Medical Dialogues
  • Dermatology
Login Register
This site is intended for healthcare professionals only
Login Register
  • Medical Jobs
  • Medical Matrimony
  • MD Brand Connect
  • MDTV
    • Breaking News
    • Medical News Today
    • Health News Today
    • Latest
    • Journal Club
    • Medico Legal Update
    • Latest Webinars
    • MD Shorts
    • Health Dialogues
Medical Dialogues
  • Medical News & Guidelines
      • Anesthesiology
      • Cardiology and CTVS
      • Critical Care
      • Dentistry
      • Dermatology
      • Diabetes and Endocrinology
      • ENT
      • Gastroenterology
      • Medicine
      • Nephrology
      • Neurology
      • Obstretics-Gynaecology
      • Oncology
      • Ophthalmology
      • Orthopaedics
      • Pediatrics-Neonatology
      • Psychiatry
      • Pulmonology
      • Radiology
      • Surgery
      • Urology
      • Laboratory Medicine
      • Diet
      • Nursing
      • Paramedical
      • Physiotherapy
  • Health news
      • Doctor News
      • Government Policies
      • Hospital & Diagnostics
      • International Health News
      • MCI News
      • Medical Organization News
      • Medico Legal News
      • NBE News
      • NMC News
  • AYUSH
    • Ayurveda
    • Homeopathy
    • Siddha
    • Unani
    • Yoga
  • State News
      • Andaman and Nicobar Islands
      • Andhra Pradesh
      • Arunachal Pradesh
      • Assam
      • Bihar
      • Chandigarh
      • Chattisgarh
      • Dadra and Nagar Haveli
      • Daman and Diu
      • Delhi
      • Goa
      • Gujarat
      • Haryana
      • Himachal Pradesh
      • Jammu & Kashmir
      • Jharkhand
      • Karnataka
      • Kerala
      • Ladakh
      • Lakshadweep
      • Madhya Pradesh
      • Maharashtra
      • Manipur
      • Meghalaya
      • Mizoram
      • Nagaland
      • Odisha
      • Puducherry
      • Punjab
      • Rajasthan
      • Sikkim
      • Tamil Nadu
      • Telangana
      • Tripura
      • Uttar Pradesh
      • Uttrakhand
      • West Bengal
  • Medical Education
      • Ayush Education News
      • Dentistry Education News
      • Medical Admission News
      • Medical Colleges News
      • Medical Courses News
      • Medical Universities News
      • Nursing education News
      • Paramedical Education News
      • Study Aborad
  • Industry
      • Health Investment News
      • Health Startup News
      • Medical Devices News
      • Pharma News
      • Pharmacy Education News
      • Industry Perspective
  • MDTV
      • Health Dialogues MDTV
      • Health News today MDTV
      • Latest Videos MDTV
      • Latest Webinars MDTV
      • MD shorts MDTV
      • Medical News Today MDTV
      • Medico Legal Update MDTV
      • Top Videos MDTV
      • Health Perspectives MDTV
      • Journal Club MDTV
This site is intended for healthcare professionals only
LoginRegister
Medical Dialogues
LoginRegister
  • Home
  • Medical news & Guidelines
    • Anesthesiology
    • Cardiology and CTVS
    • Critical Care
    • Dentistry
    • Dermatology
    • Diabetes and Endocrinology
    • ENT
    • Gastroenterology
    • Medicine
    • Nephrology
    • Neurology
    • Obstretics-Gynaecology
    • Oncology
    • Ophthalmology
    • Orthopaedics
    • Pediatrics-Neonatology
    • Psychiatry
    • Pulmonology
    • Radiology
    • Surgery
    • Urology
    • Laboratory Medicine
    • Diet
    • Nursing
    • Paramedical
    • Physiotherapy
  • Health news
    • Doctor News
    • Government Policies
    • Hospital & Diagnostics
    • International Health News
    • MCI News
    • Medical Organization News
    • Medico Legal News
    • NBE News
    • NMC News
  • AYUSH
    • Ayurveda
      • Ayurveda Giuidelines
      • Ayurveda News
    • Homeopathy
      • Homeopathy Guidelines
      • Homeopathy News
    • Siddha
      • Siddha Guidelines
      • Siddha News
    • Unani
      • Unani Guidelines
      • Unani News
    • Yoga
      • Yoga Guidelines
      • Yoga News
  • State News
    • Andaman and Nicobar Islands
    • Andhra Pradesh
    • Arunachal Pradesh
    • Assam
    • Bihar
    • Chandigarh
    • Chattisgarh
    • Dadra and Nagar Haveli
    • Daman and Diu
    • Delhi
    • Goa
    • Gujarat
    • Haryana
    • Himachal Pradesh
    • Jammu & Kashmir
    • Jharkhand
    • Karnataka
    • Kerala
    • Ladakh
    • Lakshadweep
    • Madhya Pradesh
    • Maharashtra
    • Manipur
    • Meghalaya
    • Mizoram
    • Nagaland
    • Odisha
    • Puducherry
    • Punjab
    • Rajasthan
    • Sikkim
    • Tamil Nadu
    • Telangana
    • Tripura
    • Uttar Pradesh
    • Uttrakhand
    • West Bengal
  • Medical Education
    • Ayush Education News
    • Dentistry Education News
    • Medical Admission News
    • Medical Colleges News
    • Medical Courses News
    • Medical Universities News
    • Nursing education News
    • Paramedical Education News
    • Study Aborad
  • Industry
    • Health Investment News
    • Health Startup News
    • Medical Devices News
    • Pharma News
      • CDSCO (Central Drugs Standard Control Organisation) News
    • Pharmacy Education News
    • Industry Perspective
  • Home
  • Pulmonology
  • Pulmonology Cases
  • Woman develops Asthma...

Woman develops Asthma after pacemaker implantation: case report

Dr. Kamal Kant KohliWritten by Dr. Kamal Kant Kohli Published On 2020-03-31T18:00:51+05:30  |  Updated On 1 April 2020 9:05 AM GMT
Woman develops Asthma after pacemaker implantation: case report
  • facebook
  • twitter
  • linkedin
  • whatsapp
  • Telegram
  • koo
  • Email

Clinicians from Ozarks Medical Center in West Plains, Missouri have reported a case of a 58-year-old woman who developed Asthma after implantation of a permanent pacemaker. The case report is published in the Annals of Internal Medicine.Previous reports of complications after insertion of a permanent cardiac pacemaker have described rare local reactions caused by a metal allergy that can...

Clinicians from Ozarks Medical Center in West Plains, Missouri have reported a case of a 58-year-old woman who developed Asthma after implantation of a permanent pacemaker. The case report is published in the Annals of Internal Medicine.

Previous reports of complications after insertion of a permanent cardiac pacemaker have described rare local reactions caused by a metal allergy that can be severe enough to cause wound dehiscence and require pacemaker removal. But asthma induced by the allergy to the metal used in pacemaker has not previously been described. It is unprecedented that an allergic reaction to the metal used in a pacemaker's casing could cause asthma in susceptible patients.

Clinicians from Ozarks Medical Center in West Plains, Missouri cite the case of a 58-year-old woman who had new episodes of wheezing, chest tightness, and worsening shortness of breath on minimal exertion 3 weeks after implantation of a permanent pacemaker.

The patient: a 58-year-old woman who developed wheezing, chest tightness, and worsening dyspnea on minimal exertion 3 weeks after implantation of a permanent pacemaker. The patient was a non-smoker with a history of seasonal allergies in childhood."On physical examination, the patient had diffuse, bilateral expiratory wheezes on chest auscultation and a raised, erythematous, mildly pruritic and non-crusting rash confined to the skin immediately around the insertion site for her pacemaker," reported Biplab Saha, MD, of Ozarks Medical Center in West Plains, Missouri.

The clinical condition of the patient was consistent with a diagnosis of asthma despite her baseline FEV1–FVC ratio not meeting standard measures for airflow obstruction. Asthma was confirmed by the evidence of reversible airway obstruction (improvement after bronchodilator administration in FEV1, FVC, FEV1–FVC ratio, and FEF25%–75%). The patient was treated first with a combination of inhaler that included a long-acting β2-agonist and corticosteroid. She later required oral corticosteroids, a leukotriene receptor antagonist, and high-dose antihistamines.

While asthma induced by the metal allergy has not previously been described, the patient's reaction prompted clinicians to review her medical records for allergies. Her records revealed that she had been hypersensitive to costume jewelry as an adolescent, which led the team to order skin testing for metal allergies. The patient had positive reactions to titanium, nickel, and mercury, but not gold, so the clinicians replaced her titanium-encased pacemaker with a gold-encased pacemaker, and her asthma symptoms disappeared within 24 hours. She was able to stop bronchodilators, inhaled corticosteroids, and oral corticosteroids.

For further reference log on to http://annals.org/aim/article/doi/10.7326/L19-0647

Annals of Internal MedicineallergyPacemakerasthma
Source : Annals of Internal Medicine
Dr. Kamal Kant Kohli
Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Before Joining Medical Dialogues, he has served at important positions in the medical industry in India including as the Hony. Secretary of the Delhi Medical Association as well as the chairman of Anti-Quackery Committee in Delhi and worked with other Medical Councils in India. Email: editorial@medicaldialogues.in. Contact no. 011-43720751

    Show Full Article
    Next Story
    Similar Posts
    NO DATA FOUND

    Editorial

    Journal Club Today

    Health News Today

    © 2022 All Rights Reserved.
    Powered By: Hocalwire
    X
    X