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Ascites due to pacemaker syndrome
Kiran Chandan1, Mukesh Chawla, Devendra Desai
1Division of Gastroenterology, P D Hinduja National Hospital, Veer Savarkar Marg, Mumbai.
Pacemaker syndrome, a rare complication, can cause ascites. Adjusting pacemaker settings resolved ascites and pleural effusion in a 65-year-old man with a permanent cardiac pacemaker.
Area of Science:
- Cardiology
- Medical Devices
Background:
- Permanent cardiac pacemakers are implanted to manage bradyarrhythmias.
- Pacemaker syndrome is a potential complication of pacemaker implantation.
Observation:
- A 65-year-old male patient with a permanent cardiac pacemaker presented with unexplained ascites.
- Extensive investigations over 3 months failed to identify the cause of the ascites.
Findings:
- Cardiac evaluation revealed the patient had pacemaker syndrome.
- Adjusting the pacemaker settings led to the resolution of ascites and subsequent pleural effusion.
Implications:
- This case highlights the importance of considering pacemaker syndrome in patients with unexplained ascites.
- Optimizing pacemaker function can effectively manage certain iatrogenic complications.
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