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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.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|July 18, 2002
PubMed
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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.

Related Experiment Videos

  • Optimizing pacemaker function can effectively manage certain iatrogenic complications.