The purpose of this report is to describe the more common problems encountered with permanent pacemakers and their management. One of the serious recurring problems is loss of output from the pacemaker. As a result, no pacemaker impulse whatsoever is seen on the electrocardiogram and the heart rate appears slower than the fixed rate of the pacemaker. In such a situation, if a patient is pacemak...

OBJECTIVES This study was done to evaluate pacemaker therapy for severe recurrent vasovagal syncope. BACKGROUND Nonrandomized studies have suggested that permanent pacing might help control the symptoms of recurrent vasovagal syncope. The study goal was to evaluate the effect of permanent pacemaker implantation on syncope in patients with frequently recurrent vasovagal syncope. METHODS Pati...

Intracardiac thrombosis is an infrequent and fatal complication in patients with an inserted pacemaker. A patient with an inserted pacemaker scheduled for ureter stone removal experienced cardiac arrest and cardiopulmonary resuscitation under general anesthesia. Echocardiography showed multiple intracardiac thrombi. Preoperative diagnostic workup including echocardiography for the detection of ...

Several patients receive a permanent pacemaker in a relatively young age, with multiple subsequent reoperations for pacemaker replacement. Pulse generator replacement is an invasive procedure, associated with the risk of various complications, mainly infection and skin erosion. A case of an extremely long-lasting pacemaker with a totally uneventful longevity period over 31 years is presented. T...

Hand dermatitis is a common skin condition that often has a chronic and/or relapsing clinical course. Several clinical forms of hand dermatitis have been described, including contact (i.e., allergic and irritant), hyperkeratotic (i.e., psoriasiform or tylotic), frictional, nummular, atopic, pompholyx (i.e., dyshidrosis), and chronic vesicular hand dermatitis. In the present review, therapeutic ...

Given increasing awareness of the link between diet and health, many patients are concerned that dietary factors may trigger dermatitis. Research has found that dietary factors can indeed exacerbate atopic dermatitis or cause dermatitis due to systemic contact dermatitis. In atopic dermatitis, dietary factors are more likely to cause an exacerbation among infants or children with moderate-to-se...

This guideline is an update from August 2020 the S2k-guideline “Atopic dermatitis” published in 2015. The reason for updating this chapter of were current developments field systemic therapy atopic dermatitis. agreed recommendations treatment dermatitis present are based on scientific data. Due to approval dupilumab moderate severe dermatitis, which cannot be treated sufficiently with topical d...

Of pacemaker malfunctions,1 runaway pacemaker events are infrequent electronic complications that present at any time in the life of the pacemaker.2-4 Described between 2 days and 9 years after implantation, they are life-threatening emergencies that can go undetected if they appear intermittently.5,6 Recently, we attended a 96 year-old woman with a VVIR Medtronic Minix-ST pacemaker implanted i...

160 Twiddler's syndrome was first described by Bayliss et al. in 1968 [1]. This condition is a rare cause of pacemaker failure, resulting from the dislodging of pacing electrodes by manipulation, often unconsciously, of the implanted pacemaker [2]. This report describes a rare condition of pacemaker failure in a patient with twiddler's syndrome resulting from unintentional rotation of the pacem...

rove beetle dermatitis produced by the family staphylinidae genus paederus has world- wide distribution some one hundred species of paederus have been found, but it is believed that only 30 of these produce dermatitis. up to 1976 three species of paederus have been found in iran as: p. fusciped curtis; p. pietschmanni bershaner , and p. spectabilis kraatz . observations on the biology of paeder...