Early detection of twiddler syndrome due a congestion alert by remote monitoring

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Early detection of twiddler syndrome due a congestion alert by remote monitoring

There are often false-positive alerts of thoracic impedance monitoring; however, the "false-positive alerts" might indicate any clinical problem of patient. In the present case, an alert for a drop in intrathoracic impedance, which generally indicates exacerbation of heart failure, enabled early detection of twiddler syndrome.

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Twiddler syndrome mimicking an abdominal aortic aneurysm

In conclusion, phrenic nerve stimulation due to LV lead dislodgement can mimic an abdominal aortic aneurysm. Pacemaker rotation leading to lead displacement was previously described by Bayliss et al. as Twiddler’s syndrome [1] and has a reported frequency of 0.07–7 % [2]. It was named after patients who twiddled with the device resulting in rotation and lead dislodgement. However, the syndrome ...

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ژورنال

عنوان ژورنال: Clinical Case Reports

سال: 2017

ISSN: 2050-0904

DOI: 10.1002/ccr3.979