A 54-year-old female with a history of nonischemic cardiomyopathy presented to the
outpatient cardiology clinic with intermittent chest pain and “chest thumping.” She
had a single-chamber implantable cardioverter defibrillator (ICD) implanted 4 weeks
previously.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Diaphragmatic stimulation caused by cardiac resynchronization treatment.CMAJ. 2016; 188: E239https://doi.org/10.1503/cmaj.150986
- The pacemaker-twiddler's syndrome: a new complication of implantable transvenous pacemakers.Can Med Assoc J. 1968; 99: 371-373
- Early pacemaker twiddler syndrome.EP Europace. 2003; 5: 279-281https://doi.org/10.1016/S1099-5129(03)00032-1
- Twiddling with an implantable cardioverter-defibrillator.Acta Cardiol. 2009; 64: 695https://doi.org/10.2143/AC.64.5.2042706
- Transient phrenic stimulation due to twiddler syndrome.Isr Med Assoc J. 2021; 23: 383-384
- Twiddler's syndrome: case report and literature review.Heart Views. 2018; 19: 27-31https://doi.org/10.4103/HEARTVIEWS.HEARTVIEWS_89_17
- Twiddler syndrome as a rare cause of implantable cardioverter defibrillator malfunction.J Cardiovasc Med (Hagerstown). 2009; 10: 352-353https://doi.org/10.2459/JCM.0b013e32832915c0
- Pacemaker twiddler's syndrome: a case report.Am J Emerg Med. 1990; 8: 48-50https://doi.org/10.1016/0735-6757(90)90296-c
- Twiddler's syndrome with a subcutaneous implantable cardioverter-defibrillator presenting with an inappropriate shock: a case report.Eur Heart J Case Rep. 2019; 3: 1-5https://doi.org/10.1093/ehjcr/ytz200
- Pectoral muscular twitching: a rare manifestation of spontaneous twiddler syndrome.J Geriatr Cardiol. 2017; 14: 532-533https://doi.org/10.11909/j.issn.1671-5411.2017.08.007
- Twiddler's syndrome.N Engl J Med. 2003; 348: 1726-1727https://doi.org/10.1056/NEJM200304243481722
Article Info
Publication History
Published online: September 25, 2022
Robert G. Stern, MD, Section EditorPublication stage
In Press Journal Pre-ProofFootnotes
Funding: None.
Conflicts of Interest: None.
Authorship: All authors had access to the data and a role in writing this manuscript.
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
