It was reported that during an office visit on (b)(6) 2018, the patient complained of chest pain and discomfort, racing/skipping heart beats, swelling of hands and feet, cough, cold and heat intolerance, indigestion bruising easily, ringing of the ear difficult swallowing.The right atrial lead exhibited decreased atrial sensing and high capture threshold.The lead was confirmed to be dislodged under fluoroscopy and chest x-ray.The lead was repositioned on (b)(6) 2018.The pacemaker pocket was also revised to a more medial position.During the pocket revision, a yellowish serosanguineous fluid was noted in the pocket and a wound culture was sent out to the laboratory for analysis.The pocket was irrigated with antibiotic solution and the pacemaker was reused.Patient was stable.
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