Document Detail

Twiddler's syndrome and pectoral stimulation in a patient with dual-site unipolar atrial pacing.
MedLine Citation:
PMID:  15185907     Owner:  NLM     Status:  MEDLINE    
Twiddler's syndrome is a rare condition of pacemaker rotation; when associated with unipolar pacing it could provoke extracardiac muscular stimulation. We report a case of an obese woman who unintentionally reversed her triple-chamber, dual-site unipolar atrial pacemaker, implanted for the prevention of paroxysmal atrial fibrillation. The extracardiac pectoral stimulation was due to unipolar atrial stimulation. The polarity mode was not programmable and output reduction was unsuccessful. Thus, the problem was resolved noninvasively by means of external manual rotation of the pacer. At 24 months of follow-up, the patient was still free of symptoms.
Eraldo Occhetta; Miriam Bortnik; Gabriella Francalacci; Andrea Magnani; Laura Plebani; Corrado Vassanelli
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Italian heart journal : official journal of the Italian Federation of Cardiology     Volume:  5     ISSN:  1129-471X     ISO Abbreviation:  Ital Heart J     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-06-09     Completed Date:  2004-11-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100909716     Medline TA:  Ital Heart J     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  399-402     Citation Subset:  IM    
Cardiology Division, University of Piemonte Orientale, Novara, Italy.
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MeSH Terms
Atrial Fibrillation / diagnosis*,  therapy*
Cardiac Pacing, Artificial*
Heart Conduction System / pathology,  surgery
Middle Aged
Pacemaker, Artificial*
Sick Sinus Syndrome / diagnosis*,  therapy*

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