At first glance it appears she may be having a focal seizure with regular twitching of her upper left arm.
An ECG is performed:
What is the cause of her symptoms?
What are the causes of pacemaker failure?
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An 80 year old lady presents one sunny afternoon with a regular twitching movement to her left arm only. It has been going for 2 days and she couldn't sleep the preceeding night as she found it quite annoying. She has a PMH of IHD - had a CABG 10 years ago and a pacemaker inserted 3 months prior. She is otherwise well with a normal blood pressure. At first glance it appears she may be having a focal seizure with regular twitching of her upper left arm. An ECG is performed: Interpret the ECG and CXR.
What is the cause of her symptoms? What are the causes of pacemaker failure?
3 Comments
Yan Wang
3/9/2014 11:50:46 pm
from history sounds like pacemaker lead has become dislodged and activating her left arm muscles, confirmed on CXR
Reply
san
23/10/2014 04:43:44 pm
pacemaker malfunctoning
Reply
19/4/2016 02:46:38 pm
Hi,
Reply
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