Asthma From Allergy to Titanium in a Cardiac Pacemaker
Authors: Biplab K. Saha, Aakash Modi, Scott Beegle
Journal: Annals of Internal Medicine (2020)

Letters16 June 2020Asthma From Allergy to Titanium in a Cardiac PacemakerBiplab K. Saha, MD, Aakash Modi, MD, and Scott Beegle, MDBiplab K. Saha, MDOzarks Medical Center, West Plains, Missouri (B.K.S.)Search for more papers by this author, Aakash Modi, MDAlbany Medical College, Albany, New York (A.M., S.B.)Search for more papers by this author, and Scott Beegle, MDAlbany Medical College, Albany, New York (A.M., S.B.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L19-0647 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Previous reports of complications after insertion of a permanent cardiac pacemaker have described rare local reactions caused by metal allergy that can be severe enough to cause wound dehiscence and require pacemaker removal.Objective: To alert clinicians that allergy to the metal in the case of a permanent pacemaker might also cause asthma.Case Report: We took care of a 58-year-old woman who had new episodes of wheezing, chest tightness, and worsening dyspnea on minimal exertion 3 weeks after implantation of a permanent pacemaker that was performed emergently after she developed complete heart block and loss of consciousness. She ...References1. Hallab N, Merritt K, Jacobs JJ. Metal sensitivity in patients with orthopaedic implants. J Bone Joint Surg Am. 2001;83:428-36. [PMID: 11263649] CrossrefMedlineGoogle Scholar2. Kusumoto FM, Schoenfeld MH, Barrett C, et al. 2018 ACC/AHA/HRS guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2019;74:e51-156. [PMID: 30412709] MedlineGoogle Scholar3. Pellegrino R, Viegi G, Brusasco V, et al. Interpretative strategies for lung function tests. Eur Respir J. 2005;26:948-68. [PMID: 16264058] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Ozarks Medical Center, West Plains, Missouri (B.K.S.)Albany Medical College, Albany, New York (A.M., S.B.)Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L19-0647.This article was published at Annals.org on 31 March 2020. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byBiocompatibility and osteoinductive ability of casein phosphopeptide modified polyetheretherketoneA case of titanium-coated pacemaker allergy in a 14-year-old patientAllergy Considerations in Implanted Neuromodulation Devices 16 June 2020Volume 172, Issue 12Page: 837-838KeywordsAllergy and immunologyAsthmaBronchodilatorsForced expiratory volume in the first second of expirationForced vital capacityPacemakersRashesSpirometryStent implantationThorax ePublished: 31 March 2020 Issue Published: 16 June 2020 Copyright & PermissionsCopyright © 2020 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...