Late Twiddler’s Syndrome in a Nigerian on a Demand Pacemaker
Clinical Medicine Research
Volume 3, Issue 5, September 2014, Pages: 150-152
Received: Aug. 28, 2014; Accepted: Sep. 15, 2014; Published: Sep. 30, 2014
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Adamu Gati Umar, Department of Medicine, Federal Medical Centre, PMB 14, Efu-Etsuyisa, Bida, Nigeria
Ibok Idongesit Okon, Department of Medicine, Federal Medical Centre, PMB 14, Efu-Etsuyisa, Bida, Nigeria
Abdullahi Aishatu, Department of Nursing Services, General Hospital, Minna, Nigeria
George Alaba Okuku, Department of Haematology and Blood transfusion, Federal Medical Centre, Bida, Nigeria
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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.
Pacemaker Complication, Arrhythmias, Spontaneous Recovery
To cite this article
Adamu Gati Umar, Ibok Idongesit Okon, Abdullahi Aishatu, George Alaba Okuku, Late Twiddler’s Syndrome in a Nigerian on a Demand Pacemaker, Clinical Medicine Research. Vol. 3, No. 5, 2014, pp. 150-152. doi: 10.11648/j.cmr.20140305.18
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