Journal Article

Early pacemaker twiddler syndrome

T. Fahraeus and C. J. Höijer

in EP Europace

Published on behalf of European Heart Rhythm Association of the European Society of Cardiology (ESC)

Volume 5, issue 3, pages 279-281
Published in print July 2003 | ISSN: 1099-5129
Published online July 2003 | e-ISSN: 1532-2092 | DOI:
Early pacemaker twiddler syndrome

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Twiddler's syndrome is a well-known complication of pacemaker treatment. It was first described by Bayliss et al. when a patient manipulated and rotated the pulse generator in the pocket so many turns that it resulted in lead dislodgment, diaphragmatic stimulation and loss of capture. In this case report we present a patient who managed to rotate her dual chamber pulse generator so quickly after implantation that exit block occurred within 17 h. She had wound the two leads as far as their tips in a perfect formation around the pulse generator.

Keywords: Twiddler's syndrome; pacemaker lead dislodgment

Journal Article.  973 words.  Illustrated.

Subjects: Cardiovascular Medicine

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