Abstract
A 43-year-old male was brought to the emergency department as the highest level trauma activation with complaints of chest and arm pain after sustaining gunshot wounds (GSW). Initial workup was notable for superficial GSWs to the left chest and upper extremity with direct impact to the patient’s automated implantable cardioverter defibrillator. The patient underwent replacement of the device without rewiring and was discharged home without complications.
Highlights
Automated implantable cardioverter defibrillator (AICD)placement is indicated in a variety of cardiac disease processes ranging from non-ischemic cardiomyopathy with reduced ejection fraction (EF) to recurrent ventricular arrhythmias, with a primary objective of reducing the risk of sudden cardiac death.[1]
Initial workup was notable for superficial gunshot wounds (GSW) to the left chest and upper extremity with direct impact to the patient’s automated implantable cardioverter defibrillator
Placement is indicated in a variety of cardiac disease processes ranging from non-ischemic cardiomyopathy with reduced ejection fraction (EF) to recurrent ventricular arrhythmias, with a primary objective of reducing the risk of sudden cardiac death.[1]
Summary
A 43-year-old male was brought to the emergency department as the highest level trauma activation with complaints of chest and arm pain after sustaining gunshot wounds (GSW). Initial workup was notable for superficial GSWs to the left chest and upper extremity with direct impact to the patient’s automated implantable cardioverter defibrillator. The patient underwent replacement of the device without rewiring and was discharged home without complications. The patient underwent replacement of the device without rewiring and was discharged home without complications. [Clin Pract Cases Emerg Med. 2019;3(3):191-193.]
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