This case highlights Twiddler's syndrome as a rare but important complication of cardiac pacemakers presenting with chest pain and involuntary muscle contractions.
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Pacemaker patients with chest pain or myoclonus warrant Twiddler's syndrome evaluation; this case leaves open incidence and prevention data.
Twiddler's syndrome is a rare complication of cardiac pacemakers, which involves the retraction of the lead with rotation inside the implant pocket. This article presents the case of a 54-year-old female patient, who was admitted to the emergency department for chest pain and involuntary contractions of the left pectoral and left upper extremity. The patient is evaluated by a cardiologist specializing in electrophysiology, confirming the Twiddler's syndrome diagnosis.
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Navarro-Gonzalez et al. (2024) studied this question.
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