Twiddler’s Syndrome-Reference-Cited by-同舟云学术

Twiddler’s Syndrome

Published:2019-05-20 Issue:3 Volume:3 Page:299-300
ISSN:2474-252X
Container-title:Clinical Practice and Cases in Emergency Medicine
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Author:

Lesnick Jason¹,Cooper Benjamin¹,Doshi Pratik¹

Affiliation:

1. McGovern Medical School at the University of Texas Health Science Center in Houston (UTHealth), Department of Emergency Medicine, Houston, Texas

Abstract

Twiddler’s syndrome refers to a rare condition in which a pacemaker or automatic implantable cardioverter-defibrillator (AICD) malfunctions due to coiling of the device in the skin pocket and resultant lead displacement. This image is the chest radiograph (CXR) of a 54-year-old male who presented to the emergency department with chest pain five months after his AICD was placed. The CXR shows AICD leads coiled around the device and the absence of leads in the ventricle consistent with Twiddler’s syndrome. Patients with twiddler’s syndrome should be admitted for operative intervention.

Publisher

Western Journal of Emergency Medicine

Subject

General Medicine

Reference3 articles.

1. Salahuddin M, Cader FA, Nasrin S, et al. The pacemaker-twiddler’s syndrome: an infrequent cause of pacemaker failure. BMC Res Notes. 2016;9:32.

2. Bardy GH, Lee KL, Mark DB, et al. Amiodarone or an implantable cardioverter–defibrillator for congestive heart failure. N Engl J Med. 2005;352(3):225-37.

3. Moss AJ, Hall WJ, Cannom DS, et al. Improved survival with an implanted defibrillator in patients with coronary disease at high risk for ventricular arrhythmia. N Engl J Med. 1996;335(26):1933-40.

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