Twiddlers syndrome

Bhatia, Vineet; Kachru, Ranjan; Parida, Ashok; Kaul, Upendera

doi:10.1016/j.ijcard.2006.08.013

Cited by 10 publications

(11 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Whenever pacemaker dysfunction is suspected, a chest radiograph should be the first line imaging investigation. 3,4 This case report describes Twiddler's syndrome in a patient who may have been at higher risk of lead displacement on account of his Parkinsonism and ongoing rehabilitation and highlights the usefulness of chest radiography as well as the value of VVIR pacing instead of DDD pacing to patients in whom lead positioning is felt to be unsuitable.…”

Section: Discussionmentioning

confidence: 95%

“…Whenever pacemaker dysfunction is suspected, a chest radiograph should be the first-line imaging investigation. 3,4 Clinical presentation…”

Section: Introductionmentioning

confidence: 99%

“…When the pulse generator is rotated along the transverse axis, it is referred to as the Reel syndrome; a variant of Twiddler’s syndrome. 2, 3 The diagnosis is made by the chest radiograph which reveals the displaced, twisted lead around the pacemaker. Whenever pacemaker dysfunction is suspected, a chest radiograph should be the first-line imaging investigation.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Fiddling with the pacemaker: Twiddler’s syndrome in a parkinsonian patient

2012

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 95%

“…Whenever pacemaker dysfunction is suspected, a chest radiograph should be the first-line imaging investigation. 3,4 Clinical presentation…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Fiddling with the pacemaker: Twiddler’s syndrome in a parkinsonian patient

2012

View full text Add to dashboard Cite

show abstract

“…3 Classically, twiddler's syndrome occurs in obese women with loose, fatty subcutaneous tissue, and is characterized by the rotation of the pulse generator on its long axis with subsequent coiling of the pacemaker leads. 4 Patients may rotate the device and this action may cause lead displacement. Interestingly, Goldenberg et al 5 reported a case of twiddler's syndrome as a consequence of device rotation without manipulation of the pocket.…”

Section: Discussionmentioning

confidence: 99%

Double-sensing and Inappropriate Shock: Case Presentation with Differential Diagnosis

Gül¹,

Boles²,

Ali³

et al. 2016

JICRM

View full text Add to dashboard Cite

A patient with a history of cardiac arrest and ischemic cardiomyopathy was referred for a secondary prevention implantable cardiac defibrillator. Later, the patient was admitted because of multiple shocks. Device electrograms revealed inappropriate shocks as a result of double-sensing in the ventricular channel. Chest radiography also revealed lead dislodgement along with device rotation along its axis. Twiddler's syndrome occurs in obese women with loose, fatty subcutaneous tissue, and is characterized by the rotation of the pulse generator on its long axis with subsequent coiling of the pacemaker leads. Using active fixation leads, sub-pectoral implantation should be considered in obese patients to prevent progressive generator displacement inside the subcutaneous pouch and eventually progressive lead displacement. In this case report, we will discuss the differential diagnosis of double sensing and inappropriate therapies, as well as prevention and management of lead dislodgement.

show abstract

“…The prevelance of this syndrome is 0.07% (Gungor et al, 2009). Classically, Twiddler syndrome occurs in obese women with loose, fatty subcutaneous tissue and is characterized by rotation of pulse generator on its long axis with subsequent coiling of pacemaker leads (Bhatia et al, 2007). Other risk factors are mental disorders, female sex, and the small size of the implanted generator with a large pocket (Cardall et al, 1999).…”

Section: Twiddler Syndromementioning

confidence: 99%