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Cardiology Cases

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Jan 3, 2014.

  1. Cecilia Yesica

    Cecilia Yesica Well-Known Member

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  2. DR.KAMRAN AHMED

    DR.KAMRAN AHMED Well-Known Member

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  3. Yashaf79

    Yashaf79 Well-Known Member

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    Raj 71 Famous Member

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    Monophasic pacemaker
     

  5. sindhureddy

    sindhureddy Famous Member

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  6. dr. irune cachorro

    dr. irune cachorro Well-Known Member

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    Previous sternotomy. Newly implanted pacemaker. Cardiomegalia
     

  7. a. mcgivern

    a. mcgivern Young Member

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    glrn Young Member

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    Pacemaker
     

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    anowihy Famous Member

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    aiairose Well-Known Member

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    Hagar Osama Famous Member

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    nazzi Well-Known Member

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    mohammad sabbir rahman Famous Member

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    cardiomegaly plus imcorrect lead placement
     

  14. ahmadasq

    ahmadasq Young Member

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    pace maker​
     

  15. DaveGeneeskunde

    DaveGeneeskunde Well-Known Member

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    pacemaker malfunction
     

  16. zoima atique

    zoima atique Well-Known Member

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    pacemaker
     

  17. Habibeh Tahavorie

    Habibeh Tahavorie Famous Member

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  18. Maher Mufid El-Khalidi

    Maher Mufid El-Khalidi Bronze Member

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    Twiddler syndrome is a rare condition which occurs when a patient, either consciously or unconsciously, rotates or “twiddles” the implanted pacemaker in its pocket, resulting in torsion, dislodgement, and often fracture of the pacing lead. The diagnosis is confirmed by a chest radiograph which reveals a twisted, entangled, and dislodged pacing lead. The syndrome usually occurs when the subcutaneous tissues are lax, if the pacemaker is untethered in its pocket, or if the size of the pacemaker pocket exceeds that of the device, and is seen especially in children and obese and older patients.1 In the case of a pediatric patient the dislodgement of a pacemaker lead is more problematic because the child's growth must be taken into account. There is frequently loss of capture and pacemaker malfunction. In many cases it is necessary to explore the pacemaker pocket surgically and replace the lead.
     

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    vignesh Dwarakanathan Famous Member

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    Vijollca Well-Known Member

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