Presentation
Atypical palpitations.
Patient Data
Age: 75 years
Gender: Female
From the case:
Twiddler syndrome - retracted pacemaker leads
Frontal
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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