{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:26:47Z","timestamp":1787840807073,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Cardiac strangulation is a rare phenomenon in children following epicardial pacemaker implantation, caused by compression of the heart and great vessels by the epicardial pacemaker wires. We report a rare case of cardiac strangulation presenting after 8 years of epicardial pacemaker implantation. On routine follow-up, computed tomography angiography showed significant extrinsic compression of the mid-left anterior descending (LAD) artery by the epicardial pacing wire. She was referred to our department for myocardial perfusion imaging (MPI), which showed significant inducible ischemia in the LAD territory. Following this, she underwent a successful pacemaker reimplantation. MPI can, thus, act as a good tool to assess the functional significance of the compression caused by strangulation of the heart by pacemaker leads in asymptomatic patients.<\/jats:p>","DOI":"10.4103\/apc.apc_125_24","type":"journal-article","created":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T10:00:39Z","timestamp":1731664839000},"page":"298-300","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Myocardial perfusion imaging in a case of cardiac strangulation: A novel approach to detect pacemaker-induced ischemia"],"prefix":"10.4103","volume":"17","author":[{"given":"Siven","family":"Kar","sequence":"first","affiliation":[{"name":"Department of Nuclear Medicine and PET-CT, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harshita","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine and PET-CT, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nusrat","family":"Shaikh","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine and PET-CT, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikram","family":"Lele","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine and PET-CT, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,11,15]]},"reference":[{"key":"R1-20250107","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1016\/j.jtcvs.2014.10.094","article-title":"Cardiac strangulation following epicardial pacemaker implantation:A rare pediatric complication","volume":"149","author":"Carreras","year":"2015","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R2-20250107","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1017\/S104795112000342X","article-title":"Cardiac strangulation after epicardial pacing:The importance of non-specific symptoms and a low index of suspicion","volume":"31","author":"Morrison","year":"2021","journal-title":"Cardiol Young"},{"key":"R3-20250107","doi-asserted-by":"crossref","first-page":"1439","DOI":"10.1016\/j.hrthm.2018.06.038","article-title":"Coronary artery compression from epicardial leads:More common than we think","volume":"15","author":"Mah","year":"2018","journal-title":"Heart Rhythm"},{"key":"R4-20250107","doi-asserted-by":"crossref","first-page":"127","DOI":"10.4103\/0974-2069.58314","article-title":"Role of myocardial perfusion single photon emission computed tomography in pediatric cardiology practice","volume":"2","author":"Sundaram","year":"2009","journal-title":"Ann Pediatr Cardiol"},{"key":"R5-20250107","first-page":"218","article-title":"The use of stress cardiovascular imaging in pediatric population","volume":"10","author":"Moscatelli","year":"2023","journal-title":"Children (Basel)"},{"key":"R6-20250107","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.1017\/S1047951120002395","article-title":"Sub-clinical myocardial ischaemia due to cardiac strangulation by an epicardial pacemaker lead","volume":"30","author":"Muneuchi","year":"2020","journal-title":"Cardiol Young"},{"key":"R7-20250107","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1055\/s-2000-9935","article-title":"Cardiac strangulation in a neonatal case:A rare complication of permanent epicardial pacemaker leads","volume":"48","author":"Watanabe","year":"2000","journal-title":"Thorac Cardiovasc Surg"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_125_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:29:24Z","timestamp":1787837364000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_125_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_125_24","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7]]},"assertion":[{"value":"2024-06-26","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-04","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}