Key result
Two variant cases of Twiddler's syndrome highlight life-threatening device rotation and lead dislodgement.
Case Report (n=2)
Highlights the variants of Twiddler's syndrome, a life-threatening complication of permanent pacing caused by device rotation.
Alerts clinicians to variant Twiddler's presentations in device patients; extends case literature but leaves optimal prevention open.
Twiddler's Syndrome, first described by Bayliss, refers to a permanent malfunction of the pacemaker as a result of rotation of the device causing lead dislodgement. Since then, various cases of Twiddler and its variants such as Reel, Ratchet, and reverse Twiddler have been reported. This article reports two variants of Twiddler and reviews the literature on this interesting yet life-threatening complication of permanent pacing.
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Mukhopadhyay et al. (2015) conducted a case report in Twiddler's Syndrome (n=2). Two variant cases of Twiddler's syndrome, a life-threatening complication of permanent pacing caused by device rotation and lead dislodgement, are reported alongside a literature review.
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