Twiddler's syndrome in children: an unusual cause of pacemaker failure

Mechanical causes of pacemaker failure are well recognised. Twiddler's syndrome leading to pacemaker failure has been previously recognised in adults, but there have been no published reports of its occurring in children. Two cases leading to failure of the pacing system are reported. In the fi...

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Bibliographic Details
Published in:British Heart Journal 1995-02, Vol.73 (2), p.190-192
Main Authors: Abrams, S., Peart, I.
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Child, Preschool
Diseases of the cardiovascular system
Equipment Failure
Female
Humans
Male
Medical sciences
Pacemaker, Artificial
Play and Playthings
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
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Summary:Mechanical causes of pacemaker failure are well recognised. Twiddler's syndrome leading to pacemaker failure has been previously recognised in adults, but there have been no published reports of its occurring in children. Two cases leading to failure of the pacing system are reported. In the first twiddling led to fracture of the lead and in the second it led to displacement of the lead from the heart. Children may be more susceptible to twiddler's syndrome because they have thinner subcutaneous tissues, making leads more accessible, and their comprehension of the consequences may be poor.
ISSN:0007-0769
1355-6037
1468-201X
2053-5864
DOI:10.1136/hrt.73.2.190