Pacemaker Twiddler's Syndrome
Authors
Abstract:
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 generator. After uncoiling the lead it was positioned in the right ventricular apex and the pulse generator implanted and sewed tightly in a smaller pocket. After six months follow-up there was no further twiddling or pacemaker dysfunction.Iran J Med Sci 2006; 31(1): 59-60. Keywords ● Twiddler's syndrome ● pacemaker ● syncopal attack
similar resources
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...
full textNew 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...
full textPacemaker syndrome: an iatrogenic condition.
Pacemaker syndrome was first described in 1969 by Mitsui when it was referred to as the pacemaking syndrome.' The name pacemaker syndrome was first coined by Erbel (using the German Schrittmacher syndrom) in 1979.2 It can present with symptoms as severe as syncope, presyncope, oedema, dyspnoea, and chest pain, or more moderately and subtly as lethargy, palpitation, or an awareness of venous pul...
full textPacemaker 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...
full textPacemaker Induced Post Cardiac Injury Syndrome
Post pacemaker insertion pericarditis is a rare form of post cardiac injury syndrome. It is an inflammatory process involving the pericardium and/or pleura due to a recent cardiac injury. Post cardiac injury syndrome may develop after myocardial infarction (Dressler syndrome), cardiac surgery or trauma. However, in rare cases it can occur following minor cardiac procedures. We report a case of ...
full textDiagnosis of pacemaker syndrome by suprahepatic vein pulsed Doppler echocardiography.
A case report where the diagnosis of pacemaker syndrome was made using simply suprahepatic vein, pulsed Doppler echocardiography. To the knowledge of the authors, this method is currently unpublished.
full textMy Resources
Journal title
volume 31 issue 1
pages 59- 60
publication date 2006-03-01
By following a journal you will be notified via email when a new issue of this journal is published.
Hosted on Doprax cloud platform doprax.com
copyright © 2015-2023