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Pacemaker extrusion from innocuous direct impact to the chest wall
  1. Kuan Leong Yew1,
  2. Anderson Steven1,
  3. Farah Razali2
  1. 1Cardiology Department, Heart Center Sarawak General Hospital, Kota Samarahan, Sarawak, Malaysia
  2. 2Sarawak General Hospital, Kuching, Sarawak, Malaysia
  1. Correspondence to Dr Kuan Leong Yew, Cardiology Department, Heart Center Sarawak General Hospital, Kota Samarahan, Sarawak 94300, Malaysia; yewkuanleong{at}

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A 59-year-old man presented with giddiness, shortness of breath and lethargy in 2011. ECG showed complete heart block, which necessitated temporary pacing. Echocardiography revealed no regional wall motion abnormality and normal systolic ejection fraction. His cardiovascular risk factors were type 2 diabetes mellitus and hypertension. Subsequently, a dual-chamber pacemaker was implanted with direct puncture of the left subclavian …

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