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Pacemaker twist: Twiddler's syndrome

J K Wong1, R J House

  • 1Royal Melbourne Hospital, Melbourne.

Australasian Radiology
|August 1, 1993
PubMed
Summary
This summary is machine-generated.

Twiddler's syndrome, a pacemaker complication, can occur asymptomatically. Routine chest X-rays can detect this condition, even without symptoms or documented manipulation, aiding future monitoring.

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Area of Science:

  • Cardiology
  • Radiology
  • Medical Devices

Background:

  • Twiddler's syndrome is a known complication of cardiac pacemakers.
  • It typically involves patient manipulation of the implanted device.
  • Symptoms often include pacemaker dysfunction.

Observation:

  • Presents two cases of asymptomatic Twiddler's syndrome.
  • Both patients had unipolar pacemaker systems.
  • Diagnosis was incidental on routine chest radiography for unrelated reasons.

Findings:

  • Asymptomatic Twiddler's syndrome is possible.
  • No device manipulation was documented in these cases.
  • Radiological signs were identified on standard chest X-rays.

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Implications:

  • Routine radiographic monitoring is crucial for baseline assessment.
  • Early detection of pacemaker twist aids in managing potential future dysfunction.
  • Highlights the importance of recognizing radiological signs irrespective of symptoms.