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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Pacemaker leads - Implantable cardiac devices

4

V.f Pneumothorax

1
Last update : 12/02/2019
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist

Publications

Right ventricular perforation, pneumothorax, and a pneumatocele by a pacemaker lead: a case report.
JA clinical reports 2021 Sep 09;7;69 2021 Sep 09
The Subtle Journey of a Right Atrial Lead: Hemopneumothorax Due to Subacute Pacemaker Lead Perforation.
JACC. Case reports 2020 Jun;2;902-906 2020 Jun
Bilateral pneumothorax after pacemaker placement "Buffalo chest".
Respiratory medicine case reports 2019;26;227-228 2019

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