[99mTc]Tc-HMPAO-WBC detection of cardiac implantable electronic device infection mimicking nST acute myocardial infarction

Сardiac implantable electronic device infection (CIED)is a rare complication, ranging from 0.5-1% in the first 6-12 months after device implantation. In the absence of a standardised protocol, the diagnosis of CIED infection is difficult due to a nonspecific clinical presentation. In some cases, the...

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Bibliographic Details
Published in:Majallahī-i pizishk-i hastahī Īrān 2023, Vol.31 (2), p.189
Main Authors: Ilyushenkova, Julia, Sazonova, Svetlana Ivanovna
Format: Article
Language:English
Subjects:
Antibiotics
Asymptomatic
Case reports
Criteria
Diagnosis
Dyspnea
Electrodes
Emergency medical care
Endocarditis
Enzymes
Heart attacks
Hospitals
Imaging techniques
Implantation
Infections
Kinases
Laboratories
Leukocytes
Myocardial infarction
Pacemakers
Patients
Tomography
Veins & arteries
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Summary:Сardiac implantable electronic device infection (CIED)is a rare complication, ranging from 0.5-1% in the first 6-12 months after device implantation. In the absence of a standardised protocol, the diagnosis of CIED infection is difficult due to a nonspecific clinical presentation. In some cases, the inflammatory process can mimicking as another cardiovascular disorder, including acute myocardial infarction. Today, the diagnosis of infection is based on the Duke criteria, including clinical, microbiological and echocardiographic data. However, the diagnostic accuracy of the criteria for device-related infective endocarditis is significantly reduced. Presented clinical case highlights the importance of increased vigilance in patients who have undergone device implantation and, in particular, device replacement, and the usefulness of nuclear imaging techniques in asymptomatic patients or patients with an atypical clinical picture.
ISSN:1681-2824
DOI:10.22034/irjnm.2023.129235.1555