title: Pectoral muscle stimulation after falling off a ladder.
abstract: A-pacemaker that had been implanted correctly was found at follow-up to have "flipped over" as a result of a fall from a ladder. Symptomatic pectoral muscle stimulation ceased immediately when the generator was manually flipped back into the correct position.
authors.affiliation: Department of Cardiology, Derriford Hospital, Plymouth, United Kingdom.
authors.forename: A
authors.initials: A
authors.lastname: Nash
authors.forename: S
authors.initials: S
authors.lastname: Hall
authors.forename: A J
authors.initials: AJ
authors.lastname: Marshall
mesh_terms: D000058:Accidental Falls; D000368:Aged; D004558:Electric Stimulation / Q000009:adverse effects; D004562:Electrocardiography; D004868:Equipment Failure; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D006327:Heart Block / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D010369:Pectoralis Muscles / Q000000981:diagnostic imaging / Q000293:injuries / Q000503:physiopathology*; D013902:Radiography, Thoracic