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(Chest. 1974;66:599-601.)
© 1974 American College of Chest Physicians

Rhythmic Shoulder Girdle Muscle Contractions as a Complication in Pacemaker Treatment

K. Ekbom M.D.1; B. Y. Nilsson M.D.1; O. Edhag M.D.1; and C. Olin M.D.1

1 Departments of Neurology and Clinical Neurophysiology, Södersjukhuset, the Department of Medicine, Serafimerlasarettet; Department of Thoracic Surgery, Karolinska Sjukhuset, Stockholm, Sweden

A 69-year-old man had been treated for 5frac12 years with permanent transvenous pacemaker for Adams-Stokes syndrome. On the day following vigorous arm exercise be had muscle contractions in the right shoulder synchronous with the heart activity. Local damage to the electrode cable with current leakage to the upper brachial plexus was varified by neurophysiologic examination and at operation. A simple method of repairing the insulation defect is reported.






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Copyright © 1974 by the American College of Chest Physicians.