Lead dislodgement after a very long-term period of cardiac implantable electronic device implantation

A 74-year-old man was admitted for a second replacement of a transvenous implantable cardioverter-defibrillator (ICD) generator at 15 years after implantation. Postoperatively, electrocardiographic monitoring showed atrial lead malfunction. Chest X-ray revealed that the tip of the active fixation atrial lead was dislocated. We present a case of atrial lead dislodgement after a very long-term period of an ICD implantation

ASSOCIATION OF OBESITY WITH PREVALENCE OF WHITECOAT-AND SUSTAINED HYPERTENSION IN YOUNG ADULTS

Purpose : This study was performed to determine whether obesity is associated with white-coat hypertension (WHT) and sustained hypertension (SHT) in young adults.Methods : Blood pressure (BP) was measured at home by university students (n=95) who exhibited BP readings ≥ 140/90 mmHg during their annual health exam and post-exam measurements between 2005 and 2014. Subject characteristics and BP readings from the WHT and SHT groups were compared to those of normotensive (NT) subjects.Results : The mean body-mass index (BMI) was higher in both the WHT (p<0.05) and SHT groups (p<0.01) compared to the NT group, and the mean BMI in the SHT group was higher (p<0.01) than the WHT group. The ratio of WHT to NT subjects in the obese group (BMI ≥ 30) was higher than in the normal weight group (18.5 ≤ BMI < 25) (p<0.05). The ratio of SHT to NT subjects in the obese group was higher than in the normal weight and overweight groups (25 ≤ BMI < 30) (each, p<0.01).Conclusion : Obesity is associated with both WHT and SHT in university students, which suggests that maintaining a healthy weight is important for the management of WHT and SHT in young adults