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Related Concept Videos

Disturbances in Heart Rhythm01:29

Disturbances in Heart Rhythm

Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Pulse rhythm01:30

Pulse rhythm

Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac muscle...

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Wandering permanent pacemaker generators in children: a case series.

Hilal Al Sabti1, Raj Gopal Menon, Madan Mohan Maddali

  • 1Department of Cardiothoracic Surgery, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman. alsabti@hotmail.com

Journal of Medical Case Reports
|May 20, 2008
PubMed
Summary

Pediatric epicardial pacemakers implanted in the abdominal wall can migrate, causing intra-abdominal complications. This highlights the varied presentations and offers suggestions to prevent pacemaker migration in children.

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Area of Science:

  • Pediatric cardiology
  • Medical device complications
  • Surgical implantation

Background:

  • Epicardial permanent pacemaker generators are sometimes implanted in the abdominal wall for pediatric patients.
  • Pacemaker implantation in this location can present unique challenges and risks.

Purpose of the Study:

  • To report unusual cases of pacemaker migration in pediatric patients.
  • To highlight the diverse clinical presentations of pacemaker migration.
  • To offer recommendations for preventing such complications.

Main Methods:

  • Case series reporting three pediatric patients with migrated epicardial pacemakers.
  • Analysis of migration patterns and resulting intra-abdominal complications.

Main Results:

  • Three cases of permanent epicardial pacemaker migration were identified.
  • Migration led to significant intra-abdominal complications in these pediatric cases.
  • Varied clinical presentations were observed.

Conclusions:

  • Pacemaker migration is a potential complication in pediatric patients with abdominal wall implants.
  • Early recognition of varied presentations is crucial for timely intervention.
  • Implementing preventative strategies can reduce the incidence of pacemaker migration.