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

Adamu Gati Umar; Ibok Idongesit Okon; Abdullahi Aishatu; George Alaba Okuku

doi:doi:10.11648/j.cmr.20140305.18

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

Adamu Gati Umar, Ibok Idongesit Okon, Abdullahi Aishatu, George Alaba Okuku

Published in Clinical Medicine Research (Volume 3, Issue 5)

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.

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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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TY  - JOUR
T1  - Late Twiddler’s Syndrome in a Nigerian on a Demand Pacemaker
AU  - Adamu Gati Umar
AU  - Ibok Idongesit Okon
AU  - Abdullahi Aishatu
AU  - George Alaba Okuku
Y1  - 2014/09/30
PY  - 2014
N1  - https://doi.org/10.11648/j.cmr.20140305.18
DO  - 10.11648/j.cmr.20140305.18
T2  - Clinical Medicine Research
JF  - Clinical Medicine Research
JO  - Clinical Medicine Research
SP  - 150
EP  - 152
PB  - Science Publishing Group
SN  - 2326-9057
UR  - https://doi.org/10.11648/j.cmr.20140305.18
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

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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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

Copy | Download

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

Copy | Download

@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}
}

Copy | Download

TY  - JOUR
T1  - Late Twiddler’s Syndrome in a Nigerian on a Demand Pacemaker
AU  - Adamu Gati Umar
AU  - Ibok Idongesit Okon
AU  - Abdullahi Aishatu
AU  - George Alaba Okuku
Y1  - 2014/09/30
PY  - 2014
N1  - https://doi.org/10.11648/j.cmr.20140305.18
DO  - 10.11648/j.cmr.20140305.18
T2  - Clinical Medicine Research
JF  - Clinical Medicine Research
JO  - Clinical Medicine Research
SP  - 150
EP  - 152
PB  - Science Publishing Group
SN  - 2326-9057
UR  - https://doi.org/10.11648/j.cmr.20140305.18
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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