@article{ajcdr20251013,
author={{Ganthan, Resha Reya and Isber, Rayna and Fahed, Joud and Isber, Nidal},
title={Twiddler Syndrome without Twiddling: A Case of Lead Dislodgment and Inappropriate Shocks},
journal={American Journal of Cardiovascular Disease Research},
volume={10},
number={1},
pages={15--17},
year={2025},
url={https://pubs.sciepub.com/ajcdr/10/1/3},
abstract={Twiddler syndrome is a rare complication of cardiac implantable electronic devices (CIEDs) typically caused by patient manipulation of the generator, leading to lead dislodgement. We present a unique case of a patient with a biventricular implantable cardioverter-defibrillator (ICD) who developed atrial and ventricular lead dislodgement without evidence of device manipulation. The patient experienced six consecutive inappropriate ICD shocks due to oversensing and double counting of atrial and ventricular signals by the right ventricular (RV) lead. This case highlights a variant of Twiddler syndrome occurring in the absence of twiddling, underscoring the importance of vigilance for device malfunction even without patient-induced factors.},
doi={10.12691/ajcdr-10-1-3}
publisher={Science and Education Publishing}
}