Key result
Pacemaker Twiddler's syndrome causes syncope and diaphragmatic stimulation requiring surgical lead replacement 4 weeks post-implant.
Population
Patients after pacemaker implantation
Design
Review
Authors
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Raises awareness for early Twiddler's syndrome in elderly pacemaker recipients; hypothesis-generating for optimized lead fixation strategies.
Case Report (n=1)
No
Twiddler's syndrome is a rare but serious complication of pacemaker implantation that typically occurs within the first year and requires surgical repositioning and fixation.
Gurkirat et al. (2018) conducted a case report in Pacemaker Twiddler Syndrome (n=1). Pacemaker lead replacement and repositioning was evaluated. An 84-year-old female presented with syncope and diaphragmatic stimulation due to pacemaker Twiddler's syndrome 4 weeks after implantation, requiring surgical lead replacement.
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