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Recurrent, late-onset pleural effusions in elderly patients receiving pacemaker therapy

Late-onset pacemaker-related pleural effusions (PEs) are rare and are often misdiagnosed with other entities. Our study aimed to detail the clinical features and management of PEs long after pacemaker insertion. We conducted a review of 6 consecutive elderly patients with PEs, who had undergone a ne...

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Autores principales: Xiong, Mengqing, Zhang, Zhan, Hu, Ke, Dong, Minglin, Hu, Weihua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221702/
https://www.ncbi.nlm.nih.gov/pubmed/30412095
http://dx.doi.org/10.1097/MD.0000000000012915
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author Xiong, Mengqing
Zhang, Zhan
Hu, Ke
Dong, Minglin
Hu, Weihua
author_facet Xiong, Mengqing
Zhang, Zhan
Hu, Ke
Dong, Minglin
Hu, Weihua
author_sort Xiong, Mengqing
collection PubMed
description Late-onset pacemaker-related pleural effusions (PEs) are rare and are often misdiagnosed with other entities. Our study aimed to detail the clinical features and management of PEs long after pacemaker insertion. We conducted a review of 6 consecutive elderly patients with PEs, who had undergone a new pacemaker insertion from September 2014 to January 2017. Also, the clinical characteristics and therapeutic courses of PEs were summarized. Two cases involved fluids after the first implantations, with pacing durations of 3 and 7 months. Two other cases developed PEs 3 or 4 months after the first replacement, with pacing durations of 6 and 11 years. Another 2 cases developed PEs 3 or 5 months following the second replacement, with total pacing durations of 16 and 18 years, respectively. The average interval was 4.17 months for the 6 cases from the time of the new pacemaker insertion to the occurrence of PEs. During the course, they had to be hospitalized repeatedly for thoracenteses because conventional treatments had only short-term effects. After the pacing settings were adjusted, PEs in all cases disappeared gradually. No patients were readmitted for PEs during the median follow-up period of 13 months. For elderly patients following implantation of a new pacemaker, PEs should be considered due to improper pacing settings, and corresponding adjustments to the device should be made.
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spelling pubmed-62217022018-12-04 Recurrent, late-onset pleural effusions in elderly patients receiving pacemaker therapy Xiong, Mengqing Zhang, Zhan Hu, Ke Dong, Minglin Hu, Weihua Medicine (Baltimore) Research Article Late-onset pacemaker-related pleural effusions (PEs) are rare and are often misdiagnosed with other entities. Our study aimed to detail the clinical features and management of PEs long after pacemaker insertion. We conducted a review of 6 consecutive elderly patients with PEs, who had undergone a new pacemaker insertion from September 2014 to January 2017. Also, the clinical characteristics and therapeutic courses of PEs were summarized. Two cases involved fluids after the first implantations, with pacing durations of 3 and 7 months. Two other cases developed PEs 3 or 4 months after the first replacement, with pacing durations of 6 and 11 years. Another 2 cases developed PEs 3 or 5 months following the second replacement, with total pacing durations of 16 and 18 years, respectively. The average interval was 4.17 months for the 6 cases from the time of the new pacemaker insertion to the occurrence of PEs. During the course, they had to be hospitalized repeatedly for thoracenteses because conventional treatments had only short-term effects. After the pacing settings were adjusted, PEs in all cases disappeared gradually. No patients were readmitted for PEs during the median follow-up period of 13 months. For elderly patients following implantation of a new pacemaker, PEs should be considered due to improper pacing settings, and corresponding adjustments to the device should be made. Wolters Kluwer Health 2018-10-26 /pmc/articles/PMC6221702/ /pubmed/30412095 http://dx.doi.org/10.1097/MD.0000000000012915 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle Research Article
Xiong, Mengqing
Zhang, Zhan
Hu, Ke
Dong, Minglin
Hu, Weihua
Recurrent, late-onset pleural effusions in elderly patients receiving pacemaker therapy
title Recurrent, late-onset pleural effusions in elderly patients receiving pacemaker therapy
title_full Recurrent, late-onset pleural effusions in elderly patients receiving pacemaker therapy
title_fullStr Recurrent, late-onset pleural effusions in elderly patients receiving pacemaker therapy
title_full_unstemmed Recurrent, late-onset pleural effusions in elderly patients receiving pacemaker therapy
title_short Recurrent, late-onset pleural effusions in elderly patients receiving pacemaker therapy
title_sort recurrent, late-onset pleural effusions in elderly patients receiving pacemaker therapy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221702/
https://www.ncbi.nlm.nih.gov/pubmed/30412095
http://dx.doi.org/10.1097/MD.0000000000012915
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