Defibrillator twiddler's syndrome

Lary A. Robinson, John Robert Windle

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Long-term complications of internal cardioverter defibrillators have generally involved inappropriate shocks or hardware malfunctions. The present case documents a new problem of internal cardioverter defibrillator lead disruption resulting from patient-induced rotation of the generator In its pocket, similar to the previously reported pacemaker twiddler's syndrome. However, unlike the usual early symptoms of pacemaker nonfunction, the first symptomatic manifestation of the defibrillator twiddler's syndrome may be an inappropriate internal cardioverter defibrillator discharge or mote importantly, unrescued sudden death. Careful attention to patient complaints about the internal cardioverfer defibrillator generator and being alert to subtle lead changes on chest radiographs may allow the clinician to recognize this syndrome before a major, possibly fatal event.

Original languageEnglish (US)
Pages (from-to)247-249
Number of pages3
JournalThe Annals of Thoracic Surgery
Volume58
Issue number1
DOIs
StatePublished - Jul 1994

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Defibrillators
Sudden Death
Shock
Thorax

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Defibrillator twiddler's syndrome. / Robinson, Lary A.; Windle, John Robert.

In: The Annals of Thoracic Surgery, Vol. 58, No. 1, 07.1994, p. 247-249.

Research output: Contribution to journalArticle

Robinson, Lary A. ; Windle, John Robert. / Defibrillator twiddler's syndrome. In: The Annals of Thoracic Surgery. 1994 ; Vol. 58, No. 1. pp. 247-249.
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