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Defibrillator twiddler's syndrome

L A Robinson1, J R Windle

  • 1Department of Surgery, University of Nebraska Medical Center, Omaha 68198-2315.

The Annals of Thoracic Surgery
|July 1, 1994
PubMed
Summary
This summary is machine-generated.

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Patient-induced generator rotation can cause internal cardioverter defibrillator lead disruption, a serious complication. Early recognition of defibrillator twiddler's syndrome is crucial to prevent sudden death.

Area of Science:

  • Cardiology
  • Medical Devices
  • Patient Safety

Background:

  • Long-term internal cardioverter defibrillator (ICD) complications typically include inappropriate shocks and hardware issues.
  • The
  • twiddler's syndrome
  • is a known complication with pacemakers, involving lead malfunction due to generator manipulation.

Observation:

  • This case report details a novel complication of ICDs: lead disruption caused by patient-induced generator rotation.
  • This phenomenon is analogous to the previously described
  • pacemaker twiddler's syndrome
  • .

Findings:

  • Unlike pacemaker nonfunction, defibrillator twiddler's syndrome may initially present with inappropriate ICD discharge.

Related Experiment Videos

  • A critical manifestation can be sudden cardiac death that is not successfully resuscitated.
  • Subtle lead abnormalities on chest radiographs may indicate this syndrome.

    • Implications:

    • Clinicians should be vigilant for patient complaints regarding ICD generator position.
    • Prompt recognition of defibrillator twiddler's syndrome through clinical and radiographic assessment is vital.
    • Early diagnosis can prevent potentially fatal outcomes, including sudden cardiac death.