Pacemaker-induced friction rub and apical thrill.

Flickinger, A L; Peller, P A; Deran, B P; Burket, M W · Chest · 1992

case_report · Level V

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Abstract

A patient with acute myocardial infarction developed a loud systolic sound and apical thrill. Doppler ultrasound excluded interventricular septal rupture and significant mitral or tricuspid regurgitation. Auscultatory abnormalities disappeared after removal of a temporary pacing electrode, suggesting that the friction it created with intracardiac structures was responsible for these findings.

Medical subject headings