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. 2019 May 20;3(3):299-300.
doi: 10.5811/cpcem.2019.4.42123. eCollection 2019 Aug.

Twiddler's Syndrome

Jason A Lesnick  1 , Benjamin L Cooper  1 , Pratik B Doshi  1
Affiliations

Twiddler's Syndrome

Jason A Lesnick et al. Clin Pract Cases Emerg Med. .

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.

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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image
Image
Anteroposterior chest radiograph revealing automatic implantable cardioverter-defibrillator leads wrapped around the device (white arrows) and absence of leads in the ventricle.
See this image and copyright information in PMC

References

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