A Rare Case of Rectus Muscle Twitching Due to Abandoned Uncapped Pacemaker Leads
Extra-cardiac stimulation after cardiac pacemaker implantation is seldom seen in the cardiac field. However, this case report demonstrates an unusual symptom of persistent abdominal twitching in a 42-year-old male patient who underwent pacemaker replacement, lasting for 15 years. Initially, it was a...
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| Published in | Curēus (Palo Alto, CA) Vol. 15; no. 11; p. e49668 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Springer Nature B.V
29.11.2023
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| Subjects | |
| Online Access | Get full text |
| ISSN | 2168-8184 2168-8184 |
| DOI | 10.7759/cureus.49668 |
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| Abstract | Extra-cardiac stimulation after cardiac pacemaker implantation is seldom seen in the cardiac field. However, this case report demonstrates an unusual symptom of persistent abdominal twitching in a 42-year-old male patient who underwent pacemaker replacement, lasting for 15 years. Initially, it was attributed to diaphragmatic pacing by the new pacemaker. Despite several attempts to replace the endocardial leads, the patient's symptoms did not improve. Finally, he was referred to our hospital, where our team conducted further investigations and discovered that the old pacemaker lead was exposed, leading to excitation of the rectus muscle. |
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| AbstractList | Extra-cardiac stimulation after cardiac pacemaker implantation is seldom seen in the cardiac field. However, this case report demonstrates an unusual symptom of persistent abdominal twitching in a 42-year-old male patient who underwent pacemaker replacement, lasting for 15 years. Initially, it was attributed to diaphragmatic pacing by the new pacemaker. Despite several attempts to replace the endocardial leads, the patient's symptoms did not improve. Finally, he was referred to our hospital, where our team conducted further investigations and discovered that the old pacemaker lead was exposed, leading to excitation of the rectus muscle. Extra-cardiac stimulation after cardiac pacemaker implantation is seldom seen in the cardiac field. However, this case report demonstrates an unusual symptom of persistent abdominal twitching in a 42-year-old male patient who underwent pacemaker replacement, lasting for 15 years. Initially, it was attributed to diaphragmatic pacing by the new pacemaker. Despite several attempts to replace the endocardial leads, the patient's symptoms did not improve. Finally, he was referred to our hospital, where our team conducted further investigations and discovered that the old pacemaker lead was exposed, leading to excitation of the rectus muscle.Extra-cardiac stimulation after cardiac pacemaker implantation is seldom seen in the cardiac field. However, this case report demonstrates an unusual symptom of persistent abdominal twitching in a 42-year-old male patient who underwent pacemaker replacement, lasting for 15 years. Initially, it was attributed to diaphragmatic pacing by the new pacemaker. Despite several attempts to replace the endocardial leads, the patient's symptoms did not improve. Finally, he was referred to our hospital, where our team conducted further investigations and discovered that the old pacemaker lead was exposed, leading to excitation of the rectus muscle. |
| Author | Yaghi, Nadine Nairat, Moath Al-Khdour, Issa Awwad, Fateh AlAqra, Amro Marai, Ibrahim |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38161898$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.11909/j.issn.1671-5411.2017.08.007 10.1111/j.1540-8159.2000.tb00926.x 10.1002/joa3.12133 10.1111/j.1540-8159.1997.tb03550.x 10.1016/s0828-282x(07)70833-4 10.1136/heartasia-2013-010402 |
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| Copyright | Copyright © 2023, Al-Khdour et al. Copyright © 2023, Al-Khdour et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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| Keywords | pacing wires rectus twiddler's syndrome complications to pacemaker implantation minimally invasive cardiac surgery |
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| References | Bozyel S (ref1) 2017; 14 Khan AA (ref5) 1997; 20 Bohm A (ref6) 2000; 23 Higuchi S (ref3) 2019; 35 Suri A (ref4) 2013; 5 Erdogan O (ref2) 2007; 23 |
| References_xml | – volume: 14 year: 2017 ident: ref1 article-title: Pectoral muscular twitching: a rare manifestation of spontaneous twiddler syndrome publication-title: J Geriatr Cardiol doi: 10.11909/j.issn.1671-5411.2017.08.007 – volume: 23 year: 2000 ident: ref6 article-title: Muscle stimulation related to a nonfunctioning epicardial pacemaker electrode publication-title: Pacing Clin Electrophysiol doi: 10.1111/j.1540-8159.2000.tb00926.x – volume: 35 year: 2019 ident: ref3 article-title: Unique abdominal twiddler syndrome publication-title: J Arrhythm doi: 10.1002/joa3.12133 – volume: 20 year: 1997 ident: ref5 article-title: Right hemidiaphragmatic twitching: a complication of bipolar atrial pacing publication-title: Pacing Clin Electrophysiol doi: 10.1111/j.1540-8159.1997.tb03550.x – volume: 23 year: 2007 ident: ref2 article-title: Intercostal muscle twitching: an unusual manifestation of extracardiac stimulation related to right ventricular outflow tract pacing publication-title: Can J Cardiol doi: 10.1016/s0828-282x(07)70833-4 – volume: 5 year: 2013 ident: ref4 article-title: Abdominal skeletal muscle twitching due to current leak from a pacemaker extension connector box publication-title: Heart Asia doi: 10.1136/heartasia-2013-010402 |
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| Title | A Rare Case of Rectus Muscle Twitching Due to Abandoned Uncapped Pacemaker Leads |
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