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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]
Pacemaker crosstalk results when the pacemaker-generated electrical event in one heart chamber is sensed by the lead in another chamber, resulting in inappropriate inhibition of the pacing artifact in the second chamber.
Pacemaker failure is the inability of an implanted artificial pacemaker to perform its intended function of regulating the beating of the heart. A pacemaker uses electrical impulses delivered by electrodes in order to contract the heart muscles. [ 1 ]
[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]
Code enforcement, sometimes encompassing law enforcement, is the act of enforcing a set of rules, principles, or laws (especially written ones) and ensuring observance of a system of norms or customs. [1] An authority usually enforces a civil code, a set of rules, or a body of laws and compel those subject to their authority to behave in a ...
The pacemaker patient may find that some types of everyday actions need to be modified. For instance, the shoulder harness of a vehicle seatbelt may be uncomfortable if it falls across the pacemaker insertion site. Women will not be able to wear bras for a while after the operation, and later might have to wear bras with wide shoulder straps.
Almost 10 months after an Army reservist's rampage, left a trail of deadly gun violence, an independent commission released its final report on the shooting.
Nuisance abatement is a growing area within policing and code enforcement. The term refers to using building codes, fire codes, zoning, etc. in order to improve the quality of life and resolve life safety issues within neighborhoods. Nuisance abatement programs are most often a component of problem oriented or community policing programs.