Key result
Arm-lifting linked to distal pacemaker lead fracture presenting as syncope in an elderly patient.
Highlights a rare case of distal pacemaker lead fracture occurring during physical assistance.
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Consider distal lead fracture in paced patients with syncope after arm lifting; single case leaves open incidence and prevention.
An 87-year-old woman from a nursing home with a history of ventricular rate responsive demand (VVIR) Microny II SR (St. Jude Medical AB, Jarfalla, Sweden) pacemaker insertion for syncope with complete heart block in 2003 was admitted following an episode of loss of consciousness. This occurred as she was being helped to the toilet by two carers each supporting her under one arm. …
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Augustine et al. (2010) studied this question. Distal pacemaker lead fracture presented as loss of consciousness in an 87-year-old woman with a VVIR pacemaker after being lifted by her arms.
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