| A case of Defibrillator Twiddler’s syndrome |
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Kyoung-Suk Rhee, Won-Ho Kim, Jae-Ki Ko |
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포항성모병원 1내과, 2비뇨기과 |
| 제세동기에서 발생한 트위들러 증후군 |
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이경석, 김원호, 고재기 |
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Departments of 1Internal Medicine and 2Urology, Pohang Saint Mary’s Hospital, Pohang, Korea |
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| Abstract |
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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. (Korean J Med
78:113-116, 2010) |
| Key Words:
Twiddler’s syndrome; Defibrillator; Complication |
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