Five days after admission,
the patient had become totally asymptomatic and was
ambulating in the hallway. He was afebrile and his white
count had returned to normal. The Infectious Diseases
consultant recommended that the pacemaker leads be removed
as soon as feasible. However, everyone was concerned
about removing the leads early for fear that the new
leads would be exposed to a statistically increased
risk of infection. The use of ventricular epicardial
leads was not attractive because the patient was totally
pacemaker dependant and needed an atrial kick secondary
to his cardiomyopathy and depressed EF. |