Published on:24th Jul, 2015
    Journal of Cardiovascular Disease Research, 2015; 6(3):148-151
    Case Report | doi:10.5530/jcdr.2015.3.7

    Pacemaker Twiddler’s syndrome: Review Through a Case Report


    Pande Arindam1*, Sarkar Achyut2, Ahmed Imran3, Chandra Naveen Ganiga Sanjeeva4 and Chakraborty Rabin1

    1Department of Cardiology, Apollo Gleneagles Hospital, Kolkata, India.

    2Department of Cardiology, IPGME & R and SSKM Hospital, Kolkata, India.

    3Department of Cardiology, Medical College and Hospital, Kolkata, India.

    4Department of Cardiology, Kasturba Medical College, Manipal, Karnataka, India.


    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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