Key result
Remote monitoring detects Twiddler syndrome without lead dislodgment via an increased impedance alert.
Remote monitoring can detect Twiddler syndrome even without lead dislodgment through impedance alerts.
Impedance alerts may flag Twiddler syndrome early in device patients; case-level data leaves open prospective validation before routine use.
Twiddler syndrome is an uncommon yet dangerous phenomenon usually resulting in lead displacement with loss of capture of cardiac implantable electronic devices. In this case report, we present an interesting case of Twiddler syndrome without lead dislodgment which was detected by an alert triggered by an increase in impedance on remote monitoring.
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Champagne et al. (2021) studied this question. Remote monitoring detected Twiddler syndrome without lead dislodgment via an alert triggered by increased impedance.
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