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Late Twiddler’s Syndrome in a Nigerian on a Demand Pacemaker

Received: 28 August 2014     Accepted: 15 September 2014     Published: 30 September 2014
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Abstract

A 75 year old woman with unipolar ventricular pacemaker presented with cough, difficulty breathing and dizziness. An initial electrocardiogram (ECG) showed atrial fibrillation, incomplete right bundle branch block with no pacemaker spikes. The chest radiograph revealed twisting of the leads at various points. She was managed conservatively with anti-failure drugs and monthly ECG. The pacemaker could not be interrogated due to logistic reasons. However, the ECG during the 8th month of follow-up showed pacemaker spikes and complete left bundle branch block pattern suggestive of spontaneous return of pacemaker function.

Published in Clinical Medicine Research (Volume 3, Issue 5)
DOI 10.11648/j.cmr.20140305.18
Page(s) 150-152
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Pacemaker Complication, Arrhythmias, Spontaneous Recovery

References
[1] Bayliss CE, Beanlands DS, Baird RJ. The pacemaker-Twiddler's syndrome: a new complication of implantable transvenous pacemakers. Can Med Assoc J 1968; 99: 371-373.
[2] Nicholson WJ, Tuohy KA, Tilkemeier P. Twiddler's Syndrome. N Engl J Med 2003; 348: 1726-7.
[3] Khalilullah M, Khanna SK, et al. Pacemaker Twiddler's syndrome: a note on its mechanism. J Cardiovasc Surg 1979; 20: 95-100.
[4] Avitall B, Stormo A, Barragry T, Axtel K, Hare J. Sudden cardiac death: Twiddler's syndrome with an implantable cardioverter defibrillator. Am Heart J 1994; 128: 833-836.
[5] Beatriz Fuertes, Jorge Toquero, Ramón Arroyo-Espliguero, Ignacio F. Lozano. Pacemaker Lead Displacement: Mechanisms and Management. Ind Pacing and Electrophysiology J 2003 3(4): 231-238.
[6] Kumar A, Mckay CR, Rahimtoola SH. Pacemaker Twiddler's Syndrome: an important cause of diaphragmatic pacing. Am J Cardiol 1985; 56: 797-799.
[7] M. Zamirian, M.B. Sharif Kazemi,A.R. Moarref. Pacemaker Twiddler's Syndrome. Iran J Med Sci 2006; 31(1): 59-60.
Cite This Article
  • APA Style

    Adamu Gati Umar, Ibok Idongesit Okon, Abdullahi Aishatu, George Alaba Okuku. (2014). Late Twiddler’s Syndrome in a Nigerian on a Demand Pacemaker. Clinical Medicine Research, 3(5), 150-152. https://doi.org/10.11648/j.cmr.20140305.18

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    ACS Style

    Adamu Gati Umar; Ibok Idongesit Okon; Abdullahi Aishatu; George Alaba Okuku. Late Twiddler’s Syndrome in a Nigerian on a Demand Pacemaker. Clin. Med. Res. 2014, 3(5), 150-152. doi: 10.11648/j.cmr.20140305.18

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    AMA Style

    Adamu Gati Umar, Ibok Idongesit Okon, Abdullahi Aishatu, George Alaba Okuku. Late Twiddler’s Syndrome in a Nigerian on a Demand Pacemaker. Clin Med Res. 2014;3(5):150-152. doi: 10.11648/j.cmr.20140305.18

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  • @article{10.11648/j.cmr.20140305.18,
      author = {Adamu Gati Umar and Ibok Idongesit Okon and Abdullahi Aishatu and George Alaba Okuku},
      title = {Late Twiddler’s Syndrome in a Nigerian on a Demand Pacemaker},
      journal = {Clinical Medicine Research},
      volume = {3},
      number = {5},
      pages = {150-152},
      doi = {10.11648/j.cmr.20140305.18},
      url = {https://doi.org/10.11648/j.cmr.20140305.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20140305.18},
      abstract = {A 75 year old woman with unipolar ventricular pacemaker presented with cough, difficulty breathing and dizziness. An initial electrocardiogram (ECG) showed atrial fibrillation, incomplete right bundle branch block with no pacemaker spikes. The chest radiograph revealed twisting of the leads at various points. She was managed conservatively with anti-failure drugs and monthly ECG. The pacemaker could not be interrogated due to logistic reasons. However, the ECG during the 8th month of follow-up showed pacemaker spikes and complete left bundle branch block pattern suggestive of spontaneous return of pacemaker function.},
     year = {2014}
    }
    

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    AU  - Adamu Gati Umar
    AU  - Ibok Idongesit Okon
    AU  - Abdullahi Aishatu
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    AB  - A 75 year old woman with unipolar ventricular pacemaker presented with cough, difficulty breathing and dizziness. An initial electrocardiogram (ECG) showed atrial fibrillation, incomplete right bundle branch block with no pacemaker spikes. The chest radiograph revealed twisting of the leads at various points. She was managed conservatively with anti-failure drugs and monthly ECG. The pacemaker could not be interrogated due to logistic reasons. However, the ECG during the 8th month of follow-up showed pacemaker spikes and complete left bundle branch block pattern suggestive of spontaneous return of pacemaker function.
    VL  - 3
    IS  - 5
    ER  - 

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Author Information
  • Department of Medicine, Federal Medical Centre, PMB 14, Efu-Etsuyisa, Bida, Nigeria

  • Department of Medicine, Federal Medical Centre, PMB 14, Efu-Etsuyisa, Bida, Nigeria

  • Department of Nursing Services, General Hospital, Minna, Nigeria

  • Department of Haematology and Blood transfusion, Federal Medical Centre, Bida, Nigeria

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