A case of Defibrillator Twiddler's syndrome.
- Author:
Kyoung Suk RHEE
1
;
Won Ho KIM
;
Jae Ki KO
Author Information
1. Department of Internal Medicine, Research Institute of Clinical Medicine, Chonbuk National University Medical School, Jeonju, Korea. ksee@jbnu.ac.kr
- Publication Type:Case Report
- Keywords:
Twiddler's syndrome;
Defibrillator;
Complication
- MeSH:
Defibrillators;
Fluoroscopy;
Hand;
Humans;
Motor Activity;
Posture;
Shock;
Skin;
Sternum
- From:Korean Journal of Medicine
2010;78(1):113-116
- CountryRepublic of Korea
- Language:English
-
Abstract:
Here we describe a case of Twiddler's syndrome in a patient with an implanted cardioverter-defibrillator who tinkered with the device, shifting it to a vertical position and causing her skin to protrude in various locations. Fluoroscopy was used to determine what direction the device was rotating in during specific body postures and physical activities. Inappropriate shocks were delivered whenever the patient pushed the device down toward her sternum. The syndrome did not recur following training of the patient in a lead-revision procedure that involved shifting the device down vertically toward her lateral side with her hands.
