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Article
April 14, 1989

Violent Cardiology: Rhythm Reversion by Patient Inversion

Author Affiliations

The Methodist Hospital Brooklyn, NY

The Methodist Hospital Brooklyn, NY

JAMA. 1989;261(14):2063. doi:10.1001/jama.1989.03420140065015

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Abstract

To the Editor.—  A 43-year-old woman had a ventricular-inhibited permanent pacemaker implanted on February 10, 1988, for sick sinus syndrome. The pacemaker initially functioned properly. However, 6 weeks after the implantation, the pacemaker was not capturing the ventricle. A chest roentgenogram revealed that the lead had displaced to the level of the tricuspid valve. The patient was advised to enter the hospital for repositioning of the electrode.The patient was not anxious to have another operation. Further, the patient's husband felt that there must be an alternative solution. The following week, the husband stated that he had adjusted the pacemaker electrode and the unit was now functioning perfectly. An electrocardiogram revealed that there was consistent atrial pacing. A repeated chest roentgenogram showed the electrode in the coronary sinus.The patient's husband had placed the patient upside down so that her head was touching the floor. He then grasped her feet

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