Pacemaker syndrome in older people

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Pacemaker syndrome in older people.

Pacemaker syndrome arises from adverse electrophysiological and haemodynamic consequences of pacing— in particular ventricular pacing—despite normal pacemaker function [1, 2]. The symptoms are diverse, ranging from breathlessness, syncope, palpitations, neck pressure, dizziness and flushing to more vague symptoms of lethargy and impaired exercise tolerance. Clinical signs include cannon ‘a’ wav...

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Pacemaker Twiddler's Syndrome

A 76-yr-old man with unipolar ventricular pacemaker, previously implanted in the right ventricular apex, presented with syncopal attack and twitching of the right pectoralis muscle. He finally was diagnosed as having Twiddler's syndrome. The patient had a pulse rate of 36/min and cannon waves in the neck veins. Chest radiography showed a dislodged pacing lead completely wrapped around the pulse...

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Remitting Seronegative Symmetrical Synovitis with Pitting oedema syndrome, a rare inflammatory arthritis, commonly affects people in the older age group. It can present as an acute onset polyarthritis with associated pitting oedema of the extremities. Patients show excellent response to low dose steroids with complete and sustained remissions. It can also be a paraneoplastic manifestation of an...

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Secondary causes of restless legs syndrome in older people.

BACKGROUND Secondary causes of restless legs syndrome (RLS) have been reported to be more common in those with late-onset RLS. However, 'late-onset' in previous studies was defined as onset after 45 years. OBJECTIVE To determine the prevalence of secondary causes of RLS and the relationship between aetiological factors and age of symptom onset in an older population. DESIGN Prospective stud...

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New Concepts in Pacemaker Syndrome

After implantation of a permanent pacemaker, patients may experience severe symptoms of dyspnea, palpitations, malaise, and syncope resulting from pacemaker syndrome. Although pacemaker syndrome is most often ascribed to the loss of atrioventricular (A-V) synchrony, more recent data may also implicate left ventricular dysynchrony caused by right ventricular pacing. Previous studies have not sho...

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ژورنال

عنوان ژورنال: Age and Ageing

سال: 2000

ISSN: 1468-2834

DOI: 10.1093/ageing/29.1.13