The Korean Journal of Internal Medicine

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

Keywords :Twiddler’s syndrome, Defibrillator, Complication
ics samyangbiopharm Hanmi
yungjin

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