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Journal of Case Reports
Extraction of 34-year-old Cardiovascular Implantable Electronic Device
Mohd Al-Baqlish Mohd Firdaus1,2, Mohd Ridzuan Mohd Said1, Mohd Firdaus Hadi2, Samshol Sukahri2, Hazira Zulkafli1, Imran Zainal Abidin2
1Department of Internal Medicine, Kulliyyah of Medicine, International Islamic University Malaysia, 25200 Kuantan, Pahang, Malaysia; 2Division of Cardiology, Department of Medicine, University Malaya Medical Centre, 59100 Kuala Lumpur, Malaysia.
Corresponding Author:
Dr Mohd Al-Baqlish Mohd Firdaus 
Email: baqlish@gmail.com
Received: 29-JUN-2020 Accepted: 17-FEB-2021 Published Online: 05-MAY-2021
DOI: http://dx.doi.org/10.17659/01.2021.0025
Background: Cardiovascular implantable electronic device (CIED) was first implanted in 1958 and since then, the implantation rate is escalating for various indication mainly symptomatic bradyarrhythmia. However, extraction rate of CIED remained unclear and we reported an interesting case of explanting a 34-year-old permanent pacemaker. Case Report: A 79-year-old gentleman with a Teletronic’s permanent pacemaker who defaulted his routine follow up for three decades presented to our center and underwent uneventful removal of his device. Post removal of CIED, he was monitored for a year and remained asymptomatic. Conclusion: Patients need to be educated on post-implantation pacemaker care. 
Keywords : Artificial Pacemaker, Bradycardia, Cardiac Arrhythmias, Device Removal, Heart Block.
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