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Case Report

JCDR. 2015; 6(3): 148-151

Pacemaker Twiddler’s syndrome: Review Through a Case Report

Pande Arindam, Sarkar Achyut, Ahmed Imran, Chandra Naveen Ganiga Sanjeeva,Chakraborty Rabin.


Twiddler’s syndrome, a rare but hazardous complication of cardiac pacemaker treatment, characterized by device
malfunction due to dislodgement of cardiac leads resulting from some form of manipulation by the patient. In this report
we present a case of pacemaker Twiddler’s syndrome in a middle aged lady who presented with recurrent syncopes
after 1 month of initial implantation. Our patient was unique as she had almost none of the standard risk factors for this
condition. In our case, reanchoring the lead as well as the pulsegenerator to the pectoral muscle with multiple anchoring
sleeves prevented further recurrence.

Key words: Complication, Muscle twitching, Pacemakerm, Risk factors, Syncope, Twiddler’s syndrome.

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