Twiddler´s syndrome in a subcutaneous implantable cardioverter-defibrillator presenting as inappropriate device discharge

Key Points

• To describe twiddler's syndrome in a patient with a subcutaneous implantable cardioverter-defibrillator (ICD) that resulted in inappropriate device discharges.
• Case report detailing clinical presentation and device assessment.
• Review of patient history and device functionality.
• Diagnostic imaging used to evaluate device placement.
• Inappropriate discharges occurred due to displacement of the device from its intended position.
• Patient underwent repositioning of the ICD to prevent further discharges.
• Follow-up showed resolution of inappropriate discharge episodes.