Twiddler's syndrome: A rare complication of pacemakers
Vitorino Modesto dos Santos 1 * ,
Kin Modesto Sugai 2,
Rafael Campos Nunes 3 More Detail
1 aDepartment of Medicine, Catholic University, Brasilia-DF, Brazil
2 Postgraduate Course of Management, Technology, and Information Security, University of Brasília, Brasília-DF, Brazil
3 Computer Science BSc Undergraduate at the University of Brasília, Brasília-DF, Brazil
* Corresponding Author
J CLIN MED KAZ, In press.
OPEN ACCESS
17 Views
0 Downloads
ABSTRACT
Twiddler’s syndrome is a rare severe entity first described in 1968 related to transvenous pacemaker placement, involving the pulse generator in a subcutaneous pocket, and the coiling, displacement, or fracture of the leads causing stimulation failure and symptoms recurrence needing immediate revision. Major risk factors for the loss of pacemaker function include bad generator fixation, manipulation, psychiatric disorder, obesity, advanced age, and an oversized pocket. The objective is to emphasize the recent case studies published in this Journal.
CITATION
dos Santos VM, Sugai KM, Nunes RC. Twiddler's syndrome: A rare complication of pacemakers. J Clin Med Kaz. 2025.