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An unusual presentation of delayed cardiac perforation caused by atrial screw-in lead
  1. P Velavan,
  2. A Chauhan
  1. drvelavan{at}

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A 64 year old woman was admitted with sudden onset of sharp back pain radiating to the right arm, shoulder, and chest. She had undergone His ablation (for supraventricular tachycardia) with DDD pacemaker implantation one month previously. Physical examination, blood tests, ECG, chest x ray, computed tomographic chest scan, and pacemaker check …

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