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Europace 2003 5(3):279-281; doi:10.1016/S1099-5129(03)00032-1
© 2003 by European Society of Cardiology
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CASE REPORT

Early pacemaker twiddler syndrome

T. Fahraeus and C. J. Höijer

Pacemaker Department, Heart- and Lung Division, University Hospital of Lund Lund, Sweden

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.

Key Words: Twiddler's syndrome, pacemaker lead dislodgment

Correspondence: Dr Thomas Fahraeus, Pacemaker Department, Heart- and Lung Division, University Hospital of Lund, S-221 85 Lund, Sweden. Tel.: +46-46-171439; Fax: +46-46-323574; E-mail: thomas.fahraeus{at}skane.se


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