Key result
Pacemaker Twiddler's syndrome may result from pulse generator manipulation or spontaneous rotation of an inadequately secured electrode, leading to electrode coiling.
Highlights a case of Twiddler's syndrome where the pacemaker electrode coiled in the right ventricular outflow tract.
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May prompt consideration of Twiddler's syndrome in lead malfunction; leaves open optimal fixation strategies.
Chernilas et al. (1996) studied this question. Pacemaker Twiddler's syndrome may result from pulse generator manipulation or spontaneous rotation of an inadequately secured electrode, leading to electrode coiling.
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