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 inCurēus (Palo Alto, CA) Vol. 15; no. 11; p. e49668
Main Authors Al-Khdour, Issa, AlAqra, Amro, Nairat, Moath, Marai, Ibrahim, Yaghi, Nadine, Awwad, Fateh
Format Journal Article
LanguageEnglish
Published United States Springer Nature B.V 29.11.2023
Subjects
Abdomen
Case reports
Electrodes
Heart surgery
Hospitals
Pacemakers
Remission (Medicine)
Teams
pacing wires
rectus
twiddler's syndrome
complications to pacemaker implantation
minimally invasive cardiac surgery
Online AccessGet full text
ISSN2168-8184
2168-8184
DOI10.7759/cureus.49668

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Summary: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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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.49668