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Twiddler-syndrom er en årsag til pacemakerelektrodedisplacering
Engelsk titel: Twiddler’s syndrome as the cause of pacemaker electrode displacement Läs online Författare: Grönbech, Keea Treu ; Gilså Hansen, Michael Språk: Dan Antal referenser: 4 Dokumenttyp: Fallbeskrivning UI-nummer: 13067431

Tidskrift

Ugeskrift for Laeger 2013;175(15)1046-7 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Twiddler’s syndrome is a rare cause of pacemaker electrode displacement. The displacement is caused by the patient’s manipulation with the pacemaker, so the electrode is retracted. We describe a case of a 79-year-old overweight woman with a known psychiatric anamnesis, who was admitted twice with twiddler’s syndrome. Age and overweight are known risk factors for twiddler’s syndrome; and in this case the patient’s psychiatric habitus was probably an additional risk factor. Before performing a pacemaker implantation it is important to take the patient’s risk factors into account, and thus consider submuscular implantation.