Twiddler's syndrome: an uncommon cause of inappropriate shock

2021 ◽  
Vol 22 (12) ◽  
pp. e45-e46
Author(s):  
Jayson R. Baman ◽  
Anna Pfenniger ◽  
Kaustubha D. Patil
Keyword(s):  
Inappropriate Shock ◽  
Twiddler’S Syndrome

scholarly journals Twiddler’s syndrome with a subcutaneous implantable cardioverter-defibrillator presenting with an inappropriate shock: a case report

2019 ◽  
Author(s):  
C Fielder Camm ◽  
Kim Rajappan ◽  
Mark Curson ◽  
Lindsey Tilling
Keyword(s):  
Cardiac Arrhythmias ◽  
Idiopathic Dilated Cardiomyopathy ◽  
Implantable Cardioverter Defibrillators ◽  
Inappropriate Shock ◽  
Cardioverter Defibrillator ◽  
Inappropriate Shocks ◽  
Case Summary ◽  
Patients At Risk ◽  
Twiddler’S Syndrome ◽  
Cardioverter Defibrillators

Abstract Background Subcutaneous implantable cardioverter-defibrillators (S-ICDs) are increasingly used in patients at risk of fatal cardiac arrhythmias. Twiddler’s syndrome is a condition in which a device is manipulated by the patient after implantation leading to lead twisting and retraction. Device manipulation has been reported multiple times in transvenous pacing systems and occasionally leads to inappropriate discharges from implanted defibrillators. However, little has been reported about device manipulation in S-ICD devices. Case summary We present the case of a 16-year-old who underwent insertion of an S-ICD for idiopathic dilated cardiomyopathy. He represented for a pacing check following a discharge from the device. This showed a significant change in the sensed vectors. Chest radiographs confirmed lead retraction and suggested device manipulation. The device was turned off to prevent further inappropriate shocks. The patient underwent successful reimplantation of a S-ICD device. Discussion This case highlights that twiddler’s syndrome can occur in those with an S-ICD and lead to an inappropriate device discharge. The patient in this case had a number of risk factors that have been previously associated with twiddler’s syndrome.

Pacemaker twiddler's syndrome: An important cause of diaphragmatic pacing

1985 ◽  
Vol 56 (12) ◽  
pp. 797-799 ◽  
Author(s):  
Anil Kumar ◽  
Charles R. McKay ◽  
Shahbudin H. Rahimtoola
Keyword(s):  
Twiddler’S Syndrome

Inappropriate Shock Therapy in a Heart Failure Defibrillator

2001 ◽  
Vol 24 (2) ◽  
pp. 238-240 ◽  
Author(s):  
TIM R. BETTS ◽  
STUART ALLEN ◽  
PAUL R. ROBERTS ◽  
JOHN M. MORGAN
Keyword(s):  
Heart Failure ◽  
Shock Therapy ◽  
Inappropriate Shock

ICD Therapy in Children and Young Adults: Low Incidence of Inappropriate Shock Delivery

2010 ◽  
Vol 33 (6) ◽  
pp. 734-741 ◽  
Author(s):  
MICHA P. BOTSCH ◽  
BIRGIT FRANZBACH ◽  
BERND OPGEN-RHEIN ◽  
FELIX BERGER ◽  
JOACHIM C. WILL
Keyword(s):  
Young Adults ◽  
Inappropriate Shock ◽  
Shock Delivery ◽  
Icd Therapy ◽  
Children And Young Adults ◽  
Low Incidence

Twiddler’s syndrome in a patient with epilepsy treated with deep brain stimulation

Epilepsia ◽  
2012 ◽  
Vol 53 (7) ◽  
pp. e119-e121 ◽  
Author(s):  
David L. Penn ◽  
Chengyuan Wu ◽  
Christopher Skidmore ◽  
Michael R. Sperling ◽  
Ashwini D. Sharan
Keyword(s):  
Deep Brain Stimulation ◽  
Brain Stimulation ◽  
Twiddler’S Syndrome ◽  
Deep Brain

A Case of Recurrent Pacemaker Twiddler's Syndrome

1989 ◽  
Vol 19 (2) ◽  
pp. 349
Author(s):  
Jeong Gwan Cho ◽  
Myung Ho Jeong ◽  
Soon Chul Shin ◽  
Seung Jin Yang ◽  
Chan Hyung Park ◽  
...  
Keyword(s):  
Twiddler’S Syndrome

scholarly journals Twiddler's Syndrome in Deep Brain Stimulation

2020 ◽  
Vol 7 (7) ◽  
pp. 859-860
Author(s):  
Jason Adams ◽  
Vikram Shivkumar
Keyword(s):  
Deep Brain Stimulation ◽  
Brain Stimulation ◽  
Twiddler’S Syndrome ◽  
Deep Brain
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