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Related Experiment Videos

Pacemaker twiddler's syndrome: a case report.

G L Ellis1

  • 1University of Pittsburgh School of Medicine, Department of Emergency Medicine, Western Pennsylvania Hospital, PA 15224.

The American Journal of Emergency Medicine
|January 1, 1990
PubMed
Summary
This summary is machine-generated.

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Pacemaker lead displacement caused diaphragm contractions. This rare complication, Pacemaker Twiddler's Syndrome, occurs when patients manipulate the pacemaker, potentially leading to phrenic nerve stimulation.

Area of Science:

  • Cardiology
  • Medical Devices
  • Neurology

Background:

  • Dual-chamber pacemakers are implanted to regulate heart rhythm.
  • Phrenic nerve pacing can cause unintended diaphragmatic contractions.
  • Pacemaker Twiddler's Syndrome is a rare cause of lead dislodgement.

Observation:

  • A patient with a dual-chamber pacemaker experienced rhythmic contractions of the right hemidiaphragm.
  • The pacemaker's atrial lead was found to have retracted into the right subclavian vein.

Findings:

  • The lead retraction resulted in the pacing of the right phrenic nerve.
  • The exact cause of lead displacement was undetermined, but Pacemaker Twiddler's Syndrome was suspected.

Implications:

Related Experiment Videos

  • This case highlights the importance of recognizing Pacemaker Twiddler's Syndrome as a cause of lead malfunction.
  • Awareness of this syndrome is crucial for preventing lead dislodgement and associated complications.
  • Patient education on pacemaker care may help mitigate the risk of such events.