Pacemaker twiddler's syndrome: Review through a case report

Twiddler's syndrome, a rare but hazardous complication of cardiac pacemaker treatment, characterized by device malfunction due to dislodgement of cardiac leads resulting from some form of manipulation by the patient. In this report we present a case of pacemaker Twiddler's syndrome in a middle aged lady who presented with recurrent syncopes after 1 month of initial implantation. Our patient was unique as she had almost none of the standard risk factors for this condition. In our case, reanchoring the lead as well as the pulsegenerator to the pectoral muscle with multiple anchoring sleeves prevented further recurrence.