What is twiddler syndrome in patients with pacemakers?

Updated: Oct 11, 2019
  • Author: Daniel M Beyerbach, MD, PhD; Chief Editor: Jeffrey N Rottman, MD  more...
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Some patients will persistently disturb and manipulate the pacemaker generator, resulting in malfunction. A chest radiograph may reveal twisting or coiling or may show lead fracture, dislodgement, or migration. This situation will require surgical correction, with further patient education and counseling.

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