bisher Sawaf  6 , Abutalib Mohamed Ahmed Hamoda  7
Affiliations
Case Reports

Sympathetic crashing acute pulmonary edema following pacemaker insertion

Ibtehal Othman Hussain Mohammed et al. Clin Case Rep. .

Abstract

Key clinical message: Sympathetic crashing acute pulmonary edema (SCAPE) complicating pacemaker implantation is a very uncommon and dangerous occurrence. Following pacemaker implantation, patients need stringent monitoring, and compelling evidence about SCAPE treatment is required.

Abstract: Sympathetic crashing acute pulmonary edema complicating a pacemaker insertion as the case in our patient is extremely rare. We report a case of 75-year-old man with a complete AV block, which requires urgent pacemaker implantation. Half an hour following the insertion of the pacemaker, an abrupt SCAPE emerged and the patient was incubated immediately.

Keywords: acute kidney injury; hypertensive emergency; permanent pacemaker; pulmonary edema.

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Conflict of interest statement

All authors declared no conflict of interest.

Figures

FIGURE 1
FIGURE 1
A CXR image of the patient after insertion of the pacemaker.
See this image and copyright information in PMC

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