• Ann Emerg Med · Jan 1994

    Case Reports

    Pacemaker-twiddler's syndrome: a rare cause of lead displacement and pacemaker malfunction.

    • G M Newland and T G Janz.
    • Department of Emergency Medicine, Wright State University School of Medicine, Dayton, Ohio.
    • Ann Emerg Med. 1994 Jan 1;23(1):136-8.

    AbstractPacemaker-twiddler's syndrome is characterized by spontaneous, subconscious, inadvertent, or deliberate rotation of the pulse generator by the patient resulting in lead dislodgement and pacemaker malfunction. We present a case of pacemaker-twiddler's syndrome that involved an atrioventricular sequential pacemaker. It resulted in failure of atrial lead capture and phrenic nerve stimulation but without loss of ventricular lead capture. A search of the literature revealed only ten previous cases reported; none were in the emergency medicine literature, and none involved an atrioventricular sequential pacemaker.

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