Presentation
Atypical palpitations.
Patient Data
Age: 75 years
Gender: Female
From the case:
Twiddler syndrome - retracted pacemaker leads
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The two permanent pacemaker leads are retracted superiorly. One is projected in the right atrium, the other in the left subclavian vein. Redundant lead coils are noted around the left-sided generator superiorly.
The heart is enlarged.
Case Discussion
The patient was known to have obsessive-compulsive disorder and admitted to fiddling with the chest wall generator.
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