• Ann Emerg Med · Aug 1991

    Case Reports

    Blunt trauma-induced pacemaker failure.

    • K R Brown, W Carter, and G E Lombardi.
    • Department of Ambulatory Care, Bronx Municipal Hospital Center, New York 10461.
    • Ann Emerg Med. 1991 Aug 1;20(8):905-7.

    AbstractA 54-year-old man with an artificial pacemaker sustained blunt trauma to his chest when he was struck with a baseball bat. Within 15 minutes after the injury, the patient experienced cardiovascular collapse. His pacemaker failed, and he required insertion of a temporary transvenous pacemaker. At surgery, the defect was traced to failure of the pulse generator, a rare cause of pacemaker failure. Emergency department evaluation should include prompt and continuous ECG monitoring, an overpenetrated chest radiograph, and telemetry evaluation after discharge.

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