Diferencia entre revisiones de «Twiddler's syndrome»
m (Mholtz moved page Twiddler's Syndrome to Twiddler's syndrome) |
Sin resumen de edición |
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| Línea 1: | Línea 1: | ||
==Background== | ==Background== | ||
*Implantable devices with attached wires traveling remotely are at risk. | *Implantable devices with attached wires traveling remotely are at risk for this complication. | ||
*Device moves within subcutaneous pocket pulling wires back to | *Device moves within subcutaneous pocket acting like fishing rod pulling wires back to the "pole." | ||
*Wires dislodged from | *Wires dislodged from appropriate location in myocardium. | ||
==Clinical Features== | ==Clinical Features== | ||
*Pacemaker placed with poor function. | *Pacemaker placed with poor function. | ||
*Can present with syncope from lack of pacemaker function. | *Can present with syncope from lack of pacemaker function. | ||
*Can present with symptoms related to stimulation of other structures (diaphragm, brachial plexus) as wires migrate from expected position. | *Can present with symptoms related to stimulation of other structures (diaphragm, brachial plexus) as wires migrate from expected position. | ||
| Línea 14: | Línea 12: | ||
*Lead separation | *Lead separation | ||
*Lead dislodgment | *Lead dislodgment | ||
*Lead infection | *Lead infection | ||
==Diagnosis== | ==Diagnosis== | ||
*CXR to evaluate the | *CXR to evaluate the placement of the leads | ||
==Management== | ==Management== | ||
| Línea 24: | Línea 21: | ||
==Disposition== | ==Disposition== | ||
*Admit for device | *Admit to allow for device intervention as pacemaker does not function in Twiddler's Syndrome | ||
==See Also== | ==See Also== | ||
*[[Pacemaker complication]] | *[[Pacemaker complication]] | ||
==External Links== | ==External Links== | ||
| Línea 34: | Línea 30: | ||
<references/> | <references/> | ||
[Category:Cards] | |||
Revisión del 19:55 17 ago 2015
Background
- Implantable devices with attached wires traveling remotely are at risk for this complication.
- Device moves within subcutaneous pocket acting like fishing rod pulling wires back to the "pole."
- Wires dislodged from appropriate location in myocardium.
Clinical Features
- Pacemaker placed with poor function.
- Can present with syncope from lack of pacemaker function.
- Can present with symptoms related to stimulation of other structures (diaphragm, brachial plexus) as wires migrate from expected position.
Differential Diagnosis
- Lead separation
- Lead dislodgment
- Lead infection
Diagnosis
- CXR to evaluate the placement of the leads
Management
- Cardiologist for device/lead placement
Disposition
- Admit to allow for device intervention as pacemaker does not function in Twiddler's Syndrome
See Also
External Links
References
[Category:Cards]