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[18] [20] Since its first discovery, there have been many definitions of pacemaker syndrome, and the understanding of the cause of pacemaker syndrome is still under investigation. In a general sense, pacemaker syndrome can be defined as the symptoms associated with right ventricular pacing relieved with the return of A-V and V-V synchrony. [17]
A Micro-dislodgement is a minimal displacement in the lead that is not visible in a chest X-ray, but has the ability to increase the capture threshold and eventually cause a loss of capture. [5] Lead dislodgement can cause sensing failure, which occurs when proper atrial or ventricular sensing is not achieved by the programming of the pacemaker.
Left axis deviation symptoms depend on the underlying cause. [5] For example, if left ventricular hypertrophy is the cause of LAD, symptoms can include shortness of breath , fatigue, chest pain (especially with exercise), palpitations , dizziness , or fainting . [ 6 ]
A heart attack can cause symptoms such as: Chest pain that often radiates to your left shoulder, neck, or arm. Abdominal pain. Shortness of breath. Fatigue. Pressure or heaviness in your chest ...
As the Bundle of His divides into the right and left bundle branches, a block of the electrical impulse may result in a Right Bundle Branch Block or a Left Bundle Branch Block, respectively. Sinoatrial (SA) block may also result be a result of Lev's disease. During a SA block, the electrical impulse formed at the SA node is delayed or not ...
Twiddler's syndrome is a malfunction of a pacemaker due to manipulation of the device and the consequent dislodging of the leads from their intended location. As the leads move, they stop pacing the heart and can cause strange symptoms such as phrenic nerve stimulation resulting in abdominal pulsing or brachial plexus stimulation resulting in rhythmic arm twitching. [1]
SA blocks rarely give severe symptoms, because even if an individual had complete block at this level of the conduction system (which is uncommon), the secondary pacemaker of the heart would be at the AV node, which would fire at 40 to 60 beats a minute, which is enough to retain consciousness in the resting state. However SA block is capable ...
PPS can also be caused after a trauma, a puncture of the cardiac or pleural structures (such as a bullet or stab wound), after percutaneous coronary intervention (such as stent placement after a myocardial infarction or heart attack), or due to pacemaker or pacemaker wire placement.
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