Deslocamento de cabos-eletrodos decorrente de síndrome de Twiddler em portadora de marcapasso bicameral / Lead displacement resulting from Twiddler's Syndrome in a patient with dual chamber pacemaker
RELAMPA, Rev. Lat.-Am. Marcapasso Arritm
;
31(1): 20-22, jan.-mar. 2018. ilus
Article
in Portuguese
| LILACS
| ID: biblio-905742
RESUMO
Relatamos o caso de uma paciente com implante de marcapasso bicameral há dois meses por bloqueio atrioventricular total, que, dois dias após queda acidental em sua residência com trauma homolateral ao local do implante do marcapasso, apresentou pré-síncope, lipotimias e bradicardia. O eletrocardiograma evidenciava perda total de comando atrioventricular e a radiografia de tórax mostrava tracionamento, deslocamento e enovelamento dos cabos-eletrodos próximo ao gerador. A paciente foi diagnosticada como caso típico de síndrome de Twiddler
ABSTRACT
We report the case of a patient with a bicameral pacemaker implantation within the last two months due to total atrioventricular block, who presented pre-syncope, lipothymia and bradycardia two days after an accidental fall at home with a homolateral trauma to the pacemaker implantation site. The electrocardiogram showed a total loss of the atrioventricular command and chest x-ray evidence of traction, displacement and folding of the leads near the generator. The patient was diagnosed as a typical Twiddler's Syndrome case
Index:
LILACS (Americas)
Main subject:
Pacemaker, Artificial
/
Accidental Falls
/
Electrodes
/
Atrioventricular Block
Type of study:
Diagnostic study
/
Etiology study
/
Risk factors
Limits:
Aged
/
Female
/
Humans
Language:
Portuguese
Journal:
RELAMPA, Rev. Lat.-Am. Marcapasso Arritm
Journal subject:
Cardiology
Year:
2018
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Santa Casa de Ribeirão Preto/BR
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