Serious case of the hiccups

Saarel, Elizabeth V.; Hinkle, Kevin; Etheridge, Susan P.

doi:10.1016/j.hrcr.2015.02.003

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Saarel et al 6 present a similar case of hiccups as the warning sign for an ICD lead-related complication. They present the case of an 8-year-old boy who presented to the hospital after ventricular fibrillation cardiac arrest who underwent single-chamber ICD placement with a St. Jude Durata 7122Q lead.…”

Section: Discussionmentioning

confidence: 94%

Displaced AICD Lead Presenting as Hiccups: A Rare Complication

Sandhu

Abuzuaiter

Dhand

et al. 2022

Journal of Investigative Medicine High Impact Case Reports

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Ventricular fibrillation can lead to sudden cardiac death. Automatic implantable cardioverter defibrillator (AICD) devices have shown to be highly successful in the termination of these arrhythmias and are a first-line modality of treatment for the prevention of sudden cardiac death. We present the case of a 69-year-old female with a history of paroxysmal atrial fibrillation on anticoagulation with apixaban and rate controlled with metoprolol who presented from home with a chief complaint of hiccups. She had a prior admission to the hospital after she was found to have monomorphic ventricular tachycardia during a nuclear stress test. A cardiac work-up including cardiac catheterization and cardiac magnetic resonance imaging did not show any evidence of significant coronary artery disease or reversible cardiomyopathy. The patient underwent successful placement of a single chamber ICD and was discharged home. Twelve weeks after placement of the AICD, the patient was lifting furniture and experienced sudden onset of hiccups. A chest X-ray showed displacement of the AICD lead from the right ventricular apex to the superior vena cava. The patient underwent lead repositioning with complete resolution of her hiccups. The etiology hiccups was suspected to be secondary to irritation of the right phrenic nerve which travels along the anterolateral border of the superior vena cava. We present the case of hiccups following ICD lead displacement. This serves to highlight a rare complication of ICD displacement that healthcare providers should consider when patients with recently placed ICD devices complain of hiccups.

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Section: Discussionmentioning

confidence: 94%

Displaced AICD Lead Presenting as Hiccups: A Rare Complication

Sandhu

Abuzuaiter

Dhand

et al. 2022

Journal of Investigative Medicine High Impact Case Reports

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“…Our patient also presented with worsening pain and new-onset swelling after movement in his sleep, which could have caused some mechanical force and manipulation of the device. There are two case reports of a 69-year-old female and an eight-year-old male, both with transvenous ICD lead displacement and a presentation of intractable hiccups due to irritation of the phrenic nerve [ 10 , 11 ]. Our patient also likely had irritation to the phrenic nerve causing referred pain to the left shoulder to be his primary complaint.…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous Implantable Cardioverter-Defibrillator Lead Dislodgement Masquerading as Left Shoulder Pain

Chirumamilla¹,

Yadav²,

Bachuwa³

2023

Cureus

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Implantable cardioverter-defibrillators (ICDs) have demonstrated efficacy in the prevention of sudden cardiac death secondary to cardiac arrhythmias in eligible patients. Complications with the subcutaneous ICD (S-ICD) are rarer than with the transvenous ICD but do still exist. Our patient presented four weeks after the insertion of S-ICD with complaints of left shoulder pain radiating to the chest wall and swelling over the S-ICD site. He was initially treated for rotator cuff injury and subacromial impingement syndrome but upon obtaining chest radiography was found to have a lead displacement traversing the splenic flexure of the colon. The patient was managed by a treatment team involving cardiology, surgery, and infectious disease and underwent S-ICD removal, exploratory laparotomy with splenic flexure mobilization, and completion of a four-week antibiotic course ultimately leading to reimplantation of S-ICD.

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Serious case of the hiccups

Cited by 2 publications

References 6 publications

Displaced AICD Lead Presenting as Hiccups: A Rare Complication

Displaced AICD Lead Presenting as Hiccups: A Rare Complication

Subcutaneous Implantable Cardioverter-Defibrillator Lead Dislodgement Masquerading as Left Shoulder Pain

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