| Aggressive pacemaker twiddler's syndrome. Dislodgement of an active fixation ventricular pacing electrode. | |
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MedLine Citation:
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PMID: 2407458 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pacemaker twiddler's syndrome is the phenomenon whereby a pacemaker patient may actively dislodge a pacing electrode by manipulating, often unconsciously, the permanent implanted pacemaker. This unusual case is remarkable in several respects: surgical precautions, originally taken to secure the pulse generator against migration, proved ineffective; the displaced lead featured an active fixation "screw-in" electrode; and the reported dislodgement occurred not in the early postimplant stage, but fully three months later. It can be concluded that even with advanced lead technology and operative precaution, electrode dislodgement cannot be absolutely prevented. Awareness of this phenomenon, especially by pacemaker follow-up care personnel, could lessen its occurrence. |
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Authors:
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R B Lal; R D Avery |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Chest Volume: 97 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 1990 Mar |
Date Detail:
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Created Date: 1990-04-02 Completed Date: 1990-04-02 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 756-7 Citation Subset: AIM; IM |
Affiliation:
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Good Samaritan Hospital, Downers Grove, Illinois. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Electrodes, Implanted* Equipment Failure Humans Male Pacemaker, Artificial* Pectoralis Muscles / surgery Psychomotor Agitation Suture Techniques Syndrome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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